Hypertension

Question 1

Definition of pregnancy induced hypertension

Answer 1

Hypertension occurring >20 weeks gestation and resolving < 3 months after delivery

Question 2

Which antihypertensives are used in pregnancy? (3)

Answer 2

Methyldopa
Nifedipine
Beta-blockers

Question 3

Threshold for offering aspirin to patients at risk of pre-eclampsia?

Answer 3

1 high risk factor or 2 moderate risk factors

Question 4

When should aspirin be commenced for patients at risk of pre-eclampsia?

Answer 4

from 12 weeks to birth

Question 5

Criteria for diagnosis of pre-eclampsia?

Answer 5

Hypertension after 20 weeks- BP > 140/90 or greater than increase of 30/15 from booking
Proteinuria > 0.3g/24h

Question 6

Management of suspected pre-eclampsia?

Answer 6

Immediate admission

Question 7

Complication of pre-eclampsia, presenting with hypertension + RUQ pain + nausea + oedema

Answer 7

HELLP syndrome

Question 8

Significant symptoms suggesting possible pre-eclampsia? (4)

Answer 8

Epigastric pain
Vomiting
Headache
Visual disturbance

Question 9

What is the ultimate management for pre-eclampsia?

Answer 9

Delivery of the foetus