This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Obstetrics, Subject name: Gynaecology & Obstetrics
A patient admitted at 29 weeks of pregnancy with jaundice and severe pre eclampsia, BP 170/110, urine albumin 3+. Blood investigations reveal Hb=7gm%, platelet count=70,000, TLC=13,000, SGOT=230, bilirubin=2 mg/dL, INR=2. Diagnosis is? 
Select and explain. 
A. Acute Cholecystitis, B. HELLP syndrome, C. Hepatic rupture, D. IHCP
B: HELLP syndrome
Answer: B: HELLP syndrome 
Explanation: HELLP syndrome Complication of pre eclampsia Characterized by Hemolytic anemia, Elevated Liver enzymes, Low Platelets Management: platelet transfusion, management of pre eclampsia and termination of pregnancy Presence of HELLP classifies pre eclampsia as severe pre eclampsia Hepatic rupture is a rapid catastrophic event which frequently results in a moality