skip to main content

Eclampsia — DIPIMC MCQ

Instant feedback + full explanation. One question, done properly.

HardPaediatric and Obstetric EmergenciesEclampsiaDIPIMCDipIMC

A woman at 36 weeks' gestation has a generalised tonic-clonic seizure. Her blood pressure is 170/110, she has peripheral oedema and she had reported a headache earlier in the day.

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: CGive an intravenous magnesium sulfate loading dose, control the seizure and transfer urgently

An eclamptic seizure in late pregnancy is treated with magnesium sulfate, given as a loading dose followed by an infusion, which is more effective than benzodiazepines for both treating and preventing further seizures, alongside blood-pressure control and urgent transfer. Benzodiazepines (A and B) are not first-line for eclamptic seizures. Magnesium is the specific therapy in eclampsia, with definitive delivery arranged in hospital.

Reference: MBRRACE-UK; obstetric emergency guidance