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Gynaecology & Obstetrics Miscellaneous (Obs) cb821836

A 26 years old primigravida at 30 weeks of gestation on clinical examination, has blood pressure values of 142/100 mm Hg. 150/94 mmHg and 150/100 at 6 hours intervals. The next line of management is:

A
Add captopril
B
Add atenolol
C
Add methyldopa
D
No medical management is necessary at present
High-Yield Explanation
Ans. is c, i.e. Add methyldopaIn this case although patient has mild elevated BP but her BP is continuously increasing which means she needs antihypertensive. The antihypertensive which can be used in pregnancy is Methyldopa.

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