CNPLE Practice Questions - Canadian Nurse Practitioner Licensure Examination (CNPLE) Exam

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A 28-year-old pregnant patient at 26 weeks gestation presents for gestational diabetes mellitus (GDM) screening. According to Diabetes Canada guidelines, which screening protocol is preferred?

A 50 g glucose challenge test (GCT), followed by a 75 g oral glucose tolerance test (OGTT) if the 1-hour plasma glucose is between 7.8 and 11.0 mmol/L. A one-step 75 g oral glucose tolerance test (OGTT) administered in the fasting state. A fasting plasma glucose test followed by an HbA1c test. A 100 g oral glucose tolerance test (OGTT) administered after a 12-hour fast.

Correct Answer:

A 50 g glucose challenge test (GCT), followed by a 75 g oral glucose tolerance test (OGTT) if the 1-hour plasma glucose is between 7.8 and 11.0 mmol/L.

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