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OBG · Hypertensive disorders: prevention
Sample itemWhich agent started before 16 weeks in a woman with high risk for pre-eclampsia reduces its incidence?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Low-dose aspirin (75 to 150 mg at night)
Low-dose aspirin started before 16 weeks and continued until 36 weeks, or delivery, reduces pre-eclampsia, preterm birth and growth restriction in high-risk women. Calcium supplementation helps where intake is low. Antioxidant vitamins have no benefit.
Option by option
A. Furosemide
Diuretics do not prevent pre-eclampsia.
B. Vitamin C
Vitamins C and E showed no benefit.
C. Low-dose heparin
Heparin is not recommended for prevention.
D. Low-dose aspirin (75 to 150 mg at night) (correct)
Correct. Low-dose aspirin has proven benefit.
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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