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Eclampsia — RCPSC EM MCQ

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HardOB/GYN emergenciesEclampsiaRCPSC EM

CTAS 1: A 34-week pregnant patient has a witnessed generalised seizure in triage. Vitals are BP 178/112, HR 110, SpO2 96%; urine dip shows protein. The seizure stops spontaneously after 90 seconds. Fetal heart monitoring is being arranged. What is the most appropriate initial management?

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Correct answer: C — Magnesium sulfate with blood pressure control and obstetric consultation

Eclampsia is seizure activity in the setting of pre-eclampsia. Magnesium sulfate is first-line for treatment and recurrence prevention; severe hypertension requires controlled reduction.

Reference: SOGC hypertensive disorders of pregnancy; obstetric emergency practice