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PLAB · GMC
MRCP(UK)
FRCPath · RCPath
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Try real questions
Two in every topic, marked straight away, with the guideline named. Get a plan when you are ready.
Pick an exam and a topic. 2 questions in every topic are open, marked straight away, each with the guideline it comes from. Nothing you type is stored.
Gastroenterology and hepatology
A 54-year-old man with known alcohol-related cirrhosis attends the emergency department after vomiting a large volume of fresh blood. He has spider naevi and ascites. His pulse is 118/min and blood pressure 92/58 mmHg. Two wide-bore cannulae have been sited, intravenous crystalloid has been started and blood samples, including a crossmatch, have been sent. An endoscopy is being arranged for later this morning.
What is the most appropriate next action?