<prompt> Hypeension, proteinuria, and pitting edema are noted in the second month of the first pregnancy in a 25-year-old woman. The pathogenesis of her presenting complains is most closely associated with:-A benign tumor of the chorionic villiGestational diabetes mellitusPrimary endometrial cancerA malignant trophoblastic tumor  <response>: Features of pre-eclampsia hypeension, proteinuria, pitting edema in the first trimester is most often secondary to a hydatidiform mole, which is a benign neoplasm of the chorionic villi. The uterus is frequently larger than the gestational age, Fetal Pas are not felt. Choricarcinomas are malignant trophoblastic tumors that most commonly develop from a preexisting complete mole,in 50 of cases although they can also be seen following a Normal pregnancy and aboion in 25 cases each 