Internado Rotatorio Medicina Bolivia Practice Questions - Internado Rotatorio De La Carrera De Medicina (Bolivia) Exam

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A 24-year-old primigravida at 36 weeks of gestation presents to the obstetric emergency triage with a persistent throbbing frontal headache and visual scotomas. Her blood pressure is 165/112 mmHg on two occasions 15 minutes apart. Urinalysis shows 3+ proteinuria on dipstick. Physical examination reveals brisk patellar reflexes (3+) and bilateral pretibial edema. What is the most appropriate immediate medical management?

Initiate intravenous magnesium sulfate loading and maintenance infusion alongside intravenous labetalol Administer oral furosemide 40 mg and schedule an elective cesarean delivery in 48 hours Prescribe oral methyldopa 250 mg and discharge home with bed rest instructions Perform immediate amniotomy and administer intravenous oxytocin without antihypertensive therapy

Correct Answer:

Initiate intravenous magnesium sulfate loading and maintenance infusion alongside intravenous labetalol

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