🏥 USMLE Exam Prep

Gestational diabetes screening is typically performed at:

A First prenatal visit for all
B 24-28 weeks gestation using a glucose challenge test (GCT) followed by OGTT if abnormal
C At delivery
D Postpartum only

✓ Correct Answer: Option B

GDM screening: 1-hour 50g GCT at 24-28 weeks (≥140 mg/dL positive → 3-hour 100g OGTT). Early screening if risk factors (BMI≥25, prior GDM, family hx). Management: diet/exercise first, then insulin if needed.

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