Q:

A 27 year old 34 week pregnant lady presents with headache, epigastric pain and vomiting. Examination: Pulse 115, BP 145/95mmHg, proteinuria ++. She complains of visual disturbance. What is the best medication for the treatment of the BP?

waelhammad
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2022-11-03
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A 27 year old 34 week pregnant lady presents with headache, epigastric pain and

vomiting. Examination: Pulse 115, BP 145/95mmHg, proteinuria ++. She complains

of visual disturbance. What is the best medication for the treatment of the BP?

  1. 4g MgSO4 in 100ml 0.9%NS in 5mins
  2. 2g MgSO4 IV bolus
  3. 5mg hydralazine IV
  4. Methyldopa 500mg/8h PO
  5. No treatment
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waelhammad
2022-11-03
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The key is E. No treatment. [Here, question specifically asked for treatment of BP. In case of BP of

145/95 mmHg no treatment for BP is needed. Ref: NICE guideline].

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