Hypertensive disorders: 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

Sample item

A primigravida at 35 weeks has BP 148/96 mmHg on two readings four hours apart. She has no proteinuria, headache or visual symptoms, and laboratory tests are normal. What is the best plan?

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

The answer and the reasoning

C. Close monitoring of BP, urine protein, laboratory tests and fetal growth for progression

New hypertension after 20 weeks without proteinuria or severe features is gestational hypertension. A proportion progress to pre-eclampsia, so surveillance is needed. Magnesium is reserved for severe features or eclampsia.

Option by option

  • A. Intravenous magnesium sulphate loading

    Magnesium is given for severe pre-eclampsia or seizures.

  • B. Immediate induction regardless of status

    Immediate induction is not required without severe features.

  • C. Close monitoring of BP, urine protein, laboratory tests and fetal growth for progression (correct)

    Correct. Surveillance detects progression to pre-eclampsia.

  • D. Daily diuretic therapy

    Diuretics are not recommended and may reduce placental perfusion.

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, Close monitoring of BP, urine protein, laboratory tests and fetal growth for progression. New hypertension after 20 weeks without proteinuria or severe features is gestational hypertension.

Why is "Intravenous magnesium sulphate loading" not the answer?

Magnesium is given for severe pre-eclampsia or seizures.

Why is "Immediate induction regardless of status" not the answer?

Immediate induction is not required without severe features.

Why is "Daily diuretic therapy" not the answer?

Diuretics are not recommended and may reduce placental perfusion.

What concept does this question test?

It tests Hypertensive disorders in OBG. A proportion progress to pre-eclampsia, so surveillance is needed. Magnesium is reserved for severe features or eclampsia.

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?

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.