skip to main content

Preeclampsia (Severe Features) — USMLE Step 2 CK MCQ

Instant feedback + full explanation. One question, done properly.

ModerateObstetrics & GynecologyPreeclampsia (Severe Features)USMLE Step 2 CK

A 30-year-old at 35+6 weeks has preeclampsia with severe features (BP 168/112 mmHg, severe headache). Best management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Initiate magnesium sulfate and plan delivery (≥34 weeks)

For preeclampsia with severe features at ≥34 weeks, ACOG recommends magnesium sulfate seizure prophylaxis and delivery after stabilization. Expectant delay is inappropriate; antihypertensives alone are insufficient; delaying solely for steroids risks harm.

Reference: ACOG (2020): Practice Bulletin No. 222 - Gestational Hypertension and Preeclampsia