Which of the foll owing is the best management for this patient at this time?

NEET PG DailyMCQs
#1

52-year-old man comes to the office due to abnormal liver chemist,y results found during a life insurance medical examination. He

occasionally feels faligued and has pedal edema after prolonged standing but othelWise reels well. The patienl has no medical hislo,y

and takes no medications. He drinks 1 or 2 cans of beer on weekends and does not smoke. He used intravenous drugs in his 20s

but has not since then. Vrtal signs are within normal range. Physical examination shows palmar erythema and multiple spider

angiomas. Laborato,y results are as follows:

Complete blood count

Hemoglobin 11 .2 g/dl

Plalelets 120,000/mm’

Serum chemistry

Creatinine 0.8 mg/dl

Liver function studies

Albumin 3.4 g/dl

Total bilirubin 1.3 rng/dl

Aspartate aminotransferase 62 U/L

Alanine aminotransferase 99 U/

Coagulation studies

INR 1.4

Immunologic and rheumatologic studies

Hepatitis C virus antibody

Hepatitis C RNA

positive

1 million copies/ml

Abdominal uttrasonography reveals a coarse, nodular-appearing liver with no masses, mild ascites, and splenomegaly. Upper

gastrointestinal endoscopy demonstrates medium-sized but nonbleeding esophageal varices. He is referred for a hepatitis C

evaluation with a gastroenterologist. Which of the foll owing is the best management for this patient at this time?

  • Q A ACE inhibitors
  • 0 B . Beta-adrenergic receptor blockers
  • 0 C. Endoscopic sclerotherapy
  • 0 0. H2 histamine receptor blockers
  • 0 E. Octreolide injections

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