Question

a 34 - year - old pregnant female presents with hypertension and nausea. her urinalysis reveals proteinuria. what is the most likely diagnosis?
a) renal calculi
b) preeclampsia
c) nephrotic syndrome
d) acute glomerulonephritis
e) urinary tract infection

Explanation:

Preeclampsia is a pregnancy - specific disorder. It is characterized by hypertension (high blood pressure) and proteinuria (excess protein in the urine). Nausea can also be a symptom. Renal calculi (kidney stones) typically cause pain (flank pain) rather than the combination of hypertension and proteinuria. Nephrotic syndrome is not specific to pregnancy and has other associated symptoms like massive proteinuria, hypoalbuminemia, and edema. Acute glomerulonephritis may present with hematuria, proteinuria, and hypertension but is not pregnancy - specific. Urinary tract infections usually present with symptoms like dysuria (painful urination), frequency, and urgency rather than the triad of hypertension, proteinuria, and nausea in a pregnant woman.

Answer:

B. Preeclampsia