Q:

A 34 year old primigravida who is in her 16 weeks of GA (gestational age)comes for routine antenatal check-up. Her BP is 160/100mmHg. She has a history of repeated childhood UTI. What is the most likely cause of her high BP?

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A 34 year old primigravida who is in her 16 weeks of GA (gestational age)comes for routine antenatal check-up. Her BP is 160/100mmHg. She has a history of repeated childhood UTI. What is the most likely cause of her high BP? 


  1. Essential HTN
  2. Chronic pyelonephritis
  3. Acute pyelonephritis
  4. Pre-eclampsia
  5. Chronic UTI

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The key is B. Chronic pyelonephritis. [35% of childhood UTI (urinary tract infection) is associated with VUR (vesico ureteric reflux) and many of them develop renal scarring and chronic pyelonephritis causing hypertension]. 

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