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Causes of Chronic Hypertension

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Questions and Answers

What is the primary cause of preeclampsia?

Diffuse microthrombosis in the placenta (correct)

Maternal immune response to fetal tissue

Inflammatory placental decidual vasculopathy

Altered trophoblastic invasion of the endometrium

How can endothelial damage in preeclampsia manifest in the mother?

Pathologic capillary leak resulting in rapid weight loss

Increased uteroplacental blood flow

Decreased responsiveness to vasoactive peptides

Nondependent edema and pulmonary edema (correct)

What clinical manifestation indicates decreased uteroplacental blood flow in preeclampsia?

High scores on a biophysical profile

Oligohydramnios

Hypertension

Nonreassuring fetal heart rate testing (correct)

What is the primary cause of hypertension in preeclampsia?

Vasospasm with arterial constriction Signup and view all the answers

What is the alteration seen in hormonal responsiveness in women who develop preeclampsia?

Hyperresponsiveness to vasoactive peptides Signup and view all the answers

What percentage of women with chronic hypertension are likely to develop preeclampsia during pregnancy?

20% Signup and view all the answers

What is the primary disorder in 90-95% of chronic hypertension cases?

Essential hypertension Signup and view all the answers

What percentage of pregnancies are complicated by gestational hypertension without proteinuria?

3-4% Signup and view all the answers

Which of the following is NOT listed as a possible cause for secondary chronic hypertension?

Essential hypertension Signup and view all the answers

What percentage of women of childbearing age experience chronic hypertension?

20-25% Signup and view all the answers