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QUESTIONS

1. Read the following stem—which statement(s) are true?
A 35 year old multiparous woman had essential hypertension, adequately treated since the age of 22. This problem worsened during her three pregnancies, especially in the third trimesters. Recently, induction and delivery were hastened because of hypertension without proteinuria and a healthy infant was delivered. The obstetrician reduced the metoprolol dose postpartum when the blood pressure fell to 140/65. Thirty six hours later the blood pressure started to rise again. Despite efforts to lower this with oral antihypertensives, it climbed steeply to 210/115. The patient remained asymptomatic until she had a disabling pure motor ischaemic stroke (fig).

1. The mother was eclamptic.
   
2. Stroke is more common in pregnancy and the puerperium than in age-matched non-pregnant women.
   
3. Intracranial venous thrombosis is the most common cause of stroke in pregnancy and the puerperium.
   
4. Betablockers are the treatment of choice for hypertension of pregnancy.
   
5. Reduction of antihypertensive treatment in this case was a major . . . [Full text of this article]