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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. Advise the patient to follow an American Diabetic Association diet plan
B. Repeat the 50 g oral glucose challenge
C. Begin insulin treatment
D. Administer an oral, 3-hour 100 g glucose dose
E. Order a fetal ultrasound examination
Answer: D
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 B
B. Option C
C. Option A
D. Option D
Answer: A,C