#june2020mccqe1
A 26-year-old woman at 36 weeks of gestation in her first pregnancy presents because of headache and right-sided upper abdominal pain of two days duration. The pregnancy has been normal until now. Her BP is 145/90mmHg, her ankles are slightly swollen and urinalysis shows protein +. There is some tenderness under the right costal margin. Which one of the following is the most likely cause of her symptoms and examination findings?
(A) Chronic renal disease
(B) Biliary cholestasis
(C) Pre-eclampsia
(D) Cholecystitis
(E) Acute fatty liver of pregnancy
A 26-year-old woman at 36 weeks of gestation in her first pregnancy presents because of headache and right-sided upper abdominal pain of two days duration. The pregnancy has been normal until now. Her BP is 145/90mmHg, her ankles are slightly swollen and urinalysis shows protein +. There is some tenderness under the right costal margin. Which one of the following is the most likely cause of her symptoms and examination findings?
(A) Chronic renal disease
(B) Biliary cholestasis
(C) Pre-eclampsia
(D) Cholecystitis
(E) Acute fatty liver of pregnancy
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