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Preeclampsia — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)PreeclampsiaUSMLE Step 3

A 29-year-old primigravid woman at 34 weeks has blood pressure 152/96 mm Hg on two readings and new headache. Urine protein-creatinine ratio is 0.42. Platelets, creatinine, and liver enzymes are normal. Fetal testing is reassuring. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Preeclampsia without severe features

New hypertension after 20 weeks with proteinuria meets criteria for preeclampsia; severe features are absent here.

Reference: ACOG Gestational Hypertension and Preeclampsia Practice Bulletin