<prompt> A patient presented to emergency ward with massive upper gastrointestinal bleed. On examination, he has mild splenomegaly. In the absence of any other information available, which of the following is the most appropriate therapeutic modality -Intravenous propranololIntravenous vasopressinIntravenous pantoprazoleIntravenous somatostatin  <response>: Medical management of Upper GI bleed PPI have been shown to reduce the risk for rebleeding and the need for surgical intervention Only 60-70 of patients with bleeding ulcer test positive for H.pylori ;after H.pylori Eradication there is no need for Longterm acid suppression Ref : Maingots 10the p. 292, 293, Sabiston 17the p. 1245 