Hematemesis in Medicine / Internal Medicine — 54yo Man | Gastroenterology | SMLE Q#12138

SMLE Question #12138

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 54-year-old man with alcohol-related liver cirrhosis presents with hematemesis and melena. He receives resuscitation. Upper endoscopy confirms bleeding esophageal varices, and endoscopic band ligation achieves hemostasis. He remains stable on the ward and is being prepared for discharge. Which medication is most appropriate to prevent future episodes of variceal bleeding in this patient?

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