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NEW QUESTION: 1
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Answer:
Explanation:
Explanation
NEW QUESTION: 2
Your patient, a 25-year-old G1P0 female at 26 weeks gestation presents due to an abnormal glucose tolerance test. One week prior, she was given 50 g of oral glucose and demonstrate a venous plasma glucose level of 156 mg/dL one hour later.
Which of the following is the most appropriate next step of management?
A. Administer an oral, 3-hour 100 g glucose dose
B. Repeat the 50 g oral glucose challenge
C. Order a fetal ultrasound examination
D. Begin insulin treatment
E. Advise the patient to follow an American Diabetic Association diet plan
Answer: A
Explanation:
Explanation
Gestational diabetes is typically asymptomatic but identified via a 1-hour 50g oral glucose challenge administered at 24-28 weeks of gestation. A venous plasma glucose blood level of > 140 mg/dL is suggestive, and must be confirmed with a 3-hour 100g oral glucose tolerance test. After administration of the 100g glucose challenge, at least two of the following are required for diagnosis: (1) fasting glucose > 95 mg/dL, (2) one-hour glucose >180 mg/dL, (3) two hour glucose >155 mg/dL, and (4) three hour glucose > 140 mg/dL.
Choice A -
To diagnose gestational diabetes, a positive 1-hour 50g oral glucose challenge must be followed up by a three-hour 100g oral glucose challenge. The diagnosis is only confirmed after both challenges are completed and the thresholds are met. Choice C - Following the diagnosis of gestational diabetes, the first step is strict glycemic control (fasting glucose).
NEW QUESTION: 3
A. Option A
B. Option C
C. Option B
D. Option D
Answer: A,C