Endocrinology: gestational diabetes screening in India: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Endocrinology: gestational diabetes screening in India

Sample item

In Indian practice (DIPSI), how is gestational diabetes diagnosed?

AA 100 g OGTT only in the third trimesterBA 75 g oral glucose load at any time with 2-hour plasma glucose of 140 mg/dL or moreCHbA1c above 5.7 percentDRandom glucose above 100 mg/dL

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. A 75 g oral glucose load at any time with 2-hour plasma glucose of 140 mg/dL or more

The DIPSI approach screens all pregnant women, ideally at the first visit and again at 24 to 28 weeks if negative, using 75 g glucose in the non-fasting state. A 2-hour value of 140 mg/dL or more establishes GDM. This single-step method suits Indian settings.

Option by option

A. A 100 g OGTT only in the third trimester
A 100 g test is not used in this approach.
B. A 75 g oral glucose load at any time with 2-hour plasma glucose of 140 mg/dL or more (correct)
Correct. This is the DIPSI criterion.
C. HbA1c above 5.7 percent
HbA1c is not the recommended screening test.
D. Random glucose above 100 mg/dL
Random glucose above 100 is not diagnostic.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, A 75 g oral glucose load at any time with 2-hour plasma glucose of 140 mg/dL or more. The DIPSI approach screens all pregnant women, ideally at the first visit and again at 24 to 28 weeks if negative, using 75 g glucose in the non-fasting state.

Why is "A 100 g OGTT only in the third trimester" not the answer?

A 100 g test is not used in this approach.

Why is "HbA1c above 5.7 percent" not the answer?

HbA1c is not the recommended screening test.

Why is "Random glucose above 100 mg/dL" not the answer?

Random glucose above 100 is not diagnostic.

What concept does this question test?

It tests Endocrinology: gestational diabetes screening in India in General Medicine. A 2-hour value of 140 mg/dL or more establishes GDM. This single-step method suits Indian settings.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Endocrinology: gestational diabetes screening in India?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.