2 Hours Of Large-volume in Medicine / Internal Medicine — 55yo Man | Gastroenterology | SMLE Q#11180

SMLE Question #11180

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 55-year-old man with alcohol-related liver cirrhosis presents with 2 hours of large-volume hematemesis and melena. He appears pale and diaphoretic. He has received rapid intravenous crystalloid resuscitation and is being prepared for urgent upper gastrointestinal endoscopy for suspected variceal bleeding. Which intravenous medication should be started before endoscopy to help control the bleeding?

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