Diabetes in Pregnancy Practice Questions

Question 1

A baby born at 34 weeks gestation weighs 3kg. Which of the following conditions is this child most likely to develop in the immediate postnatal period?

Accepted Answer

Anemia

Answer

APH

Answer

Diabetes

Answer

None of the options

Question 2

The following cost-effective investigations are routinely recommended in the screening of antenatal mothers, EXCEPT:

Accepted Answer

Echocardiography for cardiac disease

Answer

Blood sugar levels for GDM

Answer

VDRL for syphilis

Answer

Urine analysis for bacteriuria

Question 3

Which of the following is false regarding management of diabetes in pregnancy?

Accepted Answer

Elective C-section has no role in reducing incidence of brachial plexus injury

Answer

In active labor, if RBS <70 mg/dL, D5 is started at 100-150 ml/hr till the RBS is >70 mg/dL

Answer

In a patient being planned for induction of labor, night dose of intermediate insulin is given as planned, and the morning dose is withheld

Answer

Capillary blood glucose monitoring levels are kept at fasting- 95 mg/dL; 1 hr postprandial- 140 mg/dL; 2 hrs postprandial- 120 mg/dL

Question 4

What is the most common fetal complication associated with gestational diabetes?

Accepted Answer

There is a risk of macrosomia in babies born to mothers with gestational diabetes.

Answer

Only a small percentage of women with gestational diabetes develop overt diabetes.

Answer

Gestational diabetes is usually diagnosed in the second or third trimester.

Answer

Gestational diabetes can increase the risk of congenital malformations.

Question 5

A 28-year-old female, gravida 2, para 1, presents to the antenatal clinic at 24 weeks for a routine check-up. Ultrasonography shows a normal fetus for gestational age at 24 weeks of gestation in a frank breech position, with no other abnormalities. What is the most appropriate next step in management?

Accepted Answer

Glucose challenge test with 50 gm of glucose

Answer

ECV

Answer

Immediate LSCS

Answer

Culture for Neisseria gonorrhoeae and Chlamydia trachomatis

Question 6

A 3.8 kg baby of a diabetic mother developed seizures 32 hours after birth. The most probable cause would be?

Accepted Answer

Hypocalcemia

Answer

Hypoglycemia

Answer

Birth asphyxia

Answer

Intraventricular hemorrhage

Question 7

A G1 P0 woman at 36 weeks presents with newly diagnosed gestational diabetes. What is the most appropriate initial management?

Accepted Answer

Diet control

Answer

Induction of labor

Answer

Oral hypoglycemics

Answer

Insulin

Question 8

All of these cause hyperglycemia except:

Accepted Answer

Insulin

Answer

Catecholamines

Answer

Cortisol

Answer

GH

Question 9

Overt diabetes in pregnancy is defined as fasting blood glucose more than what value?

Accepted Answer

≥126 mg/dl

Answer

≥200 mg/dl

Answer

≥100 mg/dl

Answer

≥180 mg/dl

Question 10

Consider the following statements regarding HCG :

1. HCG is a glycoprotein with two subunits α and β.

2. HCG levels reach the maximum between the 60th and 70th day in a normal pregnancy.

3. HCG is secreted by the syncytiotrophoblast.
Which of the statements given above is/are correct ?

Accepted Answer

1, 2 and 3

Answer

2 and 3 only

Answer

1 and 2 only

Answer

1 and 3 only

Diabetes in Pregnancy — MCQs

Diabetes in Pregnancy — MCQs

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