Hypertensive disorders: chronic 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.

Try it

OBG · Hypertensive disorders: chronic hypertension

Sample item

A woman with chronic hypertension develops new proteinuria and a sudden rise in BP at 30 weeks. What is the diagnosis?

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

The answer and the reasoning

C. Superimposed pre-eclampsia

New-onset proteinuria or worsening hypertension and organ dysfunction after 20 weeks in a woman with chronic hypertension is superimposed pre-eclampsia, which carries a higher risk of adverse outcomes. Management follows pre-eclampsia protocols.

Option by option

  • A. White coat hypertension

    White coat hypertension would not give proteinuria.

  • B. Eclampsia

    Eclampsia requires seizures.

  • C. Superimposed pre-eclampsia (correct)

    Correct. This is superimposed pre-eclampsia.

  • D. Gestational hypertension

    Gestational hypertension arises in a previously normotensive woman.

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 C, Superimposed pre-eclampsia. New-onset proteinuria or worsening hypertension and organ dysfunction after 20 weeks in a woman with chronic hypertension is superimposed pre-eclampsia, which carries a higher risk of adverse outcomes.

Why is "White coat hypertension" not the answer?

White coat hypertension would not give proteinuria.

Why is "Eclampsia" not the answer?

Eclampsia requires seizures.

Why is "Gestational hypertension" not the answer?

Gestational hypertension arises in a previously normotensive woman.

What concept does this question test?

It tests Hypertensive disorders: chronic hypertension in OBG. Management follows pre-eclampsia protocols.

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: chronic 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.