Antenatal care: pre-eclampsia: 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 · Antenatal care: pre-eclampsia

Sample item

Which finding distinguishes pre-eclampsia from uncomplicated chronic hypertension in pregnancy?

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

The answer and the reasoning

A. New maternal organ dysfunction after 20 weeks

Pre-eclampsia is new-onset hypertension after 20 weeks with proteinuria or maternal organ dysfunction, uteroplacental dysfunction, or both. Proteinuria is not required if other diagnostic features are present.

Option by option

  • A. New maternal organ dysfunction after 20 weeks (correct)

    Correct. New hypertension with end-organ or placental involvement is diagnostic.

  • B. Physiologic ankle edema alone

    Dependent edema alone is common in normal pregnancy.

  • C. Hypertension before 20 weeks only

    Hypertension before 20 weeks suggests chronic hypertension.

  • D. Normal blood pressure with nausea

    Normal blood pressure does not meet the hypertension requirement.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, New maternal organ dysfunction after 20 weeks. Pre-eclampsia is new-onset hypertension after 20 weeks with proteinuria or maternal organ dysfunction, uteroplacental dysfunction, or both.

Why is "Physiologic ankle edema alone" not the answer?

Dependent edema alone is common in normal pregnancy.

Why is "Hypertension before 20 weeks only" not the answer?

Hypertension before 20 weeks suggests chronic hypertension.

Why is "Normal blood pressure with nausea" not the answer?

Normal blood pressure does not meet the hypertension requirement.

What concept does this question test?

It tests Antenatal care: pre-eclampsia in OBG. Proteinuria is not required if other diagnostic features are present.

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 Antenatal care: pre-eclampsia?

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.