A 33-year-old woman at 38 weeks of gestation presents to the GP with a new onset of severe frontal headache and visual disturbance described as flashi...

Question

A 33-year-old woman at 38 weeks of gestation presents to the GP with a new onset of severe frontal headache and visual disturbance described as flashing lights. Her blood pressure is 156/102 mmHg. She had no proteinuria at her last midwife visit 3 days ago but today shows 3+ protein. Which investigation is most urgently needed to assess for end-organ damage?

Accepted Answer

Urgent blood tests including platelet count, liver transaminases, and creatinine

Answer

CT head to exclude intracranial pathology

Answer

Urine culture to exclude urinary tract infection

Answer

24-hour urine protein collection

Answer

Fundoscopy by an ophthalmologist

uk-drcog MCQ (SBA): Severe Pre-eclampsia - Urgent Blood Tests