MEDizzy
MEDizzy
USMLE
USMLE I Test Block III
A 36-year-old G2P1 woman at “about 4 months” of gestation presents to her obstetrician for her first prenatal visit. She has been feeling well, but has not been to see a physician yet because of a death in the family. Her past medical history is significant for chronic hypertension, which is currently well controlled on a calcium channel blocker, and for Raynaud’s syndrome, also well controlled. Her blood pressure is 125/85 mm Hg, heart rate is 95/min, and respiratory rate is 18/min. Which is the most appropriate next step in managing this patient’s hypertension?
Explanation
Explanation The correct answer is A. Calcium channel blockers are not contraindicated during pregnancy, and are used to treat Raynaud’s syndrome. Given that this woman’s hypertension is controlled on a calcium channel blocker, there is no reason to switch her to a β-adrenergic blocker.
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