This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'At 28 weeks of pregnancy a G1Po woman urine dipstick test is showing mild glycosuria. Next line of management is ? \nSelect and explain. \nA. Nothing is require, B. Glucose challenge test, C. Glucose tolerance test, D. Sta antidiabetic drug', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Ans. B i.e., Glucose challenge testGlucosuria in pregnancy (without elevation of serum glucose) - Occurs due to decrease in renal threshold of glucose.Gestational diabetes - Diabetes/glucose intolerance diagnosed (first recognized) in pregnancy, in otherwise normal women.Type 1 /Type 2 diabetes in pregnancy - A known diabetic women becomes pregnantIn the given question, the mother was normal before the pregnancy. It rules out diabetes mellitus type 1 or type 2.In the given situation, we must differentiate between normal glycosuria of pregnancy and gestational diabetes.This differentiation is done by glucose challenge test, i.e. screening test for gestational diabetes.In the given question, the mother was normal before the pregnancy. It rules out diabetes mellitus type 1 or type 2.In the given situation, we must differentiate between normal glycosuria of pregnancy and gestational diabetes.This differentiation is done by glucose challenge test, i.e. screening test for gestational diabetes.', 'role': 'assistant'}]