Gestational Diabetes Mellitus (GDM)
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Questions and Answers

What is a recommended first-line investigation for adenomyosis?

  • Transvaginal ultrasound (correct)
  • CT scan of the pelvis
  • Pap smear
  • Hysterosalpingography

Which congenital infection is most common in the UK?

  • VSV
  • HSV
  • Cytomegalovirus (correct)
  • Toxoplasmosis

What is a feature of cytomegalovirus infection in neonates?

  • Erythematous skin lesions
  • Hepatomegaly (correct)
  • High birth weight
  • Normal hearing

What is a management option for toxoplasmosis during pregnancy?

<p>Sulphadiazine/pyrimethamine alternating with spiramycin (A)</p> Signup and view all the answers

Which congenital infection can cause sensorineural deafness in neonates?

<p>Cytomegalovirus (D)</p> Signup and view all the answers

What is a potential definitive treatment for adenomyosis?

<p>Hysterectomy (A)</p> Signup and view all the answers

What is the definition of gestational diabetes mellitus (GDM)?

<p>Hyperglycaemia in pregnancy that is below diagnostic thresholds for diabetes (D)</p> Signup and view all the answers

Which factor increases during pregnancy leading to insulin resistance?

<p>Insulin action resistance (C)</p> Signup and view all the answers

When should women be offered a 75g 2-hour oral glucose tolerance test (OGTT)?

<p>At 24-28 weeks of gestation (D)</p> Signup and view all the answers

Which of the following is a risk factor for developing gestational diabetes?

<p>Previous GDM (B)</p> Signup and view all the answers

How should gestational diabetes be diagnosed?

<p>With a fasting plasma glucose &gt;5.6 mmol/L (A)</p> Signup and view all the answers

What is recommended for the management of gestational diabetes?

<p>Regular review in a joint diabetes and antenatal clinic within a week (A)</p> Signup and view all the answers

Flashcards

First-line investigation for adenomyosis

Transvaginal ultrasound is the recommended first-line investigation for adenomyosis.

Most common congenital infection in the UK

Cytomegalovirus (CMV) is the most common congenital infection in the UK.

Feature of CMV in neonates

Hepatomegaly, or an enlarged liver, is a feature of cytomegalovirus infection in neonates.

Management of toxoplasmosis in pregnancy

Sulphadiazine/pyrimethamine alternating with spiramycin is a management option for toxoplasmosis during pregnancy.

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Congenital infection causing deafness

Cytomegalovirus (CMV) can cause sensorineural deafness in neonates.

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Definitive treatment for adenomyosis

Hysterectomy is a potential definitive treatment for adenomyosis.

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Definition of GDM

Gestational diabetes mellitus (GDM) is defined as hyperglycaemia in pregnancy that is below diagnostic thresholds for diabetes.

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Factor increasing insulin resistance in pregnancy

Insulin action resistance increases during pregnancy, leading to insulin resistance.

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When to offer OGTT in pregnancy

Women should be offered a 75g 2-hour oral glucose tolerance test (OGTT) at 24-28 weeks of gestation.

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Risk factor for GDM

Previous GDM is a risk factor for developing gestational diabetes.

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Diagnosis of GDM

Gestational diabetes can be diagnosed with a fasting plasma glucose > 5.6 mmol/L.

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Management of GDM

Regular review in a joint diabetes and antenatal clinic within a week is recommended for the management of gestational diabetes.

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