UKMLA PLAB AMC USMLE Prometric MCQ

A 33-year-old G1P0 presents to your office for the first time, stating that her period is late and that she had a positive home pregnancy test. You confirm the pregnancy in the office, and the patient is nervous but happy about the pregnancy. You measure her blood pressure as 140/100, with other vital signs normal. The urinanalysis reveals no protein. Last menstrual period (LMP) and ultrasound date the pregnancy at 13 weeks, with a single intrauterine fetus seen. Follow-up blood pressure in a week is 142/96. She has not seen a physician for a while and denies a history of hypertension or other health problems. She is a nonsmoker, exercises 3 or 4 times a week, and works in an office

This same patient returns for subsequent follow-up visits with a blood pressure of 160/110. She has no protein or glucose in her urine. Other vital signs are stable, and she has no complaints. What is the medication of choice in pregnant patients with hypertension?

A. Atenolol (Tenormin)

B. Enalapril (Vasotec)

C. Hydralazine (Apresoline)

D. Methyldopa (Aldomet)

E. Hydrochlorothiazide (HCTZ)