A 60-year-old man with a history of peptic ulcer disease presents with melaena and hypotension. He is resuscitated and undergoes endoscopy, which show...

Question

A 60-year-old man with a history of peptic ulcer disease presents with melaena and hypotension. He is resuscitated and undergoes endoscopy, which shows a bleeding duodenal ulcer successfully treated endoscopically. What is the most appropriate next pharmacological step?

Accepted Answer

Start high-dose intravenous Proton pump inhibitor therapy

Answer

Start low-dose oral Omeprazole once daily

Answer

Start H2 receptor antagonist only

Answer

No further acid suppression is required

Answer

Give NSAIDs regularly for pain

uk-plab-1 MCQ (SBA): Peptic ulcer bleed post-endoscopy

A 60-year-old man with a history of peptic ulcer disease presents with melaena and hypotension. He is resuscitated and undergoes endoscopy, which shows a bleeding duodenal ulcer successfully treated endoscopically. What is the most appropriate next pharmacological step?