Hypertensive disorders: antihypertensive in lactation: 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.

Try it

OBG · Hypertensive disorders: antihypertensive in lactation

Sample item

A breastfeeding mother with persistent hypertension after delivery needs long-term therapy. Which drug is acceptable?

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

The answer and the reasoning

A. Enalapril

Enalapril passes into milk in very small amounts and is considered compatible with breastfeeding, so it can be used after delivery even though it is contraindicated in pregnancy. Atenolol accumulates in the infant, losartan lacks data, and high-dose thiazides can reduce milk supply.

Option by option

  • A. Enalapril (correct)

    Correct. Enalapril appears in milk in minimal amounts and is acceptable.

  • B. Losartan

    Losartan has little data in lactation and is generally avoided.

  • C. Atenolol

    Atenolol concentrates in milk and can cause infant bradycardia.

  • D. Hydrochlorothiazide in high dose

    High-dose thiazides can suppress lactation.

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, Enalapril. Enalapril passes into milk in very small amounts and is considered compatible with breastfeeding, so it can be used after delivery even though it is contraindicated in pregnancy.

Why is "Losartan" not the answer?

Losartan has little data in lactation and is generally avoided.

Why is "Atenolol" not the answer?

Atenolol concentrates in milk and can cause infant bradycardia.

Why is "Hydrochlorothiazide in high dose" not the answer?

High-dose thiazides can suppress lactation.

What concept does this question test?

It tests Hypertensive disorders: antihypertensive in lactation in OBG. Atenolol accumulates in the infant, losartan lacks data, and high-dose thiazides can reduce milk supply.

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: antihypertensive in lactation?

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.