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Hypertension in pregnancy — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension in pregnancyGPhC CRA

A pregnant patient at 18 weeks has a new prescription for ramipril for hypertension. The prescriber asks for an appropriate alternative. What is the most appropriate alternative?

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

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Correct answer: A — Labetalol

ACE inhibitors should be avoided in pregnancy. Labetalol is commonly used for hypertension in pregnancy when clinically appropriate. In this vignette, "Labetalol" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS