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Eclampsia — ACEM Fellowship MCQ

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ModerateOB/GYN emergenciesEclampsiaACEM Fellowship

A 33-year-old woman at 36 weeks gestation presents to an Adelaide ED, triage category 1, after a generalised seizure. BP 178/112, proteinuria is present and she is confused post-ictally. Fetal movements were normal earlier that day. What is the most likely diagnosis?

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Correct answer: BEclampsia

Seizure with severe hypertension and proteinuria in late pregnancy is eclampsia, requiring magnesium and urgent obstetric care.

Reference: RANZCOG hypertensive disorders pregnancy; ACEM obstetric curriculum