A 27-year-old woman presents at 10 weeks of gestation with BP of 148/96 mmHg documented on two occasions. She has no proteinuria and no organ dysfunction. Which classification correctly applies?
- A Chronic hypertension ✓
- B Gestational hypertension
- C White coat hypertension
- D Transient hypertension of pregnancy
Correct answer: A. Chronic hypertension
Explanation
Chronic hypertension is defined as hypertension present before pregnancy or diagnosed before 20 weeks of gestation. This patient's BP was recorded at 10 weeks, so it predates the 20-week cutoff regardless of whether it existed before conception. Gestational hypertension by definition appears after 20 weeks, which excludes option B. Transient hypertension refers to recurrence in later pregnancies.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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