Keppler - 11

Question 1

rf for GDM

Answer 1

happened before

increasing age

obesity

genetics

multiple gestation

hx macrosomnia

Question 2

dx of GDM is presumptive if

Answer 2

it is diagnosed early

Question 3

t/f screening for GDM is universal

Answer 3

T

Question 4

diagnostic criteria for GDM

Answer 4

4 fasting values

Question 5

A1C of __ = higher risk of congenital anomalies

Answer 5

>8

Question 6

first line med for GDM

Answer 6

insulin

Question 7

second line meds for GDM

Answer 7

oral agents → Metformin, Glyburide

Question 8

fetal surveillance is required for GDM if

Answer 8

meds are required

Question 9

postpartum management of GDM

Answer 9

if GDM, no further tx needed

screen for GDM 2 months postpartum for persistent

Question 10

fetal risks of GDM are associated w. (2)

Answer 10

macrosomnia

placental complications

Question 11

maternal risks of DM are associated w.

Answer 11

fetal macrosomnia

vascular dz complications → preeclampsia

Question 12

dx for GDM

Answer 12

1 hr 50 g oral glucose screening

confirmatory 100 g 3 hour diagnostic test

4 readings total

Question 13

management of GMD pt who requires meds

Answer 13

fetal surveillance

early delivery timing

Question 14

t/f: pt w. GDM have increased lifetime risk of developing DM

Answer 14

T!