GERD and Peptic Ulcer Disease USMLE Step 1 Practice Question
A 54-year-old man with alcoholic cirrhosis and portal hypertension presents with hematemesis and melena. Vital signs show BP 90/55, HR 118, RR 20, SpO2 98% on room air. Endoscopy reveals actively bleeding esophageal varices. Laboratory studies show hemoglobin 7.2 g/dL and INR 2.8. He denies prior variceal bleeding. Beyond urgent endoscopic therapy, he is initiated on a medication that reduces splanchnic blood flow through vasoconstriction. Which agent was most likely administered?
Answer choices
- AOmeprazole
- BDocusate
- CMesalamine
- DOctreotideCorrect answer
- EOrlistat
- FPropranolol
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