True/False MCQ · Gastrointestinal Haemorrhage
Regarding the initial management of acute upper GI bleeding, the following statements are TRUE:
- AAssessment and resuscitation should occur simultaneously
- BLarge-bore IV access and crossmatch are part of resuscitation
- CEndoscopy should always precede any resuscitation
- DEndoscopy is performed after resuscitation and is both diagnostic and therapeutic
- EAbout half of upper GI bleeds stop spontaneously
Show answers and explanation
- A. True
- B. True
- C. False: Endoscopy is performed after resuscitation, not before it, in an unstable patient; stabilisation takes priority.
- D. True
- E. True
Initial management of upper GI bleeding
Resuscitation and assessment go hand in hand, with endoscopy after stabilisation.
Key points
- Simultaneous assessment and resuscitation.
- Large-bore IV access, bloods and group and crossmatch; crystalloid then blood components.
- Endoscopy after resuscitation - diagnostic and therapeutic.
- About 50% of bleeds stop spontaneously.
Statement-by-statement verdict
Why A is true
Assessment and resuscitation occur simultaneously.
Why B is true
IV access and crossmatch are part of resuscitation.
Why C is false
Endoscopy follows resuscitation; it should not always precede it in an unstable patient.
Why D is true
Endoscopy after resuscitation is diagnostic and therapeutic.
Why E is true
About half of bleeds stop spontaneously.
Practise every Gastrointestinal Surgery topic
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