## **Core Concept**
The question tests knowledge of antihypertensive drugs and their safety profiles during pregnancy. Pregnancy-induced hypertension is a significant concern, and the choice of antihypertensive medication is crucial to ensure the safety of both the mother and the fetus. Certain antihypertensive drugs are contraindicated in pregnancy due to their potential to cause harm to the fetus.
## **Why the Correct Answer is Right**
The correct answer, , is likely an ACE inhibitor or an angiotensin receptor blocker (ARB). These classes of drugs are known to be contraindicated in pregnancy, particularly in the second and third trimesters, because they can cause fetal renal damage, oligohydramnios, and other complications. They interfere with the renin-angiotensin-aldosterone system, which plays a critical role in fetal kidney development.
## **Why Each Wrong Option is Incorrect**
* **Option A:** - This could be a calcium channel blocker or a beta-blocker, both of which can be used in pregnancy with certain precautions and are not universally contraindicated.
* **Option B:** - This might represent a centrally acting antihypertensive or another class not typically contraindicated in pregnancy.
* **Option D:** - This could be a diuretic or another antihypertensive that does not have the same level of contraindication in pregnancy as ACE inhibitors or ARBs.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that ACE inhibitors and ARBs are contraindicated in pregnancy, especially after the first trimester, due to the risk of fetal harm. For managing hypertension in pregnancy, methyldopa, labetalol, and nifedipine are often considered safer options.
## **Correct Answer:** .
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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