03-04-2008, 06:24 PM
A 56-year-old alcoholic man is bleeding from esophageal varices. Blood transfusions and endoscopic sclerosing of the varices are successful in maintaining his vital signs and stopping the bleeding, but he develops a severe picture of hepatic encephalopathy. Useful measures to treat the encephalopathy include the luminal administration into the gastrointestinal tract of which of the following agents?
A. Amino acids and glucose
B. Elemental diet and steroids
C. Glutamine and arginine
D. Lactulose and neomycin
E. Metronidazole and vancomycin
A. Amino acids and glucose
B. Elemental diet and steroids
C. Glutamine and arginine
D. Lactulose and neomycin
E. Metronidazole and vancomycin