Quiz:

1.     Which of the following is the first-line treatment for gestational diabetes if lifestyle modifications fail? 

a) Metformin
b) Insulin therapy
c) Glyburide
d) Oral contraceptives

2.     What is the target fasting blood glucose level for women with gestational diabetes? 

a) <100 mg/dL
b) <110 mg/dL
c) <95 mg/dL
d) <90 mg/dL

3.     Which of the following is a common fetal complication of poorly controlled diabetes during pregnancy?

 a) Intrauterine growth restriction (IUGR)
b) Preterm birth
c) Macrosomia
d) Oligohydramnios

4.     When should postpartum screening for diabetes be performed in women who had gestational diabetes?

 a) 4 weeks
b) 6-12 weeks
c) 1 year
d) Immediately after delivery

5.     What is the main reason for considering induction of labor at 38-40 weeks in diabetic pregnancies? 

a) To prevent preeclampsia
b) To reduce the risk of macrosomia
c) To ensure maternal blood glucose control
d) To avoid labor complications

6.     What additional screening should be performed in women with pregestational diabetes? 

a) Blood pressure monitoring
b) Ophthalmologic exam for retinopathy
c) Urinary protein test
d) None of the above

7.     What is the key characteristic of gestational diabetes? 

a) It occurs before 12 weeks of gestation
b) It typically resolves postpartum
c) It is a type 1 diabetes-related condition
d) It is always associated with insulin resistance

8.     What is the recommended first-line pharmacological therapy for gestational diabetes in women who are unable to achieve glycemic control with diet and exercise? 

a) Metformin
b) Sulfonylureas
c) Insulin therapy
d) Glucagon

9.     The risk of macrosomia in diabetic pregnancies is primarily due to: 

a) Increased maternal blood pressure
b) High maternal blood glucose levels
c) Genetic factors
d) Low maternal nutrition

10.  Which of the following is a fetal monitoring technique commonly used in pregnancies complicated by diabetes? 

a) Amniocentesis
b) Non-stress test (NST)
c) Chorionic villus sampling (CVS)
d) Amniotic fluid index (AFI)