Herbal Flashcards

1
Q

A 30-year-old woman comes into her primary care office complaining of constipation. She is interested in trying Senna, an herbal supplement that works as a stimulant laxative. What history findings would present a contraindication to her use of this medication?

A. Furosemide prescription

B. Currently breastfeeding

C. Diagnosis of IBS-C

D. Sulfa allergy

A

A. Furosemide prescription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

St. John’s Wort has been recognized as a conservative adjunctive treatment option for which of the following medical conditions?

A. Depression

B. BPH

C. Diabetes

D. Hypertension

A

A. Depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Larry, a 27 year old bodybuilder, presents to the clinic with erythematous, warm, blanching skin on his shoulders after a beach weightlifting competition. He complains of pain and burning in this area. Which of the following could be used as a topical gel to help relieve his discomfort?

A. Avocado

B. Ginger

C. Aloe

D. Green Tea

A

C. Aloe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Janet is a 64-year-old female, non-smoker, with a past medical history of mild hyperlipidemia and hypertension. Her BMI is 24.6 and is in relatively good health. She presents to her primary care PA for a 1 year follow up after being diagnosed with hypertension and hyperlipidemia at her previous visit. She was instructed to modify her diet and increase her level of exercise throughout the week, for which she has been compliant. Her next set of labs and vitals showed no increase in blood pressure and lipid panel was unchanged. She is interested in adding a natural medication to her exercise and diet regimen. Which medication would have the best effect for cardiovascular health?

A. Aloe

B. Acai

C. African Mango

D. Arnica

A

B. Acai

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A 35 year-old male with a history of prehypertension has begun dieting and exercise, he has heard about many side effects associated with traditional antihypertensives, and he would like to avoid them if possible. He wants to know if there is any herbal supplement, he could try instead. What herbal supplement has been shown to decrease blood pressure in patients?

A. Echinacea

B. Ephedra

C. Beetroot

D. Lemon

A

C. Beetroot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Patient is a 32-year-old female with a past medical history significant for anxiety who presents to clinic wanting to discuss herbal options to treat her anxiety. She states her anxiety is mild and would like to avoid any medications. Which of the following herbal options would you recommend her using?

  1. Lathyrus
  2. Nattokinase
  3. Lavender
  4. Licorice
A

C. Lavender

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ms. Smith, is a 21-year-old female with a history of recurrent UTIs and she is wondering what she can take to help prevent the UTI. She would prefer not to go on a prescription medication and was wondering if there was a natural supplement for this. What would you recommend for her?

A. Cinnamon

B. Cranberry

C. Aloe

D. Soy

A

B. Cranberry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Your patient presents with a past medical history significant for Rheumatoid Arthritis. He has been taking NSAIDs, but recently just recovered from gastritis. The doctor that diagnosed him told him to stop taking NSAIDs, what would be a natural supplement that would help due to its anti-inflammatory properties?

A. Rosemary

B. Fumaria

C. Goat’s Rue

D. Milk Thistle

A

D. Milk Thistle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Papaya has which of the following medicinal properties?

A. Anti-inflammatory

B. Laxative

C. Teeth whitening

D. Hair growth

A

A. Anti-inflammatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mr. Smith is a 64-year-old male who was previously diagnosed with BPH that has recently become symptomatic. He now complains of sexual dysfunction and is wondering if there are any herbal supplements to help improve his symptoms. Which of the following might you recommend to the patient?

  1. Pygeum
  2. Poppy seed oil
  3. Clove
  4. Tumeric
A

A. Pygeum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Janice is a 60-year-old female with a past medical history of diabetes mellitus. She has been using the herbal supplement Goat’s Rue to aide in reducing her blood sugar. What is a contraindication of using this herbal supplement?

A. Administration during surgical procedures due to increased risk of bleeding

B. Peptic ulcer disease

C. History of hypertension

D. Renal insufficiency

A

A. Administration during surgical procedures due to increased risk of bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ronald is a 50-year-old man who has been taking 1500 mg of Quassia daily for the last week to try and resolve his diarrhea. The typical daily dose of Quassia is 500mg. What potential ADE could the patient be experiencing due to the large doses he has been taking?

A. Vision loss

B. Edema secondary to increased sodium retention

C. Vomiting secondary to irritation of the GI tract

D. Itching or rash

A

C. Vomiting secondary to irritation of the GI tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

BM presents to the clinic with a history of obesity. She is looking for a natural supplement that she read about online. She states she read an article that said it comes from a special endangered African plant and has appetite suppressant effects. What is she describing?

  1. Huckleberry
  2. Hoodia
  3. Raspberry
  4. Dandelion
A

B. Hoodia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

JC is an overweight male that has just been diagnosed with hyperlipidemia. After hearing the cardiovascular disease (CVD) risk of hyperlipidemia, he became very enthusiastic about improving his lipid profile with lifestyle changes in addition to prescribed medication. Besides medication and exercise, what could he add to his diet to reduce total cholesterol, and LDL to cardioprotective levels?

  1. Maca
  2. Quassia
  3. Allspice
  4. Walnuts
A

D. Walnuts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Jane is a first year PA student who suffers from test anxiety, which also keeps her up at night. She visits a naturopathic provider to seek out a natural remedy to help her with her anxiety and insomnia. Which of the following herbal therapies could be used to help relieve her symptoms?

A.Lemongrass

B. Jujube
C. Olive oil

D. Sertraline

A

B. Jujube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mr. James, a 68-year-old male, comes to your office seeking help with a chief complaint of sexual dysfunction. He tells you he wants to try a natural product first and tells you he has done some research and wants to try Turpentine. What patient education do you need to go over with him?

A. Avoid excessive time in the sun

B. Go over medications he is currently taking and look for potential drug interactions

C. Warn him to never ingest it because it is highly toxic and can be fatal

D. Warn him an adverse effect is infertility

A

C. Warn him to never ingest it because it is highly toxic and can be fatal

17
Q

Mr Roth is a 37 year old male who has been treated for HIV for the past several years. At his routine follow up he is stable on his current regimen, but has a new complaint of diarrhea. He is compliant with his antiretroviral therapy, but would prefer a non pharmacologic treatment for this new symptom. Which other following options is FDA approved to treat his noninfectious diarrhea?

A. Dragon’s Blood

B. Ostrich Fern

C. Bugleweed

D. Turkey Tail

A

A. Dragon’s Blood

18
Q

Ms. Taylor is a 35 year old pregnant woman with a PMH with low back pain. She is looking for a “more natural” way to treat her symptoms. Which of the following is provides some benefit as an analgesic in low back pain but is contraindicated during pregnancy and lactation due to ototoxic effects?

A. Dichroa

B. Devil’s Claw

C. Forskolin

D. Nutmeg

A

B. Devil’s Claw

19
Q

A 26-year-old patient presents to the clinic for her annual well woman exam. She tells you that she and her husband are trying to get pregnant. The patient is an herbal enthusiast and uses many supplements to treat her medical conditions. Which of the following herbs from her current regimen have been shown to be harmful in pregnancy?

A. Vervain

B. Wintergreen

C. Valerian

D. Olive leaf

A

A. Vervain

20
Q

A mother presents to your clinic with her 10 year old son who appears sick. Upon examination you diagnose him with the flu and advise the mother to yearly flu shots. The mother refuses because she is concerned that the flu shot is “unsafe.” She had read online about a herbal remedy that can treat the flu but is concerned about the potential cyanide toxicity. Which of the following herbal therapies is the mother referring to?

A. Siberian ginseng

B. Elderberry

C. Valerian

D. Echinacea

A

B. Elderberry