PLAB 1 (Professional And Linguistic Assessments Board Part 1) [plab-1-gmc]

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A 60-year-old man with a history of alcohol excess presents with haematemesis. On examination he has spider naevi, palmar erythema, and ascites. OGD shows oesophageal varices with active bleeding. What is the most appropriate initial management?

Urgent surgical ligation of varices Terlipressin IV plus urgent endoscopic band ligation IV omeprazole infusion Oral propranolol

Correct Answer:

Terlipressin IV plus urgent endoscopic band ligation

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