Hypertensive disorders: antihypertensives: 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: antihypertensives

Sample item

Which antihypertensive is contraindicated in pregnancy?

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

The answer and the reasoning

D. Enalapril

ACE inhibitors and angiotensin receptor blockers cause fetal renal damage and are contraindicated. Labetalol, nifedipine and methyldopa are the standard drugs. Hydralazine IV is used in emergencies.

Option by option

  • A. Methyldopa

    Methyldopa is a safe, long-used drug.

  • B. Nifedipine

    Nifedipine is first-line.

  • C. Labetalol

    Labetalol is first-line.

  • D. Enalapril (correct)

    Correct. ACE inhibitors are fetotoxic.

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 D, Enalapril. ACE inhibitors and angiotensin receptor blockers cause fetal renal damage and are contraindicated.

Why is "Methyldopa" not the answer?

Methyldopa is a safe, long-used drug.

Why is "Nifedipine" not the answer?

Nifedipine is first-line.

Why is "Labetalol" not the answer?

Labetalol is first-line.

What concept does this question test?

It tests Hypertensive disorders: antihypertensives in OBG. Labetalol, nifedipine and methyldopa are the standard drugs. Hydralazine IV is used in emergencies.

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: antihypertensives?

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.