Answers to the CME Quiz for "Community-Acquired Pneumonia in Pregnancy" by Jeanne S. Sheffield, MD, and F. Gary Cunningham, MD (Obstet Gynecol 2009;114[4])

1. Community-acquired pneumonia is estimated to affect approximately what percent of pregnancies in the United States?

B. 0.1%

2. In patients with community-acquired pneumonia, approximately what percent of cases will have a causative agent identified?

C. 50%

3. The most commonly identified pathogen in community-acquired pneumonia is:

D. Streptococcus pneumoniae

4. Pneumonia is estimated to account for approximately what percent of pregnancy complications in the United States?

B. 4%

5. Pregnancy causes what change in maternal minute ventilation?

A. 50% increase

6. The most common presenting symptom for patients with bacterial community-acquired pneumonia is:

C. Cough

7. Which of the following would be the most appropriate choice of therapies for an otherwise healthy pregnant patient with community-acquired pneumonia?

B. Azithromycin

8. In patients successfully treated for bacterial community-acquired pneumonia during pregnancy, radiological abnormalities may persist for up to:

D. 6 weeks

9. When an initial dose of currently available pneumococcal vaccine is given for pneumonia prophylaxis, a follow-up dose is:

E. Not recommended (no repeat dose required)

10. The greatest risk to the pregnancy of a woman with community-acquired pneumonia is:

E. Preterm labor

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 "Community-Acquired Pneumonia in Pregnancy" will be available through October 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. Dr. Cunningham receives royalties from multiple textbooks, predominantly published by McGraw-Hill, including several editions of Williams Obstetrics and the first edition of Williams Gynecology. The other 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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