This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical, surgical and gynaecological illness complicating pregnancy, Subject name: Gynaecology & Obstetrics
The following are related to preeclampsia: 
Select and explain. 
A. It is a totally preventable disease, B. Systolic rise of blood pressure is more impoant than the diastolic, C. Eclampsia is invariably preceded by acute fulminating preeclampsia, D. Endothelial dysfunction is the basic pathology
D: Endothelial dysfunction is the basic pathology
Answer: D: Endothelial dysfunction is the basic pathology 
Explanation: Thr changes occuring during the preeclampsia are thought to be tge consequences of vasospasam,endothelial dysfunction and ischemia. Refer page no 256 of Text book of obstetrics,sheila balakrishnan,2 nd edition.