Prenatal Screening: ABFM practice questions

4 board-style questions on prenatal screening 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 23-year-old woman presents at 10 weeks gestation for her first prenatal visit. She has no known risk factors for STIs and has been in a monogamous relationship for 3 years. Her prior pregnancies were uncomplicated. Which STI screening tests are recommended at this initial prenatal visit?

1. HIV, syphilis, hepatitis B surface antigen, hepatitis C, chlamydia, and gonorrhea
2. Chlamydia and gonorrhea only since she is under 25
3. HIV only, with syphilis screening deferred to third trimester
4. HIV and syphilis only if she has risk factors

Sample question 2

A 33-year-old G2P1 woman at 26 weeks gestation undergoes routine gestational diabetes screening with a 50-gram glucose challenge test. Her 1-hour plasma glucose is 156 mg/dL. She had no gestational diabetes in her prior pregnancy. Her pre-pregnancy BMI was 27 kg/m2. What is the most appropriate next step?

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

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

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