A 35-year-old pregnant woman at 32 weeks' gestation presents with right upper quadrant pain, nausea, and headache. Blood pressure is 168/110 mm Hg; sh...

Question

A 35-year-old pregnant woman at 32 weeks' gestation presents with right upper quadrant pain, nausea, and headache. Blood pressure is 168/110 mm Hg; she has 3+ protein on urine dipstick and platelets 80 × 10⁹/L with elevated liver enzymes. What is the most appropriate management priority?

Accepted Answer

Urgent stabilisation with magnesium sulphate, antihypertensives, and planning for expedited delivery

Answer

Outpatient blood pressure monitoring and follow-up in 1 week

Answer

Start oral labetalol and continue pregnancy to term

Answer

Schedule elective caesarean section at 40 weeks

Answer

Start anticoagulation for presumed HELLP syndrome

ca-mccqe1 MCQ (SBA): Severe preeclampsia/HELLP management

A 35-year-old pregnant woman at 32 weeks' gestation presents with right upper quadrant pain, nausea, and headache. Blood pressure is 168/110 mm Hg; she has 3+ protein on urine dipstick and platelets 80 × 10⁹/L with elevated liver enzymes. What is the most appropriate management priority?