Chronic Hypertension in Pregnancy — USMLE Step 2 CK MCQ

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ModerateObstetrics & GynecologyChronic Hypertension in PregnancyUSMLE Step 2 CK

A 12-week pregnant patient with chronic hypertension has BP 150/95 mmHg. No proteinuria. What is the recommended management?

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Correct answer: D — Initiate labetalol or nifedipine ER to target <140/90 mmHg

Explanation lettering: C = shown as A · E = shown as B · B = shown as C · A = shown as E

After CHAP, treating mild chronic hypertension in pregnancy to <140/90 improves outcomes; labetalol or nifedipine ER are first-line. A is outdated. B is contraindicated. C is not first-line for BP control in pregnancy. E aspirin does not control BP (low-dose aspirin is for preeclampsia prevention).

Reference: ACOG (2022): Clinical Guidance for Integration of the CHAP Trial