6 Hours Of Repeated in Medicine / Internal Medicine — 54yo Man | Gastroenterology | SMLE Q#11842
SMLE Question #11842
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 54-year-old man with alcohol-related cirrhosis presents with 6 hours of repeated hematemesis and black, tarry stools. He reports dizziness on standing. Examination shows scleral icterus and a distended abdomen with shifting dullness. Variceal upper gastrointestinal bleeding is suspected, and urgent upper endoscopy is planned. Before endoscopy, which of the following should be given primarily to increase intravascular volume?
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