A 28-year-old woman presents at 20 weeks with BP 150/100 mmHg. Her BP was normal at booking at 10 weeks. Urinalysis shows no protein. Platelet count is 180,000/µL. What is the MOST likely diagnosis?

• A Gestational hypertension ✓
• B Chronic hypertension
• C Preeclampsia without severe features
• D White coat hypertension

Explanation

Gestational hypertension is defined as new-onset BP ≥140/90 mmHg after 20 weeks without proteinuria or other signs of organ dysfunction. This patient's booking BP was normal, making chronic hypertension unlikely. Preeclampsia requires proteinuria or other severe features alongside hypertension. Diagnosis of white coat hypertension requires ambulatory blood pressure monitoring for confirmation.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.