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Gestational diabetes screening — USMLE Step 3 MCQ

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EasyOB/GYN (prenatal care, contraception, screening)Gestational diabetes screeningUSMLE Step 3

A 31-year-old pregnant woman with no diabetes history attends routine prenatal care at 25 weeks' gestation. BMI is 29 kg/m2. Pregnancy has been uncomplicated. Which of the following is the most appropriate screening recommendation?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Screen for gestational diabetes now

Gestational diabetes screening is routinely performed at 24 to 28 weeks' gestation in patients without known diabetes.

Reference: ACOG Gestational Diabetes Practice Bulletin; USPSTF Gestational Diabetes Screening Recommendation