Deck 12: Dietary Supplements and Over The Counter Drugs

Question 1

Because of the way the FDA reviews and approves OTC drugs,

A)each different brand is required to contain unique ingredients.
B)various brands of a given type of remedy usually contain the same few active ingredients.
C)each type of drug is limited to only a single active ingredient.
D)it is impossible to tell from the label what each product's active ingredients really are.

Answer 1

B

Question 2

Why would you want dextromethorphan in a cold remedy?

A)It acts as a cough suppressant.
B)It acts as a nasal decongestant.
C)It provides relief of body ache.
D)It provides relief of runny nose.

Answer 2

A

Question 3

OTC drugs approved as sleep aids,like Nytol and Sominex,

A)contain PPA or dextromethorphan.
B)all contain bromide salts.
C)contain an antihistamine such as diphenhydramine.
D)include low doses of codeine.

Answer 3

C

Question 4

SAMe (S-adenosyl-L-methionine)is a dietary supplement that has some research support for its possible use in treating

A)impotence.
B)depression.
C)Parkinson's disease.
D)diabetes.

Question 5

The only active ingredient the FDA allows in OTC stimulants is

A)ephedrine.
B)dextroamphetamine.
C)PPA.
D)caffeine.

Question 6

Acetylsalicylic acid was developed in the Bayer laboratory in Germany in 1898 and sold under the brand name

A)Dextrine.
B)Anazor.
C)Merbaral.
D)Aspirin.

Question 7

The generic name for Tylenol and Datril is

A)COX-1.
B)acetaminophen.
C)theophylline.
D)ibuprofen.

Question 8

The U.S.market for over-the-counter drug products totals about

A)$180 billion.
B)$50 billion.
C)$18 billion.
D)$2 billion.

Question 9

Starting in 2007,the only FDA-approved OTC weight-control ingredient is

A)PPA.
B)caffeine.
C)orlistat (alli).
D)CCK.

Question 10

The FDA was given additional authority over dietary supplements in 2006 to set up

A)random safety checks.
B)requirements for effectiveness.
C)limits on television advertising.
D)an "Adverse Events Reporting" process.

Question 11

NSAID stands for

A)National System for Accurate Information on Drugs.
B)novel serotonin antagonist drug.
C)next schedule analyzing incomplete data.
D)non-steroidal anti-inflammatory drug.

Question 12

Cold viruses are usually transmitted

A)when you have become chilled.
B)when someone sneezes near you.
C)by being picked up on the hands and touching your eyes or nose.
D)through saliva.

Question 13

The 2006 revised PATRIOT Act required that products containing __________ be kept "behind the counter," and buyers must show identification and sign for their purchase.

A)pseudoephedrine
B)aristolochic acid
C)dextromethorphan
D)taurine

Question 14

Aspirin should not be used with children who have a viral infection because of increased risk of

A)heart damage.
B)kidney damage.
C)spreading the infection.
D)Reye's syndrome.

Question 15

If you buy a bottle of St.John's wort 300 mg tablets,each tablet will contain 300 mg

A)of the active chemical ingredient in St.John's wort.
B)of plant material from St.John's wort with variable active ingredients.
C)total tablet weight,with an unknown amount of plant material or ingredients.
D)of plant material with a known concentration of the active ingredient.

Question 16

Many of the capsules,pills,and powders that look like drugs and that consumers think of as drugs are actually classified by the FDA as

A)food products.
B)industrial chemicals.
C)organic medicines.
D)placebos.

Question 17

The 1994 Dietary Supplement Health and Education Act

A)requires manufacturers of dietary supplements to demonstrate safety and efficacy before marketing their products.
B)directed the FDA to remove ephedra products from the market.
C)expanded the definition of dietary supplements and restricted the FDA's regulatory authority over them.
D)outlawed multi-level marketing schemes for sales of dietary supplements.

Question 18

There has been some reported abuse by young people of products containing _________,which they take in high doses to produce visual and auditory hallucinations.

A)caffeine
B)acetaminophen
C)chlorpheniramine maleate
D)dextromethorphan

Question 19

What dietary supplement ingredient has been tested for its ability to improve memory in Alzheimer's disease,but has produced only small and unreliable improvements in published research?

A)lobelia
B)androstenedione
C)Ginkgo biloba
D)St.John's wort

Question 20

Besides analgesia (pain relief),another important effect of aspirin is as a(n)

A)antipyretic (reduces fever).
B)coagulant (helps blood to clot).
C)antihypertensive (lowers blood pressure).
D)anesthetic.

Question 21

Describe the typical kinds of ingredients included in OTC cold remedies,and explain what each is for.

Question 22

The textbook suggests that consumers are best able to choose from among the wide variety of OTC products by

A)knowing which are reputable manufacturers.
B)reading the list of potential side effects.
C)knowing a fairly small number of ingredient names.
D)asking advice from their friends who have taken them.

Question 23

If a bottle of pills on a drug store shelf is being sold as a dietary supplement,the label will refer to "nutritional information" and "serving size."

Question 24

Describe the recent history and current status of OTC weight control products.

Question 25

The heartburn drug Prevacid was recently moved from prescription only to OTC.

Question 26

The main proposed use for St.John's wort has been for treating depression.

Question 27

The generic ingredient in Advil is acetylsalicylic acid.

Question 28

The 1994 Dietary Supplement Health and Education Act increased the FDA's control over dietary supplements.

Question 29

Dextromethorphan is an antihistamine used to dry up a runny nose.

Question 30

Suppose you have a cold and you choose to take Tylenol Cold to treat your symptoms (runny nose,congested nasal passages,and fever).Which of these ingredients in this OTC product is unnecessary?

A)dextromethorphan
B)acetaminophen
C)chlorpheniramine maleate
D)phenylephrine

Question 31

Orlistat,found in the OTC weight control product alli,interferes with the absorption of fats from the intestine.

Question 32

OTC stimulants typically include pseudoephedrine.

Question 33

Aspirin was initially a brand name for Bayer's acetylsalicylic acid.

Question 34

The FDA panels that review OTC drugs approve ingredients,not the actual products that often contain several ingredients.

Question 35

The evidence indicates that many dietary supplements enhance male sexual performance.

Question 36

Describe the three major uses for aspirin and aspirin-like products,such as acetaminophen and ibuprofen.

Question 37

Why is it important for you as a consumer to know whether a product you find on the shelf in your pharmacy is being sold as an OTC drug or as a dietary supplement?

Question 38

Suppose you had a fever,a headache,and a swollen knee.Which medication would be most appropriate to treat all three symptoms?

A)ibuprofen
B)acetaminophen
C)dextromethorphan
D)acetylsalicyclic acid

Question 39

The acronym GRAS stands for

A)generally regarded as secure.
B)generally recognized as significant.
C)generally recognized as safe.
D)generally regarded as sound.