Gestational Diabetes quiz By Dr Sharda Jain Dr Jyoti Agarwal Dr Meenakshi Sharma

1. Mediquest for 12/02/2020
DR SHARDA JAIN
Dr Jyoti Agarwal
Dr Meenakshi Sharma

3. RULES FOR THE QUIZ
• 30 secs for each question
• 10 marks for each right answer
• NO NEGATIVE MARKING
• No pass on
• Separate questions for the audience so request to
please maintain silence
• No whispering and don’t confuse the particitants

4. Round 1

5. Question 1
Who used the term ‘Gestational diabetes’ for
the first time?
a) Priscilla White
b) Bennewitz
c) John B O'Sullivan
d) Carpenter

6. Answer 1
C.John B O'Sullivan

7. Question 2
• What is the current WHO criteria for
diagnosis of GDM in pregnancy?
a) 92/140
b) 92/180/153
c) 90/ 165/145
d) 95/180/155

8. Answer 2
b). 92/180/153

9. Question 3
Full form of DIPSI is
a) Diabetes in pregnancy society of India
b) Indian diabetes pregnancy study group
c) International diabetes pregnancy society group
d) Diabetes in pregnancy study group India

10. Answer 3
“Diabetes in
pregnancy study
group, India”

11. Round 2

12. Question 4
The most specific congenital anomaly in infants of
diabetic mother is
a) Tetralogy of Fallot
b) Holoprosencephaly
c) Sacral agenesis
d) Arthrogryposis

13. Answer 4
C) Sacral agenesis

14. Question 5
The ANEUPLOIDY SCREEN in first trimester is
affected in patients who are likely to develop
GDM.
Which of the following is TRUE.
a) PAPPA levels are increased
b) Beta HCG levels are decreased
c) Both PAPPA and Beta HCG is decreased
d) Both PAPPA and Beta HCG increased

15. Answer 5
C) Both PAPPA and Beta HCG is
decreased

16. Question 6
Not approved Metformin for use in pregnancy.
a) Drug Controller General India
b) NICE guideline
c) MOHFW (ministry of health family welfare )

17. Answer 6
a) Drug Controller General India

18. Round 3

19. Question 7
• Which of the following criteria to diagnose GDM is
based on adverse pregnancy outcome due to
hyperglycaemia
a) WHO criteria
b) NDDG criteia
c) IADPSG
d) DIPSI

20. Answer 7
c) IADPSG

21. Question 8
• How will you screen a woman during
pregnancy for hyperglycaemia after bariatric
surgery?
A. OGT 75 gm
B. OGT 100 gm
C. HBA1C

22. Answer 8
C. HBA1C

23. Question 9
• Which International society recommends
selective or high risk screening for
hyperglycaemia testing during pregnancy?
A. NICE Guideline
B. DIPSI Guideline
C. WHO Guidline

24. Answer 9
A. NICE Guideline

25. Round 4

26. Question 10
WHO criteria for OVERT OR PREGESTATIONAL DIABETES the All
of the following parameters:
a) Fasting ≥126mg/dl
b) Random or post prandial or post 75 gm glucose value ≥200mg/dl
c) HbA1c ≥6.5%
TRUE/ FALSE

27. Answer 10
False (any & not all)

28. Question 11
DIPSI recommends
a universal, one step, screening and diagnostic
procedure to be done 3 times during
pregnancy- at the 1st visit, at 24-28 wks at 32-
34wks. of gestation.
TRUE/ FALSE

29. Answer 11
TRUE

30. Question 12
In patients with GDM with vascular disease or
duration of diabetes >20 years
Injectable DMPA is WHO MEC category ….
a) MEC 1
b) MEC 2
c) MEC 3
d) MEC 4

31. Answer 12 c
• Any contraceptive method is safe for a woman
with GDM
Except
• CHC and injectable progestin only contraceptives are
category 4 /3 for women with complicated DM or
DM> 20 yrs duration
• Cu IUD and barrier are category 1
• Rest all category 2

33. Audience
Round

34. Question
• Indian Guidelines recommend DIPSI test for diagnosing GDM.
“Plasma glucose is estimated 2 hours after 75gm of oral glucose load
given to the pregnant woman at the first ANC visit, irrespective of
the last meal.
If the 2hours plasma glucose value is >140mg/dl, then the woman is
diagnosed as GDM. If found negative in the first visit, the same test is
repeated at 24-28 wks”.
TRUE/ FALSE

35. Answer
TRUE

36. Round 5

37. Question 13
When should we terminate pregnancy in
patients with GDM controlled on medical
nutrition Therapy?
a) 39 to 40+6 weeks
b) 39 to 39+6 weeks
c) 37 to 38+6 weeks
d) 34 to 38+6 weeks

38. Answer 13
A. 39 to 40+ 6 weeks

39. Question 14
When should we terminate pregnancy in
patients with GDM controlled on
Pharmacotherapy?
a) 39 to 40+6 weeks
b) 39 to 39+6 weeks
c) 37 to 38+6 weeks
d) 34 to 38+6 weeks

40. Answer 14
B ) 39 to 39+6 weeks

41. Question 15
When should we terminate pregnancy in
patients with poorly controlled GDM or
pregestational diabetes?
a) 39 to 40+6 weeks
b) 39 to 39+6 weeks
c) 37 to 38+6 weeks
d) 34 to 38+6 weeks

42. Answer 15
C ) 37 to 38+6 weeks

43. Audience
Round

44. Question
When should we terminate pregnancy in
patients with Complicated Diabetes ?
a) 39 to 40+6 weeks
b) 39 to 39+6 weeks
c) 37 to 38+6 weeks
d) 34 to 38+6 weeks

45. Answer
D) 34 to 38+6 weeks

46. Round 6

47. Question 16
Which of the following is the best predictor of glycemic
control, lower incidence of LGA infants and lower rate of
LSCS for CPD?
a) Fasting BS
B) 1 hour postprandial BS
c) 2 hour post prandial BS
b) HbA1C

48. Answer 16
b) 1 hour postprandial BS

49. Question 17
When does postprandial glucose peak occurs?
a) 30 minutes after meal
b) 60 minutes after meal
c) 90 minutes after meal
d) 120 minutes after meal

50. Answer17
c) 90 minutes

51. Question 18
What is the composition of diet in a patient with GDM ?
(FOGSI guidelines)
a) Carbohydrate 40-50%, Protein 10% and Fat 40%
b) Carbohydrate 30-40%, Protein 20% and Fat 40%
c) Carbohydrate 20%, Protein 30% and Fat 50%
d) Carbohydrate 60%, Protein 20% and Fat 20%

52. Answer 18
B

53. Audience
Round

54. Question
In order to diagnose GDM by 2 hr GTT after
75 gm glucose load
# both values should be above normal.
True or False

55. False
Answer

56. Round 7

57. Question 19
How much is the permissible difference
between glucose values by glucometer and
laboratory values?
a) < 5%
b) 5 to 20%
c) > 20%

58. Answer 19
b) 5 to 20%

59. Question 20
• The glycemic targets during pregnancy for
optimum blood glucose levels recommended
by DIPSI are.
a) BS F 100 and BS PP 2 hour 140
b) BS F 90 and BS PP 2hour 140
c) BS F 90 and BS PP 2hour 120
d) BS F 100 and BS PP 2hour 120

60. Answer 20
BS F 90 and BS PP 2hour 120

61. Question 21
All the INSULIN PREPARATIONS are licensed
for use in pregnant women except.
a) Regular Insulin
b) Lispro
c) Glargine
d) Aspart
e) Detemir

62. Answer 21
C). Glargine

63. Question
for tie

64. Question
Which of the following best explains the
pathogenesis of macrosomia in GDM
a Bennewitz hypothesis
b Priscilla White hypothesis
c Pedersen Freinkel hypothesis
d O Sullivan Mahan hypothesis

65. Answer c

67. Question
• METFORMIN (oral anti diabetic drug) is
approved by US – FDA for use in gestational
diabetes
TRUE / FALSE

68. Answer
False