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 cirrhotic patient with haematemesis should receive which vasoactive drug while urgent endoscopy is arranged for suspected variceal bleeding?

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

The answer and the reasoning

B. Octreotide

Octreotide reduces splanchnic blood flow and portal pressure in suspected variceal bleeding. Resuscitation, antibiotics and endoscopic therapy are also important.

Option by option

  • A. Lactulose only

    Lactulose treats hepatic encephalopathy, not acute haemostasis.

  • B. Octreotide (correct)

    Correct. Octreotide is used to reduce portal inflow.

  • C. Metoclopramide only

    Metoclopramide does not lower portal pressure.

  • D. Loperamide

    Loperamide treats diarrhoea.

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 B, Octreotide. Octreotide reduces splanchnic blood flow and portal pressure in suspected variceal bleeding.

Why is "Lactulose only" not the answer?

Lactulose treats hepatic encephalopathy, not acute haemostasis.

Why is "Metoclopramide only" not the answer?

Metoclopramide does not lower portal pressure.

Why is "Loperamide" not the answer?

Loperamide treats diarrhoea.

What concept does this question test?

It tests Gastroenterology: upper GI bleeding in General Medicine. Resuscitation, antibiotics and endoscopic therapy are also important.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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.