1. The 2 types of mycophenolate products are based on either the prodrug, mycophenolate mofetil, or the salt form, mycophenolate sodium. Which of the following is TRUE regarding mycophenolate products?

2. Which of the following is a known maternal toxicity risk associated with mycophenolate exposure during pregnancy?

3. Which of the following is a known fetal toxicity risk associated with mycophenolate exposure during pregnancy?

4. JRM is a 38-year-old female who is preparing to undergo an allogeneic kidney transplantation. After discussion with the physician, they decide on a posttransplantation immunosuppression regimen to include mycophenolate, tacrolimus, and prednisone. Per the Mycophenolate Risk Evaluation and Mitigation Strategy (REMS) program, the physician's office provides contraceptive counseling to JRM. Which of the following would be the most effective approach to providing counseling?

5. The pregnancy test performed with JRM at a 1-year posttransplantation follow-up visit is positive. A determination is made that JRM is approximately 9 weeks pregnant. The physician discusses the Mycophenolate Pregnancy Registry. JRM is curious about the need to provide information to the registry. Which of the following is a reason for participation?

6. JRM agrees to participate in the Mycophenolate Pregnancy Registry. Who is responsible for reporting the pregnancy?

7. After adjusting JRM's immunosuppression therapy (azathioprine substituted for mycophenolate), JRM gave birth prematurely to a child of low birth weight but otherwise healthy. After 6 months, JRM and her physician revisit the immunosuppression pharmacotherapy options, including restarting mycophenolate. Since JRM is breastfeeding her child and wants to continue doing so, which of the following would be recommended?

8. Which of the following best describes the mechanism of action of mycophenolate?

9. Which of the following documents should the pharmacist give to the patient when dispensing mycophenolate?

10. Effective patient counseling and education techniques are important for ensuring that patients who are prescribed mycophenolate understand the fetal and maternal risks associated with the drug. A health care professional counsels a patient with information that is easy to understand and confirms patient comprehension of the information. In doing so, the health care professional is applying elements of what concept?

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