Answers to the CME Quiz for "Medications in Pregnancy and Lactation: Part 2. Drugs With Minimal or Unknown Human Teratogenic Effect" by Catalin S. Buhimschi, MD, and Carl P. Weiner, MD, MBA (Obstet Gynecol 2009;113:417-32)

1. A drug with evidence of human fetal risk based on well-controlled or observational studies, but with benefits of treatment outweighing the risks, would be placed in FDA category:

D. D

2. Most antiviral medications are placed in FDA category:

B. B

3. A 23-year-old G2P2002 who is taking moderate doses of aspirin for rheumatory arthritis consults you because she is considering a future pregnancy. Regarding her use of aspirin during pregnancy, you should advise her that:

B. Aspirin should be avoided during the first trimester to prevent gastroschisis

4. A 23-year-old G2P2002 who is taking high doses of aspirin for rheumatory arthritis consults you because she is considering a future pregnancy. Regarding her use of aspirin during breast-feeding, you should advise her that her level of aspirin use:

D. May be associated with neonatal toxicity

5. When used alone, acetaminophen use during pregnancy has been associated with:

A. Improved neonatal outcome in chorioamnionitis

6. Which of the following antibiotics are concentrated in breast milk?

C. Ciprofloxacin

7. When administered by inhalation, roughly how much albuterol can be expected to be absorbed systemically?

B. 10%

8. Breast-feeding while taking methyldopa places the neonate at increased risk for:

E. Hypoglycemia

9. The most common adverse effect noted in neonates of women who breast-feed while taking antihistamines is:

E. Irritability

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 " Medications in Pregnancy and Lactation: Part 1. Teratology" will be available through January 2012.)

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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