Hypertension

Question 1

Complication of gestational HTN

Maternal

Answer 1

Liver and renal dysfunction
Seizure 
DIC
HELLP
Left ventricular failure/pulmonary edema
Abruptio placenta
Hemorrhagic stroke

Question 2

Chronic HTN in pregnancy
Def.
How many evolve to preeclampsia

Answer 2

Present before week 20 or persist > 12 weeks after postpartum BP 140/90

20-25 % develop preeclampsia

Question 3

What is gestational HTN

Answer 3

Increases BP detected after week 20, without proteinuria

Question 4

What is the most common cause of HTN in pregnancy?

Answer 4

Gestational HTN

Question 5

Proteinuria > 300 mg according to
Dipstick
PC ratio

Answer 5

Dipstick: (+ 2 ) + 3

PC ratio: > 0,7
(

Question 6

When is the indication to start with antihypertensive therapy in gHTN

Answer 6

BP > 160/110

Question 7

Treatment of chronic or gestational HTN

Answer 7

Methyldopa:250 mg x 2-3

Labetalol

Nifedipine

NOTE: do not use ace inhibitors, propranolol or diuretics = teratogenic

Question 8

Definition of preeclampsia

Answer 8

BP 140/90 + proteinuria > 300 mg/24 h or

New onset HTN + 
Thrombocytopenia
Serum creatinine > 1,1 mg/dl
Increased liver transaminaser
Pulmonary edema 
Cerebral (headache) or visual symptoms

Question 9

Risk factors for preeclampsia

Answer 9

Nulliparity
Previous preeclampsia
Family history of preeclampsia
Age >40 or