Alternative therapies By Alaina Darby

Which is not true of the DSHEA act? It established GMP standards for the supplement industry It required that drug manufacturers must have all new supplements approved by the FDA It allowed for self-regulation of the supplement industry It allowed products marketed before 1994 to be used in new combinations without testing B

Which of the following undeclared drugs was found in the widest variety (49 products) of weight loss supplements? Phenytoin Phenolphthalein Rimonabant Sibutramine D

Which of the following is not true of supplements? Supplement standardization is required in the US Supplements may cause organ damage Supplements may contain unregulated versions of prescription medications Supplements may cause teratogenic or developmental effects when pregnant or nursing A

Which of the following claims is a supplement not allowed to make? Health claims denoting the relationship between an ingredient and the risk of disease Disease treatment, cure, and prevention claims Nutrient claims such as ‘free,’ ‘lite,’ or ‘high’ Structure-function claims B

Which of the following is the most common reason to take a supplement? Pain Seasonal allergies Weight loss Digestion C

Which of the following online resources would likely have the least reliable information concerning the adverse effects, drug interactions, or other basic safety precautions with supplements? Consumer Retail Government Enthusiast B

Which of the following herbals is not a natural salicylate? Meadowsweet Fenugreek Poplar Willowbark B

Hannah has just had an organ transplant and is taking cyclosporine Hannah has just had an organ transplant and is taking cyclosporine. Her body may be more likely to reject the new organ if she were to start taking which of the following supplements? Bitter Orange Echinacea St. John’s Wort Ginseng C

Which of the following prescription drugs would be most likely to have an interaction with bitter orange? Duloxetine Amitriptyline Simvastatin Warfarin C

Which of the following would be least likely to have an interaction with St. John’s Wort? Duloxetine Amitriptyline Simvastatin Warfarin B

Which of the following would have the widest variety of drug interactions since it interacts with the most CYP enzymes? Bitter orange Echinacea Ginkgo biloba St. John’s Wort D

Mary is taking a corticosteroid for her asthma Mary is taking a corticosteroid for her asthma. Which of the following supplements might antagonize the effects of this medication? Echinacea Green tea Red clover Pomegranate juice A

Tina just had uterine cancer Tina just had uterine cancer. Which of the following supplements should she avoid? Echinacea Green tea Red clover Pomegranate juice C

Tony is taking atorvastatin for his cholesterol Tony is taking atorvastatin for his cholesterol. Which of the following might increase his risk of rhabdomyolysis? Echinacea Green tea Red clover Pomegranate juice D

Which of the following would not be a side effect of licorice root when taken for stomach ulcers, bronchitis, sore throat, or viral hepatitis? Hypokalemia Hypocalcemia Hypertension Preterm labor B

Kimberly is taking Senna for her constipation Kimberly is taking Senna for her constipation. Which of her medications might be less potent while taking this laxative? Diuretic Beta-blocker Birth control Metformin C

Antioxidant that decreases the inflammation from infection Which of the following is thought to be a mechanism of action for cranberries in preventing/treating UTI’s? Antioxidant that decreases the inflammation from infection Antioxidant that exhibits antibacterial action against E. coli Prevention of E. coli from clinging to GI walls Flushing of E. coli from the GI tract C

Which of the following vitamins is easily absorbed but is not stored by the body? Retinol Vitamin B12 Calciferol Vitamin E B

Sally is experiencing dizziness, blurred vision, clumsiness, and nausea. These symptoms are exacerbated after she drinks. Which of the following vitamins could cause these symptoms? Retinol Vitamin B12 Calciferol Vitamin E A

Which of the following should Bill avoid since he is taking warfarin? Retinol Vitamin B12 Calciferol Vitamin E D

Vitamin D for osteoporosis Fish oil for risk of myocardial infarction Which of the following supplements shows the most positive evidence for its indication? Vitamin D for osteoporosis Fish oil for risk of myocardial infarction Multivitamin for cardiovascular disease CoQ10 for Alzheimer’s disease B

Which of the following is not true of ubiquinone? Potent antioxidant Lowers blood pressure Improves HDL Prevents statin-induced myopathy D

Which of the following is true of glucosamine? Sulfate form is ineffective which may complicate clinical trial data Hydrochloride form is ineffective which may complicate clinical trial data Sulfate form is most effective which may complicate clinical trial data Hydrochloride form is most effective which may complicate clinical trial data B

Which of the following would not be a concern of using melatonin? Metabolization by CYP1A2 Metabolization by CYP3A4 Decreased fertility Decreased breast milk production B

Which of the following does not have clear evidence for therapeutic effect? Beta-sitosterols Echinacea Garlic Ginseng B

Jimmy just got his flu vaccine Jimmy just got his flu vaccine. He is a diabetic and taking a supplement to lower his blood sugar that also might help enhance his immune system and his response to the vaccine. Which supplement is he taking? Beta-sitosterols Echinacea Garlic Ginseng D

Which of the following has been found to be as effective as TCAs and boosts the effectiveness of SSRIs? Ginkgo biloba Valerian SAMe St. John’s wort C

Which of the following is used under PCP supervision to improve sleep in patients with schizophrenia? Omega-3 fatty acid Valerian Melatonin Folic acid C

Which of the following minerals might be missing from the diet of someone who does not eat meat? Chromium Selenium Zinc Magnesium C

Which of the following foods contains a mineral that could be beneficial in preventing cancer and predicting HIV survival? Broccoli Brazil nuts Spinach Beef B