Hypertension Pregnancy

Question 1

7 contraindications to expectant management in Preeclampsia with severe features?

Answer 1

1- Pulmonary edema
2- Eclampsia
3- Uncontrollable severe pressures
4. DIC
5. Non-reassuring fetal status
6. IUFD or previable (<24wks) gestation
7. Abruption

Question 2

What type of drug is labetalol?

Answer 2

An alpha- and beta-adrenergic blocker

Question 3

antidote for magnesium toxicity?

Answer 3

Calcium gluconate (1 g IV)

Question 4

Contraindications MagSO4?

Answer 4

1- Myasthenia Gravis
2- Renal Impairment
3- Heart block
4- Hypocalcemia

Question 5

Initial evaluation of preeclampsia includes:

Answer 5

Blood pressure
Review of symptoms
Laboratory tests for proteinuria, CBC with platelets, creatinine, AST, and ALT
Antenatal testing

Question 6

The differential diagnosis of postpartum seizures includes:

Answer 6

1- hypertensive encephalopathy, 
2-cerebrovascular accident, 
3- cerebral venous thrombosis, 
4- infection,
5- metabolic abnormalities, 
6- drug intoxication or withdrawal.

Question 7

Maximum Doses Anti-hypertensives?

Answer 7

IV Labetalol: 300mg qd
PO Labetalol: 2400mg qd
IV Hydralazine: 60mg qd
PO Hydralazine: 300mg qd
PO Nifedipine: 120mg qd

Question 8

Lab criteria for Preeclampsia w/severe features?

Answer 8

PLTs <100k/mcL
LFTs: 2x upper limit normal
Serum Creatinine: > or = 1.1 mg/dL
PCR= 0,3 (or >/= 300mg on 24hr urine protein)