A 58-year-old man with known cirrhosis presents with massive haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After init...

Question

A 58-year-old man with known cirrhosis presents with massive haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After initial resuscitation, what is the most appropriate specific pharmacological therapy to start?

Accepted Answer

Intravenous Terlipressin and prophylactic broad-spectrum antibiotics

Answer

Intravenous Metoclopramide only

Answer

Oral Omeprazole only

Answer

Oral Propranolol only

Answer

Intravenous Tranexamic acid only

uk-plab-1 MCQ (SBA): Acute variceal bleeding

A 58-year-old man with known cirrhosis presents with massive haematemesis and hypotension. Endoscopy confirms bleeding oesophageal varices. After initial resuscitation, what is the most appropriate specific pharmacological therapy to start?