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Preeclampsia with severe features — ABFM Board MCQ

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HardWomen's health/OB/GYNPreeclampsia with severe featuresABFM Board

A 28-year-old woman is 28 weeks pregnant and has blood pressure 162/106 mm Hg, headache, platelets 92,000/µL, AST 86 U/L, and urine protein-creatinine ratio 0.5. Which of the following is the most appropriate next step?

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Correct answer: B — Hospital evaluation and treatment for preeclampsia with severe features

Severe-range blood pressure with thrombocytopenia, elevated transaminases, headache, and proteinuria indicates preeclampsia with severe features. This requires hospital management, antihypertensive therapy, magnesium sulfate, and delivery planning based on gestational age.

Reference: ACOG Gestational Hypertension and Preeclampsia Practice Bulletin