This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Bleeding from the GUT and diseases of esophagus, Subject name: Medicine
35 year ahas presented with 2 episodes of hematemesis. On examination his pulse rate is 100/min with BP of 90/60 mm Hg. Per abdomen examination shows spleen palpable 3 cm below costal margin. Which is true about this patient? 
Select and explain. 
A. Elevated CRP and Low C3, B. Most common site of bleeding is First pa of duodenum, C. Urgent Elective intubation of patient, D. The increased pressure of poal vein pressure should be lowered with octreotide
D: The increased pressure of poal vein pressure should be lowered with octreotide
Answer: D: The increased pressure of poal vein pressure should be lowered with octreotide 
Explanation: Hematemesis + splenomegaly- Poal hypeension Elevated CRP + Low C3 (Only with inflammatory condition) Most common site of bleeding in 1st pa of duodenum - Peptic ulcer disease Urgent reflective intubation - bleeding esophageal varices The increased pressure of poal vein pressure should be lowered with octreotide - poal hypeension For prevention - Propranalol TOC - UGIE + Sclerotherapy 1st line - Fluid resuscitation