A 38-year-old pregnant woman at 30 weeks presents with new-onset severe headache, visual disturbances and right upper quadrant pain. BP is 170/110 mm ...

Question

A 38-year-old pregnant woman at 30 weeks presents with new-onset severe headache, visual disturbances and right upper quadrant pain. BP is 170/110 mm Hg, reflexes are brisk and there is 2+ pedal oedema. Urine protein/creatinine ratio is significantly elevated. What is the most appropriate immediate management step?

Accepted Answer

Start magnesium sulfate for seizure prophylaxis and arrange urgent obstetric consultation for timed delivery

Answer

Discharge with oral labetalol

Answer

Start ACE inhibitor and send home

Answer

Observe without treatment

Answer

Start diuretics only

ca-mccqe1 MCQ (SBA): Severe pre-eclampsia