🏥 USMLE Exam Prep

A 65-year-old man with a history of cirrhosis due to alcohol abuse presents to the emergency department with hematemesis and melena. His vital signs are BP 90/60 mmHg, HR 115 bpm, RR 20 bpm, O2 sat 96%. Physical exam reveals jaundice, ascites, and spider angiomata. Initial management should include intravenous fluids and blood products. Which of the following medications should also be administered promptly?

A Intravenous octreotide
B Oral rifaximin
C Intravenous metronidazole
D Oral lactulose

✓ Correct Answer: Option A

Octreotide reduces splanchnic blood flow and portal pressure, which is critical in managing suspected variceal bleeding in patients with cirrhosis. Rifaximin and lactulose are used for hepatic encephalopathy.

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