Hypertensive disorders: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Hypertensive disorders

Sample item

What finding defines proteinuria in suspected pre-eclampsia most directly?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Elevated urinary protein with new hypertension after 20 weeks

Pre-eclampsia is new hypertension after 20 weeks with proteinuria or maternal organ dysfunction, so significant urinary protein supports the diagnosis.

Option by option

  • A. Ketones after missed meals

    Starvation ketones do not diagnose hypertensive disease.

  • B. Microscopic haematuria after exercise

    Exercise haematuria does not define pre-eclampsia.

  • C. Glucose in urine before conception

    Glycosuria has a different metabolic differential.

  • D. Elevated urinary protein with new hypertension after 20 weeks (correct)

    Correct: proteinuria with new hypertension supports pre-eclampsia.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Elevated urinary protein with new hypertension after 20 weeks. Pre-eclampsia is new hypertension after 20 weeks with proteinuria or maternal organ dysfunction, so significant urinary protein supports the diagnosis.

Why is "Ketones after missed meals" not the answer?

Starvation ketones do not diagnose hypertensive disease.

Why is "Microscopic haematuria after exercise" not the answer?

Exercise haematuria does not define pre-eclampsia.

Why is "Glucose in urine before conception" not the answer?

Glycosuria has a different metabolic differential.

What concept does this question test?

It tests Hypertensive disorders in OBG. The correct option holds because: Correct: proteinuria with new hypertension supports pre-eclampsia.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hypertensive disorders?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.