This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hypertensive Disorders in Pregnancy, Subject name: Gynaecology & Obstetrics
Specific treatment of severe pre-eclampsia is: 
Select and explain. 
A. Magnesium sulphate, B. Termination of pregnancy, C. Clonidine, D. Hydralazine
B: Termination of pregnancy
Answer: B: Termination of pregnancy 
Explanation: Ans. B. Termination of pregnancyManagement includes termination of pregnancy as only this followed by placental delivery will revert the maternal physiology to normal. Magnesium sulphate is a very toxic drug that is not to be given in patients with severe preeclampsia prophylactically as it not an antihypertensive. Magnesium sulphate is reserved for impending or established eclampsia.Clonidine and hydralazine are antihypertensives to be used in mild preeclampsia.