Answers to the CME Quiz for "Pregnancy After Solid Organ Transplantation" by Joan M. Mastrobattista, MD, and Veronica Gomez-Lobo, MD, for the Society for Maternal-Fetal Medicine (Obstet Gynecol 2008;112:919-32)

1. As of January 2007, the National Transplantation Pregnancy Registry has recorded how many pregnancy outcomes in female transplant recipients?

E. 1,642

Questions 2-6 should be answered based on data from the National Transplantation Pregnancy Registry:

2. Preeclampsia is most prevalent in women who have received which solid organ transplant?

C. Kidney and pancreas

3. Organ rejection during or after pregnancy is most prevalent in women who have received which solid organ transplant?

E. Lung

4. A live birth is LEAST likely for women who have received which solid organ transplant?

E. Lung

5. A 26-year-old woman (G3P3003) who underwent kidney transplantation 2 years ago is considering another pregnancy. Her past pregnancies were uneventful and occurred before her renal disease resulted in the need for transplantation. Her graft (kidney) has been functionally normal without signs of rejection. Which of the following is the most likely outcome should this patient become pregnant?

A. Preeclampsia

6. The lowest incidence of one or more adverse events in pregnancy and the fewest graft losses within 2 years occur in women who have received which solid organ transplant?

B. Liver

7. A 26-year-old woman (G3P2002) who underwent kidney transplantation 2 years ago is currently at 34 weeks of gestation and is transferring to your practice. She was last seen by her previous caregiver at 32 weeks of gestation and an evaluation of her renal function and immunosuppressive drug levels was carried out at that time. Based on current recommendations, her renal function and immunosuppressive drug levels should be evaluated again at:

A. This visit

8. Which of the following immunosuppressants is pregnancy category “D”?

D. Mycophenolate mofetil

9. Which of the following immunosuppressants is associated with an increased incidence of diabetes?

B. Tacrolimus

10. For women who have undergone solid organ transplantation, fetal growth surveillance should begin at approximately:

B. 24 weeks

ACCME Accreditation: The American College of Obstetricians and Gynecologists (ACOG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. (Continuing medical education credit for "Pregnancy After Solid Organ Transplantation" will be available through October 2011.)

AMA PRA Category 1 Credit^TM and ACOG Cognate Credit: The American College of Obstetricians and Gynecologists (ACOG) designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM or up to a maximum of 2 Category 1 ACOG cognate credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. All authors, reviewers, and contributors have disclosed to ACOG all relevant financial relationships with any commercial interests. The authors, reviewers, and contributors declare that neither they nor any business associate nor any member of their immediate families has financial interest or other relationships with any manufacturer of products or any providers of services discussed in this program. Any conflicts have been resolved through group and outside review of all content.

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