This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'All are true about pre eclampsia except: \nSelect and explain. \nA. Cerebral hemorrhage, B. Pulmonary edema, C. ARF, D. DVT', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Severe complications of Preeclampsia:\n\nPulmonary edema\n\n\nIt is a common complication of severe preeclampsia and eclampsia affecting ~3% of patients.\nMost cases are a result of aggressive use of crystalloid solutions, for intravascular volume expansion\nIt usually occurs in the post partum period and is characterized by profound respiratory distress, severe hypoxemia and diffuse rales.\n\nTreatment:\n\nAdministering oxygen by nasal prongs.\nRestriction of I/V or oral fluids.\nFurosemide 20-40 mg l/v every 6 hours.\n\n\nAcute renal Failure:\n\n\nOliguria is common in patients with severe preeclampsia\nIt is mostly prerenal in origin.\n\n\nIntracranial bleeding: It is the leading cause of death in preeclampsia. It is seen that main connection of this event is with systolic BP and not with diastolic B/P.\nVisual disorder: Blindness may occur in patients with severe preeclampsia and eclampsia and may persist for several days, although quick recovery after delivery is the rule.\n\nAs far as DVT is concerned – I know some of you may think that DIC is a result of preeclampsia which in turn can lead to DVT – But –\nDIC is a complication of eclampsia and HELLP syndrome, perse preeclampsia does not lead to DIC. Only if preeclampsia is associated with abruption of placenta it leads to DIC,\nRead the following lines from COGDT 10/e, p 997\n“Eclampsia is associated with DIC 11% of the time, with HELLP syndrome this increases to 15%. Peeclampsia together with placental abruption also significantly increases this association.”', 'role': 'assistant'}]