QuestionSBA
QuestionChoice
Any pregnant woman with hypertension and proteinuria should raise suspicions of preeclampsia. These symptoms of headache and peripheral oedema also point towards preeclampsia. The patient's background of diabetes, chronic hypertension, increasing age and being nulliparous are all risk factors for developing preeclampsia.
10025670
a
Preeclampsia
QuestionChoice
HELLP syndrome, a condition affecting the liver and clotting function, is a form of preeclampsia. The patient is unlikely to have this as there is no evidence of haemolysis or elevated liver enzymes. Pre-eclampsia is therefore the most likely diagnosis.
10025671
b
HELLP (Haemolysis, Elevated Liver enzymes and Low Platelets) syndrome
QuestionChoice
An amniotic fluid embolism is a rare obstetric emergency. It typically occurs during or after labour, when amniotic fluid or other foetal material enters the maternal pulmonary circulation. Symptoms include maternal tachycardia, tachypnoea, hypoxia and hypotension. It is a life-threatening emergency that requires intensive care transfer. It is not the most likely diagnosis in this case. Any pregnant woman with hypertension and proteinuria should raise suspicions of preeclampsia. These symptoms of headache and peripheral oedema also point towards preeclampsia.
10025673
d
Amniotic fluid embolism
QuestionChoice
Gestational hypertension is a type of high blood pressure that comes on during pregnancy, and is expected to resolve after giving birth. This is unlikely to be the diagnosis in this case. The woman already has an established history of chronic hypertension before being pregnant, and the presence of proteinuria indicates preeclampsia rather than simple gestational hypertension. Any pregnant woman with hypertension and proteinuria should raise suspicions of preeclampsia. These symptoms of headache and peripheral oedema also point towards preeclampsia.
10025672
c
Gestational hypertension
QuestionChoice
This is an emergency that occurs during labour. It is when the umbilical cord passes through the cervix before the passage of the baby, which can cause foetal hypoxia. It requires prompt instrumental delivery. It is not the most likely diagnosis in this case. Any pregnant woman with hypertension and proteinuria should raise suspicions of preeclampsia. These symptoms of headache and peripheral oedema also point towards preeclampsia.
10025674
e
Umbilical cord prolapse
Concept
Chapter
2693
4510
Pre-eclampsia
Topic
174
Obstetrics
17532
A 37 year old nulliparous woman who is 36 weeks pregnant is monitored on the labour ward. She has a past medical history of chronic hypertension, in addition to type 2 diabetes mellitus. She reports a severe, acute-onset headache. On examination, the patient has bilateral swelling of her legs. A urine dip is strongly positive for proteinuria, and blood tests show a haemoglobin of 140 g/L (normal range 115-155 g/L) with normal liver function tests.


Which of the following is the most likely underlying diagnosis?
a