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Eclampsia — RCPSC EM MCQ

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ModerateOB/GYN emergenciesEclampsiaRCPSC EM

A 24-year-old at 34 weeks' gestation has a generalised seizure in triage. BP is 176/112 mmHg, urine dip shows protein, and she is now post-ictal with brisk reflexes. Fetal heart rate is 150/min. What is the most likely diagnosis?

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Correct answer: C — Eclampsia

Eclampsia is correct: the clues indicate Eclampsia and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian obstetric emergency practice