This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Diagnostic Evaluation of the Esophagus, Subject name: Surgery
First step to be done in case of variceal bleeding- 
Select and explain. 
A. Blood transfusion, B. IV Crystal]oides, C. Endoscopy, D. Somatostatin
B: IV Crystal]oides
Answer: B: IV Crystal]oides 
Explanation: Ans. is 'b' i.e., iv crystalloides Initial resuscitation is usually with isotonic crystalloid solutions. A minimum of 6 units of blood are typed and crossmatched for most patients. If PT is prolonged more than 3 seconds, fresh frozen plasma is a component of the resuscitation volume.Endoscopy to determine cause of bleeding - endoscopic sclerotherapy or endoscopoic variceal ligation and injection with cynoacrylate.iv antibiotics.Somatostatin/Octreotide.Balloon tamponade.