Chronic Hepatitis C in Medicine / Internal Medicine — 60yo Man | Gastroenterology | SMLE Q#11218
SMLE Question #11218
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 60-year-old man with chronic hepatitis C and Child-Pugh A cirrhosis had hematemesis and melena from esophageal varices that were controlled endoscopically 1 year ago. He has had no prophylactic therapy since then. He is currently asymptomatic. Surveillance upper endoscopy shows medium-sized esophageal varices without red wale signs. What is the most appropriate next step in management to prevent recurrent variceal bleeding?
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