EBCOG P1 – 3 month May 2022-Maternal Medicine Part 1 – Preeclampsia – Day 1 EMQ

A. Magnesium sulfate infusion
B. No treatment required
C. Start amlodipine
D. Start atenolol
E. Start Bendroflumethiazide
F. Start chlorothiazide
G. Start hydralazine
H. Start labetalol
I. Start lisinopril
J. Start losartan
K. Start low dose aspirin
L. Start LMWH
M. Start Vit C & E
N. Stop all antihypertensive medication
O. Switch to clopidogrel
P. Switch to enalapril

1.39 yr old woman in the postnatal ward awaiting discharge.she had a forceps delivery 2 days ago.She wants to breast feed the baby for 6 mths.She has chronic hypertension & was taking enalapril prior to pregnancy.Her medicine was changed to methyldopa once pregnancy was confirmed & BP was controlled throughout pregnancy.

2.42 year old woman with chronic HT is seen at booking visit at 12 weeks gestation.She was on losartan & swithched to labetalol once pregnancy test was positive.

3.A primi at 28 weeks gestation in the obstetric day assessment unit,referred by midwife because BP was 150/100 mmHg.She has no proteinuria.

Regarding antihypertensive treatment in pregnancy, choose the correct answer from the following list. Each option may be used once, more than once, or not at all.
A. Admit to AN ward
B. Atenolol
C. Bedrest
D. Bendroflumethiazide
E. Doxazocin
F. Enalapril
G. Hydralazine IM
H. Hydralazine IV
I. Labetalol IM
J. Labetalol IV
K. Labetalol oral
L. Low salt intake
M. Methyldopa
N. Monitor BP at home
O. Nifedipine
P. Ramipril

4.The first-line treatment for a 24-yr old asthmatic woman presenting with moderate hypertension (BP 150/93) at 28 weeks of pregnancy.

5.The first-line drug for a 39-yr old primigravid woman diagnosed with PE and moderate hypertension at 32 weeks of pregnancy.

6.The most appropriate drug for a 34-yr old postnatal breastfeeding woman with renal disease who required an ACE inhibitor for renal protection.

7.A 36-yr old woman on two medications for PE undergoes a normal vaginal delivery following induction of labour. Which medication should be stopped or changed postnatally?

8.A 22-yr old nulliparous woman at 30 weeks of pregnancy with BP of 160/105 mmHg complaints of upper abdominal discomfort and frontal headaches.