True/False MCQ · Pre-existing and Gestational Diabetes
Concerning diabetic ketoacidosis and end-organ screening in pregnancy, which of the following statements are TRUE?
- ADKA is a medical emergency treated as in a non-pregnant adult
- BAn abnormal CTG in DKA often improves as the acidosis is corrected
- CEmergency delivery should be planned immediately for an abnormal CTG in DKA
- DRetinal screening is recommended at least twice in pregnancy
- EEnd-organ screening is unnecessary in pre-existing diabetes
Show answers and explanation
- A. True
- B. True
- C. False: Emergency delivery should not be planned solely for the abnormal CTG in DKA.
- D. True
- E. False: End-organ screening is necessary in pre-existing diabetes.
DKA and end-organ screening
- DKA: treat as non-pregnant; CTG improves with correction; retinal screening twice in pregnancy.
Why A is true
DKA is treated as in a non-pregnant adult.
Why B is true
The abnormal CTG often improves as acidosis is corrected.
Why C is false
Emergency delivery should not be planned solely for the abnormal CTG in DKA.
Why D is true
Retinal screening is recommended at least twice.
Why E is false
End-organ screening is necessary in pre-existing diabetes.
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