Pregnancy: ABFM practice questions

42 board-style questions on pregnancy in the PulseMD family medicine question bank — physician-reviewed, 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 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

Sample question 2

A 29-year-old primigravida presents at 10 weeks gestation for her initial prenatal visit. Her blood type is O negative, antibody screen is negative, and the father of the baby is Rh positive. She has no history of prior pregnancies, blood transfusions, or abdominal trauma. When should Rh(D) immune globulin (RhoGAM) be administered to this patient?

1. At 28 weeks gestation and within 72 hours after delivery
2. At 20 weeks and again at 36 weeks gestation
3. Immediately at this first prenatal visit
4. Only after delivery if the newborn is confirmed to be Rh positive

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

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