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Pharm II Exam 4 > Herbal > Flashcards

Flashcards in Herbal Deck (13):
1

1. You are about to start your patient on warfarin when your patient mentions that she loves garlic and eats it with every meal and even uses garlic soap to bathe. What is your recommendation about her use of warfarin with regards to her soap use?

a. Continue with current use of garlic in every meal and bathing.
b. Discontinue all use of garlic.
c. Take warfarin before eating at every meal.
d. Reduce use of garlic

d. Reduce use of garlic

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2. In which of the following patients, would a trial of Ginkgo Biloba be appropriate?

a. Patient with a history of migraines.
b. Patient suffering from dementia.
c. Patient on Warfarin.
d. Obese woman trying to lose weight

b. Patient suffering from dementia.

3

3. Which of the follow is NOT considered an appropriate use for Ginseng?
a. Erectile Dysfunction
b. Diabetes
c. Cancer
d. Lupus


d. Lupus

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4. A major reason why some people take Echinacea purpurea is to:
a. Thin the blood
b. Help fight off the common cold and URIs
c. Decrease blood pressure
d. Increase bone mass

b. Help fight off the common cold and URIs

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5. What is a main contraindication for milk thistle?
a. Diabetes Mellitus
b. Allergy to chamomile
c. Dyslipidemia
d. Cancer

b. Allergy to chamomile

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6. Which of the following is a potential adverse side effect of St. John’s Wort?
a. Somnolence
b. Photosensitivity
c. Orange colored urine
d. Dental erosions

b. Photosensitivity

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7. What lab test would you want to order prior to administering black cohosh?
a. ESR and CRP
b. CBC
c. LFT’s
d. TSH

c. LFT’s

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8. Which herbal supplement can be used to treat Benign Prostate Hyperplasia?
a. Milk thistle
b. Black cohosh
c. Saw Palmetto
d. Ephedra

c. Saw Palmetto

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9. A 25 year old female presents to the ED for evaluation after suffering a generalized tonic-clonic seizure. Seizure lasted 1 minute and was witnessed by her boyfriend. Patient did not lose bowel or bladder control during episode. She reports she is feeling better, but still feels like her heart is racing. Patient reports that for the past two weeks she has been taking a weight loss pill given to her by her friend in attempt to get ready for her upcoming pageant. What diet pill do you suspect the patient had been taking?
A. Echinacea Purpurea
B. Gingko Biloba
C. Ephedra (Ma Huang)
D. Vitamin B12

C. Ephedra (Ma Huang)

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10. What is a common use for Feverfew and what is a possible side effect that can be seen with its use?
a. Crohn’s Disease, QT prolongation
b. Ulcerative Colitis, Uveitis
c. Prophylactic for Psoriasis flare, Vertigo
d. Prophylactic for Migraine HA, allergic contact dermatitis

d. Prophylactic for Migraine HA, allergic contact dermatitis

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11. If a patient takes more than 250 mg of Kava per day (the recommended max dose), what is a serious adverse effect that can occur?
a. Liver failure
b. Kidney failure
c. Altered mental status
d. Constipation

a. Liver failure

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12. Extracts of the Valerian root are used to induce sleep and improve the quality of sleep. Alvarian may enhance the adverse effects of which of the following medications?
a. Benzodiazepines
b. Lisinopril
c. Levothyroxine
d. Bisphosphonates

a. Benzodiazepines

13

13. Cannabidiol, an active chemical present in marijuana, has been approved by the FDA to treat what medical condition?
a. It has been approved by the FDA to treat specific seizure conditions in those two years and older.
b. It has been approved by the FDA to treat specific eating disorders in those 18 years of age and older.
c. It has been approved by the FDA to treat specific anxiety disorders in individuals of any age.
d. Not approved- The FDA has not approved the use of any active chemical present in marijuana for the treatment of any medical condition.

a. It has been approved by the FDA to treat specific seizure conditions in those two years and older.