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Pre-eclampsia — DRCOG MCQ

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HardAntenatal CarePre-eclampsiaDRCOG

A 32-year-old woman at 33 weeks' gestation attends with frontal headache and visual flashing lights. Her blood pressure is 158/104 mmHg and urine dipstick shows 2+ protein. She has mild epigastric discomfort. What is the most likely diagnosis?

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Correct answer: C — Pre-eclampsia

Hypertension after 20 weeks with proteinuria and symptoms such as headache, visual disturbance and epigastric discomfort is most consistent with pre-eclampsia. Gestational hypertension is tempting but does not explain the proteinuria and systemic symptoms. The teaching point is that severe features can be present even when systolic blood pressure is below 160 mmHg.

Reference: NICE NG133