Gastroenterology: upper GI bleeding: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Gastroenterology: upper GI bleeding

Sample item

A patient presents with hematemesis, tachycardia, and hypotension. What is the first management priority?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Resuscitate circulation and assess the airway

Upper gastrointestinal bleeding may rapidly compromise circulation and airway protection. Initial care follows resuscitation principles, with intravenous access, blood tests, crossmatch, and timely endoscopy after stabilization.

Option by option

  • A. Schedule outpatient endoscopy next month

    Delaying assessment is unsafe in unstable bleeding.

  • B. Start a high-fiber diet

    Dietary fiber does not control acute hemorrhage.

  • C. Give an antidiarrheal

    Antidiarrheals are irrelevant to hematemesis and shock.

  • D. Resuscitate circulation and assess the airway (correct)

    Correct. Hemodynamic stabilization and airway assessment precede definitive endoscopic treatment.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is D, Resuscitate circulation and assess the airway. Upper gastrointestinal bleeding may rapidly compromise circulation and airway protection.

Why is "Schedule outpatient endoscopy next month" not the answer?

Delaying assessment is unsafe in unstable bleeding.

Why is "Start a high-fiber diet" not the answer?

Dietary fiber does not control acute hemorrhage.

Why is "Give an antidiarrheal" not the answer?

Antidiarrheals are irrelevant to hematemesis and shock.

What concept does this question test?

It tests Gastroenterology: upper GI bleeding in General Medicine. Initial care follows resuscitation principles, with intravenous access, blood tests, crossmatch, and timely endoscopy after stabilization.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gastroenterology: upper GI bleeding?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.