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MRCOG PART 2 SBAs and EMQs

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EMQ1478
SBA2084
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EMQ Hypertention Attia. R

EMQ Hypertention Attia. R Posted by Attia R.

A 23 year old womenhas been reffered to the acessment unit at 34+3 weeks beecause of hypertention.her BP is 160-165/100-110mmhg on oral labetalol and she has  2.5 gram proteinurea per 24 hour. blood test fetal growth scan and umblical artey doppler are normal .

choose single most appropriate management

options

A) administer corticosteroid     B)  ADMINISTER CORTICOSTEROIDS AND DELEIVER

C) ADMINISTER STEROID AND DELEIVER WITHIN 24-48 HOUR  

 D)   administer steroid and deleiver once BP well controlled      

 E)   TREAT HYPERTENTION AND PERFORM 24 HR URINE      F)  DELEIVER ONCE  BP WELL CONTROLLED.   My answer is  (D) CORRECT ANSWER IS (C)

WHILE  in explanation you said if 34 + week give steroid and deleiver once BP well controlled.if 37 week deleiver within 24-48 hour.

please explain