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2730 Gynaecology & Obstetrics

Gestational diabetes mellitus (GDM) has been traditionally defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Regarding diabetes in pregnancy all are true, EXCEPT:

AGlucose challenge test is done between 24-28 week
B50 gm of sugar given as screening test
CInsulin resistance improves with pregnancy
DDiabetes control before conception is impoant to prevent malformation
Gynaecology & Obstetrics
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2731 Gynaecology & Obstetrics

Rani a 24-year-old woman presents to her gynaecologist as she has chronic hypothyroidism and wants to conceive now. Her hypothyroidism is well controlled at 75 microgram of Thyroxine. She doesn&;t smoke or drink and doesn&;t have any other medical ailment. She would like to know if she should keep taking her Thyroxin. Which of the following is the best advice to give to this patient?

AStop taking Thyroxine and switch to methimazole as we would like to control your baby's thyroid levels
BThyroxine is safe during pregnancy but it is not absolutely necessary during pregnancy to continue thyroxine.
CThyroxine is not safe during pregnancy and it is better for your baby to be hypothyroid than hypehyroid
DThyroxine is safe in pregnancy and the dose of thyroxine would be increased during pregnancy to avoid hypothyroidism, which may affect the baby adversely
Gynaecology & Obstetrics
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