Gestational Diabetes Mellitus (GDM) Management Quiz
Test your knowledge of GDM diagnosis, risk factors, complications, and management strategies.
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Quiz Questions & Answers
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Question 1: Which risk factor pattern would most strongly indicate the need for early GDM screening?
Caucasian ethnicity, first pregnancy, BMI 24
Previous macrosomic baby (>9 lbs), non-Caucasian ethnicity, BMI >30
Maternal age 22, no family history of diabetes
Single pregnancy, normal pre-pregnancy weight
Question 2: Why does insulin resistance typically peak in the second and third trimesters of pregnancy?
Due to decreased maternal physical activity
Because of increased placental hormone production
From reduced pancreatic function
Due to decreased maternal food intake
Question 3: What pattern of insulin needs should be expected as pregnancy progresses?
Stable throughout pregnancy
Decreasing needs as pregnancy advances
Progressive increase, often doubling by term
Fluctuating randomly each trimester
Question 4: Which maternal complication sequence is most likely in poorly controlled GDM?
Glycosuria → UTIs → yeast infections
Hypoglycemia → seizures → coma
Decreased blood pressure → fainting
Weight loss → malnutrition
Question 5: What is the correct diagnostic sequence for GDM?
Immediate insulin therapy after one abnormal reading
1-hour 50g GTT, then 3-hour GTT if abnormal
Random glucose check only
Direct referral to endocrinologist
Question 6: Which lifestyle modification combination is most effective for GDM management?
Complete bed rest and liquid diet
Balanced meals with complex carbs and 30 min daily walking
Strict carbohydrate elimination
Intensive daily exercise without dietary changes
Question 7: Which immediate postpartum complication requires most urgent attention in GDM-affected newborns?
Hypoglycemia from persistent fetal hyperinsulinemia
Mild temperature variation
Delayed feeding
Jaundice
Question 8: What target blood glucose range is most appropriate for GDM management?
180-200 mg/dL all day
Fasting <95 mg/dL, postprandial <140 mg/dL
50-70 mg/dL fasting
Random levels above 200 mg/dL