Severe Pre-eclampsia — MRCEM SBA MCQ

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HardObstetricsSevere Pre-eclampsiaMRCEM SBA UKMLA PARA

A 29-year-old at 34 weeks has severe pre-eclampsia (BP 170/115, +++ proteinuria, headaches). Which is the most appropriate immediate management?

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Correct answer: D — IV labetalol and consider magnesium sulfate seizure prophylaxis; urgent obstetric review

Severe pre-eclampsia requires rapid BP control (IV labetalol/hydralazine), magnesium sulfate for eclampsia prophylaxis as indicated, and urgent obstetric involvement. ACE inhibitors are contraindicated in pregnancy.

Reference: NICE NG133: Hypertension in pregnancy: diagnosis and management