USMLE Forum Archives - USMLE Step 2 CK - Peds 20
Peds 20
TheOne - 09-04-07 19:24
A 20 years old woman comes to the clinic for a routine appointment. She took a pregnancy test 10 days ago, which was positive, and she wants to start prenatal care. She is excited about the pregnancy, but is not sure who the father is because she has had two sexual partners over the past 3 months. She was treated for chlamydial infection about 1 year ago and has no other significant medical history. She reports a good diet and regular exercise. However, she is concerned about developing diabetes, as her mother has recently been diagnosed with the illness. Additionally, her father has been diagnosed with glucose intolerance. She is unsure if her mother had gestational diabetes. A review of systems is unremarkable; the woman specifically denies any symptoms of fatigue, visual changes, polyuria, polydipsia, polyphagia, or weight loss. Vital signs are: temperature 37.1 C (98.6 F), blood pressure 124/76 mm Hg, pulse 70/min, and respirations 14/min. Physical examination reveals a healthy, thin young woman with no obvious abnormal findings. Which of the following is the most appropriate time to screen for diabetes in this patient?
A. First trimester of pregnancy
B. No screening necessary
C. Prior to the pregnancy
D. 35 to 37 weeks of gestation
E. 24 to 28 weeks of gestation
TheOne - 09-04-07 19:24
A 20 years old woman comes to the clinic for a routine appointment. She took a pregnancy test 10 days ago, which was positive, and she wants to start prenatal care. She is excited about the pregnancy, but is not sure who the father is because she has had two sexual partners over the past 3 months. She was treated for chlamydial infection about 1 year ago and has no other significant medical history. She reports a good diet and regular exercise. However, she is concerned about developing diabetes, as her mother has recently been diagnosed with the illness. Additionally, her father has been diagnosed with glucose intolerance. She is unsure if her mother had gestational diabetes. A review of systems is unremarkable; the woman specifically denies any symptoms of fatigue, visual changes, polyuria, polydipsia, polyphagia, or weight loss. Vital signs are: temperature 37.1 C (98.6 F), blood pressure 124/76 mm Hg, pulse 70/min, and respirations 14/min. Physical examination reveals a healthy, thin young woman with no obvious abnormal findings. Which of the following is the most appropriate time to screen for diabetes in this patient?
A. First trimester of pregnancy
B. No screening necessary
C. Prior to the pregnancy
D. 35 to 37 weeks of gestation
E. 24 to 28 weeks of gestation
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#4
Re: Peds 20 babbu5508 - 07-07-10 00:31 E. 24 to 28 weeks of gestation is the most appropriate time to screen for diabetes in this patient....usually GDM presents after 20 weeks
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