Deck 15: Natural Products, Dietary Supplements, and Nutrients

Question 1

Which herbal supplement is touted for migraine relief, mainly as it possesses pharmacologic properties similar to non-steroidal anti-inflammatory drugs (NSAIDs) and should be avoided in pregnancy, particularly during the third trimester?

A) St John's Wort
B) Chondroitin
C) Feverfew
D) Valerian

Answer 1

C

Question 2

"Shark cartilage" may also be a formulation, or 'other name,' for what dietary supplement?

A) Coenzyme-Q
B) Creatine
C) Glucosamine
D) Chondroitin

Answer 2

D

Question 3

A popular herbal supplement touted as an immune system booster is:

A) Valerian
B) Feverfew
C) Echinacea
D) Digitalis

Answer 3

C

Question 4

Kyolic branded products contain what natural supplement?

A) Garlic
B) Tocopherol
C) Asian ginseng
D) Siberian ginseng

Question 5

St. John's Wort is popularly used to:

A) Treat mild to moderate depression
B) Increase memory
C) Increase energy
D) All of the above

Question 6

Glucosamine, although generally safe, may want to be avoided in patients that have:

A) Mild renal impairment
B) Severe shellfish allergy
C) Intolerance to gluten
D) Joint pain

Question 7

Hepatotoxicity, which has warranted alerts from the FDA, has been associated with which of the following natural supplements?

A) Kava
B) Echinacea
C) Gingko biloba
D) Vitamin B12

Question 8

Which of the following supplements as a "phytoestrogen" is used by some women to help control symptoms during perimenopause?

A) Black cohosh
B) Feverfew
C) Valerian
D) Ginseng

Question 9

Significant interactions with St John's Wort include:

A) Induction of cyclosporine metabolism
B) Potential of serotonin syndrome with antidepressants
C) Increased phototoxicity when used with a drug like amiodarone
D) All of the above

Question 10

A dietary supplement used as a sleep aid and also used to ease the feelings of "jet lag" is:

A) Melatonin
B) Valerian
C) Creatine
D) Gingko biloba

Question 11

All of the following oral supplements can decrease the effectiveness of oral fluoroquinolones and tetracyclines, EXCEPT:

A) Calcium
B) Ferrous sulfate
C) Zinc
D) Vitamin B12

Question 12

The inability of this nutrient to be fully absorbed, which can result in what is known as pernicious anemia, is seen with what vitamin?

A) Vitamin A
B) Vitamin B12
C) Vitamin C
D) Vitamin K

Question 13

400 International Units (IU) of ergocalciferol is equivalent to how many micrograms of ergocalciferol?

A) 10 mcg
B) 100 mcg
C) 400 mcg
D) Cannot determine

Question 14

Interactions with what herbal supplements may increase the risk of bleeding with patients who are on aspirin or other antiplatelet therapy, as these supplements do have antiplatelet activity?

A) Gingko biloba
B) Glucosamine
C) Valerian
D) St. Johns' Wort

Question 15

A patient who received a kidney transplant is on the drug cyclosporine. Which of the following dietary supplements should this patient avoid using on their own and only use with proper consultation with the appropriate healthcare provider?

A) St. John's Wort
B) Echinacea
C) Glucosamine
D) A and B

Question 16

Although vitamins are generally safe during pregnancy, which one listed below could be very teratogenic if ingested in large amounts during pregnancy?

A) Vitamin C
B) Thiamine
C) Vitamin A
D) Vitamin B12

Question 17

Patients with significant ragweed allergy may react unfavorably to what dietary supplement?

A) Chamomile
B) Valerian
C) Ginseng
D) All of the above

Question 18

Touted to relieve symptoms of nausea, this product may be used occasionally for pregnant women who have morning sickness.

A) Garlic
B) Aloe
C) Ginseng
D) Ginger

Question 19

What dietary supplement do people use to "support cardiac health" as a touted cardioprotectant?

A) Chamomile
B) Ma huang
C) Flaxseed oil
D) Vitamin B6

Question 20

The Dietary Supplement Health and Education Act assures the ________________ of dietary supplements.

A) Safety
B) Efficacy
C) Both A and B
D) Neither A nor B

Question 21

Which of the following botanical flowers have been used as a gargle to aid in the treatment or pain relief due to chemotherapy mucositis?

A) Goldenseal
B) St. John's Wort
C) Chamomile
D) Evening primrose

Question 22

Besides being used to re-establish normal flora in patients with diarrhea, probiotics such as acidophilus have been used in_____________?

A) Patients with lactose intolerance
B) Patients that need a gluten-free diet
C) Women that have bacterial vaginosis
D) Patients with chemotherapy-induced mucositis

Question 23

Patients that regularly use this dietary supplement may have the socially unacceptable side effects such as halitosis and a distinct body odor.

A) Garlic
B) Cinnamon
C) Ginger
D) Saw palmetto

Question 24

What is a dietary supplement that has been employed in patients that have ingested poisonous Amanita mushrooms?

A) Milk thistle
B) Gingko biloba
C) Kava kava
D) Both A and B

Question 25

The risk of an adverse drug reaction called serotonin syndrome may occur when this dietary supplement is taken with prescription drugs that contain serotonergic activity.

A) Gingko biloba
B) Ginseng
C) St. John's Wort
D) Feverfew

Question 26

The drug orlistat found in both prescription and OTC diet products can interact with what vitamins?

A) E
B) A
C) D
D) All of the above

Question 27

Which of the following is NOT a dosage form for Vitamin B12?

A) Injection
B) Tablets
C) Intranasal spray
D) None of the above

Question 28

Patients should be warned of black stool when taking which of the following dietary supplements?

A) Iron salts
B) Calcium salts
C) Calcium salts derived from coral calcium only
D) None of the above

Question 29

α-tocopherol is a form of:

A) Vitamin A
B) Vitamin D
C) Folic acid
D) Vitamin E

Question 30

A patient with hypertension and atrial fibrillation is receiving the drugs amiodarone and furosemide. Which of the following dietary supplements will increase the risk of phototoxicity with these two drugs?

A) Goldenseal
B) Chamomile
C) Saw palmetto
D) St. John's Wort

Question 31

For patient's taking concomitant aspirin and Plavix, which of the following herbal medications should be avoided due to their antiplatelet effects or ability to increase bleeding risk of these medications?

A) Feverfew
B) Gingko biloba
C) Horse chestnut
D) All of the above

Question 32

Ginsana is a brand name product of what dietary supplement?

A) Ginger
B) Gingko biloba
C) Chamomile
D) Ginseng

Question 33

Nature's Root Nighttime is a brand name product of what dietary supplement?

A) Valerian
B) Melatonin
C) Chamomile
D) Kava kava

Question 34

Which dietary supplement would most likely to be found in a product used by body builders?

A) Melatonin
B) Goldenseal
C) Creatine
D) Vitamin E

Question 35

This sympathomimetic agent is the main replacement for ma huang or ephedra from dietary supplements due to a ban from the FDA; however, it would react much like ephedra based on its pharmacology. What is this supplement?

A) Kola nut
B) Bitter orange
C) Garcinia cambogia
D) Extracts of licorice

Question 36

Excessive consumption of this product can lead to dyslipidemia and cardiovascular disease. What is this product?

A) Coconut oil
B) Coenzyme Q
C) Shark cartilage
D) Melatonin