Antihypertensive Pregnancy — RACP Adult Medicine MCQ

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EasyGeneral Internal MedicineAntihypertensive PregnancyRACP Adult Medicine

A 55-year-old woman with T1DM planning pregnancy is on enalapril. She asks about a safe antihypertensive for pregnancy. What is first-line?

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Correct answer: D — Methyldopa or labetalol

Methyldopa and labetalol are first-line antihypertensives in pregnancy. ACEi/ARBs are contraindicated (teratogenic).

Reference: eTG – 2025 – Obstetrics; SOMANZ – 2023