Medical disorders in pregnancy: heart disease: 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 · Medical disorders in pregnancy: heart disease

Sample item

Which cardiac condition carries the highest maternal mortality in pregnancy?

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

The answer and the reasoning

A. Eisenmenger syndrome

Eisenmenger syndrome (pulmonary hypertension with reversed shunt) has a maternal mortality of 30 to 50 per cent. Pregnancy is contraindicated, and termination is advised if it occurs. Pulmonary hypertension and dilated aortic root in Marfan syndrome are other high-risk lesions.

Option by option

  • A. Eisenmenger syndrome (correct)

    Correct. Pulmonary vascular resistance cannot adapt, with a mortality up to 50 per cent.

  • B. Small ventricular septal defect

    A small VSD is well tolerated.

  • C. Mitral stenosis

    Mitral stenosis is common and risky but has lower mortality.

  • D. Mitral valve prolapse

    MVP is generally benign.

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, Eisenmenger syndrome. Eisenmenger syndrome (pulmonary hypertension with reversed shunt) has a maternal mortality of 30 to 50 per cent.

Why is "Small ventricular septal defect" not the answer?

A small VSD is well tolerated.

Why is "Mitral stenosis" not the answer?

Mitral stenosis is common and risky but has lower mortality.

Why is "Mitral valve prolapse" not the answer?

MVP is generally benign.

What concept does this question test?

It tests Medical disorders in pregnancy: heart disease in OBG. Pregnancy is contraindicated, and termination is advised if it occurs. Pulmonary hypertension and dilated aortic root in Marfan syndrome are other high-risk lesions.

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 Medical disorders in pregnancy: heart disease?

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.