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Severe pre-eclampsia / HELLP — MCCQE Part 1 MCQ

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ModeratePregnancy ComplicationsSevere pre-eclampsia / HELLPMCCQE Part 1

A 25-year-old G1P0 at 34 weeks has BP 162/108, proteinuria 3+, headache, visual disturbances, platelets 90, AST 150. Most appropriate immediate management?

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Correct answer: EIV magnesium sulphate and plan for delivery

Severe pre-eclampsia/HELLP: IV MgSO4 for seizure prophylaxis, antihypertensives for BP <160/110, betamethasone if <34 weeks, plan delivery. Delivery is definitive treatment.

Reference: SOGC Hypertensive Disorders of Pregnancy