مريضة في الأسبوع ٣٥ من الحمل، ضغطها ١٧٢/١١٢، وجاءها تشنج عام. أي دواء هو الأساس لمنع تكرار التشنج؟

A woman at 35 weeks’ gestation with BP 172/112 has a generalised seizure. Which drug is the mainstay to prevent recurrence?

1. Oral levetiracetam
2. Diazepam alone
3. Magnesium sulphate
4. IV phenytoin

Answer: C) Magnesium sulphate. Eclamptic seizures are treated and prevented with magnesium sulphate, with BP control and planning delivery. Respiration, reflexes and urine output are monitored for toxicity, with calcium gluconate as the antidote.