Hypertensive disorders: diuretic indication: 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: diuretic indication

Sample item

In which situation in severe pre-eclampsia is furosemide an accepted treatment?

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

The answer and the reasoning

B. Pulmonary oedema

Diuretics are avoided in pre-eclampsia because intravascular volume is already contracted and placental perfusion may fall further. They are reserved for pulmonary oedema or marked fluid overload, together with oxygen and fluid restriction.

Option by option

  • A. Oliguria to improve urine output

    Oliguria in pre-eclampsia is from intravascular depletion and renal vasoconstriction, so a diuretic is not the answer.

  • B. Pulmonary oedema (correct)

    Correct. Pulmonary oedema is the accepted indication for a loop diuretic.

  • C. Mild ankle oedema

    Mild ankle oedema is common in pregnancy and needs no diuretic.

  • D. Routine prevention of eclampsia

    Furosemide does not prevent eclampsia, and magnesium sulphate is used for that purpose.

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 B, Pulmonary oedema. Diuretics are avoided in pre-eclampsia because intravascular volume is already contracted and placental perfusion may fall further.

Why is "Oliguria to improve urine output" not the answer?

Oliguria in pre-eclampsia is from intravascular depletion and renal vasoconstriction, so a diuretic is not the answer.

Why is "Mild ankle oedema" not the answer?

Mild ankle oedema is common in pregnancy and needs no diuretic.

Why is "Routine prevention of eclampsia" not the answer?

Furosemide does not prevent eclampsia, and magnesium sulphate is used for that purpose.

What concept does this question test?

It tests Hypertensive disorders: diuretic indication in OBG. They are reserved for pulmonary oedema or marked fluid overload, together with oxygen and fluid restriction.

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: diuretic indication?

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.