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?

<p>Vasospasm with arterial constriction (C)</p> Signup and view all the answers

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

<p>Hyperresponsiveness to vasoactive peptides (D)</p> Signup and view all the answers

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

<p>20% (A)</p> Signup and view all the answers

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

<p>Essential hypertension (D)</p> Signup and view all the answers

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

<p>3-4% (B)</p> Signup and view all the answers

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

<p>Essential hypertension (B)</p> Signup and view all the answers

What percentage of women of childbearing age experience chronic hypertension?

<p>20-25% (B)</p> Signup and view all the answers

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