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Tubal ectopic pregnancy — DRCOG MCQ

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HardEarly PregnancyTubal ectopic pregnancyDRCOG

At booking, a woman with pre-existing type 1 diabetes has not had retinal assessment within the previous 3 months. What additional assessment should be arranged?

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

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Correct answer: ARetinal assessment using dilated digital imaging at booking

The best answer is “Retinal assessment using dilated digital imaging at booking”. NICE recommends retinal assessment using digital imaging with mydriasis after the first antenatal clinic appointment for women with pre-existing diabetes, unless one has been performed in the preceding 3 months. This identifies retinopathy and guides the need for further surveillance in pregnancy.

Reference: NICE NG3: Diabetes in pregnancy: https://www.nice.org.uk/guidance/ng3/chapter/recommendations