Hypertension baseline assessment — DRCOG MCQ

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EasyAntenatal CareHypertension baseline assessmentDRCOG

A 28-year-old woman at booking has chronic hypertension treated with labetalol and no proteinuria documented. What is the most appropriate investigation?

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Correct answer: B — Urine protein:creatinine ratio

Urine protein:creatinine ratio is the best answer because the vignette is testing Hypertension baseline assessment and the recommended approach is consistent with NICE NG133. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Cardiotocography; High vaginal swab; Liver function tests and bile acids; Urine pregnancy test would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE NG133