Preeclampsia: ABFM practice questions

4 board-style questions on preeclampsia in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 29-year-old G1P0 at 34 weeks gestation presents with a blood pressure of 158/102 mmHg on two readings 4 hours apart. She reports a new-onset headache and visual changes (seeing spots). Labs show: platelets 95,000/uL, AST 142 U/L, ALT 128 U/L, creatinine 1.3 mg/dL, and urine protein/creatinine ratio of 0.4. What is the most accurate diagnosis and management?

  1. HELLP syndrome; proceed to immediate cesarean delivery
  2. Chronic hypertension; increase home blood pressure monitoring
  3. Preeclampsia with severe features; give magnesium sulfate and plan delivery
  4. Gestational hypertension; start labetalol and monitor weekly

Sample question 2

A 36-year-old G2P1 woman presents at 11 weeks gestation for her initial prenatal visit. Her first pregnancy was complicated by preeclampsia with severe features at 34 weeks requiring emergent cesarean delivery. She currently has chronic hypertension controlled on labetalol, a BMI of 34 kg/m2, and a pre-pregnancy blood pressure of 132/84 mmHg. According to USPSTF and ACOG recommendations, what is the most appropriate intervention to reduce her risk of recurrent preeclampsia?

  1. Increase labetalol dose to achieve blood pressure below 120/80 mmHg
  2. Start low-dose aspirin (81 mg) daily, ideally before 16 weeks gestation
  3. Start calcium supplementation 1,500 mg daily
  4. Start magnesium sulfate prophylaxis at 20 weeks gestation

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