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: Pediatrics
[{'content': 'A female has previous child with congenital adrenal hyperplasia. In the present pregnancy, steroid therapy should be staed - \nSelect and explain. \nA. After karyotyping and determination of sex of the baby, B. At the time of delivery, C. Before conception, D. As soon as pregnancy is diagnosed', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., As soon as pregnancy is diagnosed o Recommendations for pregnancies ar risk of CAH consists of administration of dexamethasone (20 mg/kg). It staed by 6 weeks of gestation, this ameliorates the virilization of the external genitilia in affected females chrionic villus sampling is then performed to determine the sex and genotype of the fetus; therapy is continued only if the fetus is an affected female. o As pregnancy is diagnosed (by urine test) at around 6-8 weeks, so it should be the answer.", 'role': 'assistant'}]