SLE Pregnancy Medications — RACP Adult Medicine MCQ

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ModerateRheumatologySLE Pregnancy MedicationsRACP Adult Medicine

A 38-year-old woman with SLE on HCQ and MMF is planning pregnancy. Medication management?

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Correct answer: C — Cease MMF pre-conception, switch to azathioprine; continue HCQ

MMF teratogenic (cease ≥6 weeks pre-conception, switch to azathioprine). HCQ should be CONTINUED (reduces flares, improves outcomes, safe in pregnancy).

Reference: eTG – 2025; ARA – 2024