Chapter·Obstetrics and GynecologyMaternal-Fetal Medicine

Hypertensive Disorders in PregnancyDownloads

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Sample Questions

1

A 25-year-old lady, Neethu, in her 22nd week of pregnancy develops hypertension and mild proteinuria. Due to the baby's gestational age, her obstetrician chooses to carefully monitor the mother for any sign of developing complications rather than to immediately deliver the baby. Which of the following complications account for the most maternal deaths in preeclampsia?

ACerebral hemorrhage and acute respiratory distress syndrome

BCerebral edema and laryngeal edema

CConvulsions and renal tubular necrosis

DHemolysis and hepatic infection

2

A pregnant woman at 36 weeks gestation is found to have high blood pressure recording and a urine protein of 3+. Concomitant presence of which of the following symptoms would make you suspect imminent eclampsia? 1. Headache 2. Blurred vision 3. Persistent pedal oedema 4. Epigastric pain

A1,2,3,4

B2 and 4 only

C1,2,3

D1 and 2 only

3

A 32-year-old female at 36 weeks of pregnancy presents with BP 170/100 mmHg, visual disturbances, headache, urine protein 3+. What will be the next step?

AIV labetalol and delivery at 37 weeks

BIV labetalol, dexamethasone, and immediate termination of pregnancy

CIV labetalol, dexamethasone, and conservative management

DIV labetalol, magnesium sulfate (MgSO4), expedite delivery

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