Hypertensive disorders: acute severe hypertension: 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: acute severe hypertension

Sample item

Which regimen is appropriate for acute severe hypertension in pre-eclampsia?

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

The answer and the reasoning

D. IV labetalol or oral immediate-release nifedipine

IV labetalol (20 mg increasing to 80 mg), oral immediate-release nifedipine 10 mg or IV hydralazine are first-line to bring BP below 160/110 in a controlled manner. Sodium nitroprusside is reserved for refractory cases due to fetal cyanide risk.

Option by option

  • A. Sodium nitroprusside as the first choice

    Nitroprusside carries a risk of fetal cyanide toxicity.

  • B. Sublingual nifedipine in all cases without monitoring

    Sublingual use risks abrupt hypotension and fetal distress.

  • C. Enalapril

    Enalapril is contraindicated.

  • D. IV labetalol or oral immediate-release nifedipine (correct)

    Correct. These are the first-line options.

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 D, IV labetalol or oral immediate-release nifedipine. IV labetalol (20 mg increasing to 80 mg), oral immediate-release nifedipine 10 mg or IV hydralazine are first-line to bring BP below 160/110 in a controlled manner.

Why is "Sodium nitroprusside as the first choice" not the answer?

Nitroprusside carries a risk of fetal cyanide toxicity.

Why is "Sublingual nifedipine in all cases without monitoring" not the answer?

Sublingual use risks abrupt hypotension and fetal distress.

Why is "Enalapril" not the answer?

Enalapril is contraindicated.

What concept does this question test?

It tests Hypertensive disorders: acute severe hypertension in OBG. Sodium nitroprusside is reserved for refractory cases due to fetal cyanide risk.

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: acute severe hypertension?

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.