CPD QUESTIONNAIRE Diabetes in pregnancy: ethical considerations MJ TITUS, MB CHB, FCOG, LLM, PGDIP INT’L RES ETHICS In a new feature in the SAJDVD, you can earn ethics CPD points by reading the ethical consideration in diabetes in pregnancy article. Click here to read full text CPD Questions: Answer true or false to all statements below   Name & Surname: Medical Practice Number: Contact Number: Email Address:     1. Gestational diabetes mellitus results in short- and long-term effects for both mother and child. Please Select >> True False     2. GDM is associated with the following:        a) Foetal malformation Please Select >> True False      b) Foetal macrosomia Please Select >> True False      c) Birth trauma Please Select >> True False      d) Neonatal hypoglycaemia Please Select >> True False      e) Malpresentation Please Select >> True False     3. GDM includes women with pre-existing diabetes mellitus Please Select >> True False 4. The objectives of management of diabetic pregnant woman are:        a) To maintain maternal well-being Please Select >> True False      b) Preterm delivery to prevent macrosomia Please Select >> True False      c) Tight metabolic control to prevent complications in the woman Please Select >> True False      d) Tight metabolic control to prevent complications in the foetus Please Select >> True False     5. Recurrence of GDM in subsequent pregnancies is low because of:        a) Variation in placental hormone production Please Select >> True False      b) Alteration in maternal lifestyle before conception Please Select >> True False      c) Improved insulin production in subsequent pregnancies Please Select >> True False      d) Increased glucose clearance due to increased renal blood flow, which occurs in pregnancy Please Select >> True False     6. Macrosomia is associated with:        a) Operative delivery Please Select >> True False      b) Traumatic delivery Please Select >> True False      c) Childhood and adult obesity Please Select >> True False      d) Cardiac failure in childhood Please Select >> True False 7. All women with GDM should:        a) Be delivered by Caesarean section: Please Select >> True False      b) Be offered counselling to help them address their fears of labour pains and vaginal delivery Please Select >> True False      c) Be informed about potential complications of Caesarean section Please Select >> True False      d) Be delivered prematurely to prevent unexplained intrauterine foetal death Please Select >> True False     8. GDM doubles the overall rate of congenital abnormalities. Please Select >> True False     9. The risk of congenital abnormalities could be as high as 25% depending on glycaemic control. Please Select >> True False     10. In GDM there is a three-fold increase in the rates of neural tube defects, skeletal abnormalities       and congenital defects. Please Select >> True False     11. Foetuses of diabetic mothers are prone to sudden intrauterine death before 34 weeks       of pregnancy. Please Select >> True False     12. Sudden intrauterine foetal death is more commonly found in macrosomic babies. Please Select >> True False     13. In pregnant diabetics, diabetic ketoacidosis (DKA) may be precipitated by:           a) Hyperemesis gravidarum Please Select >> True False         b) Tocolysis with b-sympathomimetics Please Select >> True False         c) Acceleration of foetal lung maturity with corticosteroids Please Select >> True False         d) Infection Please Select >> True False         e) Autonomic neuropathy and gastroparesis Please Select >> True False     14. An ethical dilemma posed by a brain-dead mother with a premature viable foetus may involve:           a) Keeping the mother artificially alive until the baby can be delivered at a reasonable             gestational age Please Select >> True False         b) Allocation of scarce resources/distributive justice Please Select >> True False         c) Informed consent and autonomy Please Select >> True False         d) Decision on how to proceed should involve a multi-disciplinary medical team and the              woman’s next-of-kin Please Select >> True False         e) Stopping life support by the treating physician without involvement of the next-of-kin Please Select >> True False     15. Treatment of polycystic ovarian syndrome with metformin results in a 10-fold reduction in the       development of GDM. Please Select >> True False