Pregnancy: GDM & Thyroid Quiz

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Advanced Diploma in Midwifery

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Juriati

Malaysia

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Pregnancy: GDM & Thyroid Quiz


Froggy Jumps Pregnancy: GDM & Thyroid QuizOnline version Advanced Diploma in Midwifery by Juriati 1 What defines gestational diabetes mellitus (GDM)? a Glucose intolerance first recognized during pregnancy b Diabetes diagnosed before pregnancy c Low blood sugar during pregnancy 2 When is universal screening for GDM commonly performed? a Between 24 and 28 weeks of gestation b Right at delivery c In the first week of pregnancy 3 Which factor most increases GDM risk? a Low blood pressure b Advanced paternal age c Maternal obesity or high BMI 4 Which thyroid condition is most common in pregnancy? a Hyperthyroidism only b Hypothyroidism (subclinical or overt) c Thyroid cancer 5 First-trimester TSH target range commonly used? a 0.5–4.0 mIU/L b 5–10 mIU/L c 0.1–2.5 mIU/L 6 Preferred initial treatment for uncontrolled GDM after lifestyle changes? a Immediate delivery at 34 weeks b Oral hypoglycemics only c Insulin therapy 7 GDM increases risk of which neonatal complication? a Low birth weight b Macrosomia (large for gestational age) c Hyperbilirubinemia only without growth impact 8 Recommended daily iodine intake in pregnancy? a 500 micrograms b About 250 micrograms c 50 micrograms 9 Thyroid screening in pregnancy is generally: a Never recommended b Universal for all pregnancies in all guidelines c Recommended for high-risk groups (vary by guideline) 10 Untreated maternal hypothyroidism can cause: a No fetal impact when treated later b Neurodevelopmental issues in the fetus c Fetal overgrowth only 11 Which hormone primarily causes insulin resistance during pregnancy? a Human placental lactogen (hPL) b Estrogen c Progesterone 12 GDM is best diagnosed using which test? a Oral glucose tolerance test (OGTT) b Random blood glucose c HbA1c 13 Poorly controlled GDM increases the risk of which maternal complication? a Postpartum hemorrhage b Preeclampsia c Hyperemesis gravidarum 14 Which neonatal complication is commonly associated with maternal GDM? a Neural tube defects b Neonatal sepsis c Neonatal hypoglycemia 15 Which lifestyle intervention is first-line management for GDM? a Insulin therapy b Oral hypoglycemic agents c Diet modification and exercise 16 Which thyroid hormone increases during pregnancy due to estrogen effect? a Total T4 b Free T4 c Reverse T3 17 Subclinical hypothyroidism is characterized by: a Low TSH and low T4 b High TSH with normal T4 c Low TSH with high T4 18 Which condition may result from untreated maternal hyperthyroidism? a Fetal growth restriction b Polyhydramnios c Macrosomia 19 The most common cause of hypothyroidism in pregnancy is: a Iodine deficiency b Hashimoto’s thyroiditis c Thyroid cancer 20 Which trimester is most critical for fetal brain development related to thyroid hormones? a First trimester b Second trimester c Third trimester 21 Women with previous GDM are at increased risk of developing: a Type 1 diabetes b Type 2 diabetes mellitus c Gestational hypertension 22 Which screening approach is commonly used for GDM in many countries? a Selective screening only b Universal screening c No routine screening 23 Which medication is preferred for treating hypothyroidism in pregnancy? a Methimazole b Propylthiouracil c Levothyroxine 24 Postpartum follow-up after GDM should include: a Immediate insulin therapy b Lifelong glucose monitoring c Postpartum glucose testing 25 Which symptom is commonly associated with hypothyroidism in pregnancy? a Fatigue b Weight loss c Heat intolerance

Pregnancy: GDM & Thyroid Quiz

Froggy Jumps

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Pregnancy: GDM & Thyroid QuizOnline version

by Juriati

What defines gestational diabetes mellitus (GDM)?

When is universal screening for GDM commonly performed?

Which factor most increases GDM risk?

Which thyroid condition is most common in pregnancy?

First-trimester TSH target range commonly used?

Preferred initial treatment for uncontrolled GDM after lifestyle changes?

GDM increases risk of which neonatal complication?

Recommended daily iodine intake in pregnancy?

Thyroid screening in pregnancy is generally:

Untreated maternal hypothyroidism can cause:

Which hormone primarily causes insulin resistance during pregnancy?

GDM is best diagnosed using which test?

Poorly controlled GDM increases the risk of which maternal complication?

Which neonatal complication is commonly associated with maternal GDM?

Which lifestyle intervention is first-line management for GDM?

Which thyroid hormone increases during pregnancy due to estrogen effect?

Subclinical hypothyroidism is characterized by:

Which condition may result from untreated maternal hyperthyroidism?

The most common cause of hypothyroidism in pregnancy is:

Which trimester is most critical for fetal brain development related to thyroid hormones?

Women with previous GDM are at increased risk of developing:

Which screening approach is commonly used for GDM in many countries?

Which medication is preferred for treating hypothyroidism in pregnancy?

Postpartum follow-up after GDM should include:

Which symptom is commonly associated with hypothyroidism in pregnancy?