This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
Which of the following treatment modalities is not used for management of acute blood loss due to ruptured esophageal varices 
Select and explain. 
A. Endoscopic sclerotherapy, B. Endoscopic band ligation, C. Octreotide, D. Propanalol
D: Propanalol
Answer: D: Propanalol 
Explanation: Management of acute variceal bleeding Admit to ICU Blood resuscitation (upto Hb level of 8gm/dl) In patients with severe Coagulopathy - FFP and platelets Sho time antibiotic prophylaxis - ceftriaxone1gm/day IV often given Vasopressin( IV dose of 0.2-0.8 units/ min Somatostatin and octreotide Endoscopic sclerotherapy Shunt therapy or TIPS - refractory bleeding Ref: Sabiston 20th edition Pgno :1437-1440