Hematemesis in Medicine / Internal Medicine — 54yo Man | Gastroenterology | SMLE Q#16575

SMLE Question #16575

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 54-year-old man with alcohol-related liver cirrhosis presents with hematemesis. Upper endoscopy shows actively bleeding esophageal varices, and endoscopic band ligation controls the bleeding. He is hemodynamically stable and being prepared for discharge. He has no history of asthma or atrioventricular block. Which medication is most appropriate to reduce the risk of future variceal bleeding?

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