Hypertensive disorders of pregnancy: 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 of pregnancy

Sample item

A primigravida at 34 weeks has a blood pressure of 150/100 mmHg on two occasions and 2+ proteinuria. She had normal blood pressure before pregnancy. What is the diagnosis?

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

The answer and the reasoning

B. Pre-eclampsia

New-onset hypertension after 20 weeks with proteinuria or other maternal organ dysfunction is pre-eclampsia. Eclampsia is when seizures occur. Gestational hypertension has no proteinuria.

Option by option

  • A. Gestational hypertension

    Gestational hypertension has no proteinuria or end-organ dysfunction.

  • B. Pre-eclampsia (correct)

    Correct.

  • C. Eclampsia

    Eclampsia requires convulsions.

  • D. Chronic hypertension

    Chronic hypertension predates pregnancy or is present before 20 weeks.

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 B, Pre-eclampsia. New-onset hypertension after 20 weeks with proteinuria or other maternal organ dysfunction is pre-eclampsia.

Why is "Gestational hypertension" not the answer?

Gestational hypertension has no proteinuria or end-organ dysfunction.

Why is "Eclampsia" not the answer?

Eclampsia requires convulsions.

Why is "Chronic hypertension" not the answer?

Chronic hypertension predates pregnancy or is present before 20 weeks.

What concept does this question test?

It tests Hypertensive disorders of pregnancy in OBG. Eclampsia is when seizures occur. Gestational hypertension has no proteinuria.

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 of pregnancy?

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.