BOF 61

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BOF: 61

A 50-year-old male who is known to abuse alcohol is seen in clinic. He complains of abdominal discomfort and being generally unwell. He has never had haematemesis or melaena. He is an asthmatic and uses a salbutamol inhaler as required in addition to twice daily inhaled corticosteroid.

On examination he was noted to have several spider naevi on his upper chest. He had gynaecomastia and examination of his abdomen revealed hepatosplenomegaly.

You arrange an upper gastrointestinal endoscopy to screen for varices and the endoscopist reports the presence of 3 small non-tortuous varices and portal hypertensive gastropathy.

In this patient which of the following would you use to prevent variceal haemorrhage?

a)      Propranolol

b)      Atenolol

c)      Isosorbide mononitrate

d)      Terlipressin

e)      Octreotide

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