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    SubjectsMedicineEsophageal varices grade III
    ClinicalMedicine

    Esophageal varices grade III

    1 MCQs in Medicine for NEET PG

    1 Medium
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    Sample Questions

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    A 52-year-old male with 15-year history of alcoholic cirrhosis (Child-Pugh Class B) presents with large-volume hematemesis and melena. On examination, he has spider angiomas, palmar erythema, and caput medusae. Blood pressure is 90/60 mmHg, heart rate 118/min, and hemoglobin is 6.8 g/dL. After resuscitation with crystalloids and blood transfusion, he is started on intravenous octreotide and ceftriaxone. Urgent upper gastrointestinal endoscopy within 12 hours reveals the structure marked **A** in the diagram—large tortuous bluish serpentine columns of dilated submucosal veins occupying more than one-third of the esophageal lumen at the gastroesophageal junction with red wale signs. Which of the following is the most appropriate endoscopic therapy for this patient?

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