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OBG · Hypertensive disorders
Sample itemWhat blood-pressure disorder develops after mid-pregnancy without proteinuria or end-organ dysfunction?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Gestational hypertension
Gestational hypertension is new hypertension after 20 weeks without the proteinuria or maternal organ dysfunction needed to diagnose preeclampsia.
Option by option
A. Chronic hypertension only
Chronic hypertension predates pregnancy or appears before 20 weeks.
B. Gestational hypertension (correct)
Correct: gestational hypertension lacks preeclampsia-defining features.
C. Preeclampsia
Preeclampsia includes proteinuria or significant end-organ dysfunction.
D. Eclampsia
Eclampsia is seizure activity occurring with preeclampsia.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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