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Preeclampsia with severe features — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Preeclampsia with severe featuresUSMLE Step 3

A 31-year-old G1P0 woman at 34 weeks' gestation has blood pressure 162/104 mm Hg, headache, visual spots, and 3+ proteinuria. Platelets are 92,000/mm3 and AST is elevated. Which of the following is the most likely diagnosis?

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Correct answer: D — Preeclampsia with severe features

Severe-range blood pressure, neurologic symptoms, proteinuria, thrombocytopenia, and transaminitis indicate preeclampsia with severe features.

Reference: ACOG gestational hypertension and preeclampsia guidance