A 35-year-old pregnant patient at 28 weeks with BP 152/102 mm Hg and severe headache meets criteria for preeclampsia with severe features. Platelets 1...

Question

A 35-year-old pregnant patient at 28 weeks with BP 152/102 mm Hg and severe headache meets criteria for preeclampsia with severe features. Platelets 150,000/µL. Next action?

Accepted Answer

Administer magnesium sulfate and control BP; plan delivery at ≥34 weeks or sooner if unstable

Answer

Avoid magnesium unless seizures develop

Answer

Outpatient monitoring

Answer

Delay treatment until 37 weeks

Answer

Start ACE inhibitor for BP control

USMLE MCQ (SBA): Preeclampsia with severe features

A 35-year-old pregnant patient at 28 weeks with BP 152/102 mm Hg and severe headache meets criteria for preeclampsia with severe features. Platelets 150,000/µL. Next action?