Upper Gastrointestinal Haemorrhage – Post Test

The patient looks clammy and has poor peripheral perfusion. Pulse is 130 beats per minute and blood pressure 80/40mmHg.

Which of the following is the most appropriate initial management option?

With regards to risk assessment in this patient, which of the following is true?

Pick the most appropriate initial medical therapy for this patient from the following list:

A decision is made to endoscope this patient. Which of the following options is true?

A 24 year old female presents with a single episode of haematemesis and mild epigastric pain. She has been taking aspirin for the last five days following an ankle sprain. She is warm and well perfused. Pulse is 60 beats per minute, and blood pressure 110/70mmHg. Routine blood tests, including haemoglobin and urea are normal, and she remains haemodynamically stable in the emergency department. Which of the following is true?

A 51 year old female presents with severe acute haematemesis.

Which of the following does not suggest a variceal bleed?

She is noted to be jaundiced with gross ascites. As well as arranging for urgent blood products to be administered, which of the following should also form part of the initial management.

Which of the following would be among the first line agents to be administered in the resuscitation of this patient?

The patient continues to bleed and you decide to insert a Sengstaken-Blakemore tube.

Which of the following is true?

A 70 year old man presents to the emergency department after three large episodes of haematemesis and melaena over the preceding four hours. He has a history of chronic kidney disease.

Which of the following is true?