Prenatal Screening: ABFM practice questions

4 board-style questions on prenatal screening 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 34-year-old G1P0 woman at 12 weeks gestation asks about prenatal genetic screening. She has no family history of genetic disorders. What is the most appropriate initial counseling regarding first-trimester screening options?

1. Genetic screening is only recommended for women over age 35
2. Quad screen at 15-20 weeks is the only recommended screening
3. Cell-free fetal DNA (cfDNA) screening or combined first-trimester screening (nuchal translucency + serum markers) should be offered to all patients regardless of age
4. Amniocentesis should be performed given her age

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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