Pregnancy: ABFM practice questions

33 board-style questions on pregnancy in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 30-year-old G2P1 woman presents for her first prenatal visit at 8 weeks gestation. She has no chronic medical conditions. Her blood type is A negative. Which of the following is the MOST appropriate set of initial prenatal labs?

1. CBC, blood type and antibody screen, rubella IgG, RPR, HIV, hepatitis B surface antigen, urine culture, Pap smear if due
2. CBC, TORCH panel, amniocentesis, fetal echocardiogram
3. CBC, comprehensive metabolic panel, TSH, 1-hour glucose challenge test, GBS culture
4. CBC, blood type only, urine dipstick, chlamydia/gonorrhea screening only

Sample question 2

A 26-year-old G2P1 at 28 weeks gestation has a 1-hour glucose challenge test result of 156 mg/dL (threshold 140 mg/dL). She has no history of diabetes. What is the next step in evaluation?

1. Perform a 3-hour 100-gram oral glucose tolerance test
2. Start metformin empirically and recheck HbA1c in 1 month
3. Repeat the 1-hour glucose challenge in 4 weeks
4. Diagnose gestational diabetes and start insulin

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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