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Preeclampsia — MCCQE Part 1 MCQ

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ModeratePregnancy ComplicationsPreeclampsiaMCCQE Part 1

A 32-year-old woman at 34 weeks gestation has headache, visual symptoms and blood pressure 162/106 mmHg. Urine protein/creatinine ratio is elevated and platelets are 92 x 10^9/L. Which of the following is the most appropriate next step?

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Correct answer: D — Admit for severe preeclampsia management, antihypertensive therapy, magnesium sulfate consideration and delivery planning

Severe hypertension with neurological symptoms and thrombocytopenia in pregnancy is severe preeclampsia and requires inpatient maternal-fetal management. ACE inhibitors are contraindicated in pregnancy and outpatient reassurance is unsafe. Delivery timing depends on gestation and maternal-fetal status, but severe features require active planning.

Reference: SOGC Guideline No. 426 Hypertensive Disorders of Pregnancy