Question 2

2.  Which of the following patients would be less like to develop ectopic pregnancy?

A.  Patient with pelvic inflammatory disease

B.  Patient with ovarian cysts

C.  Patients that are on Clomid

D.  Patient with history of previous ectopic pregnancy

Answer 1

1.  Choice D is the correct answer.   Nitroprusside is not ideal for preclampsia patients.  It is actually pregnancy category C, but hydralazine, labetolol, and methyldopa are more safe.  In addition, there is a cyanide toxicity risk even at low infusion rates.

Question 1

1.  Your patient is a 24 year old female 31 weeks pregnant with preclampsia in the ER with headache, dizziness and vomiting.  Her blood pressure is 235/130 and heart rate is 88.  Which of the following is not appropriate for management of her elevated blood pressure emergently?

A.  Hydralazine
B.  Labetolol
C.  Methyldopa
D.  Nitroprusside