Herbal Medications & Dietary Supplements

Question 2

Garlic is commonly used to lower blood pressure and lipids. Does it need to be stopped before surgery? If so, how far in advance and why?

Answer 2

Yes b/c it is an anti-platelet drug and will cause increased bleeding. It must be stopped 1-2 weeks before surgery

Question 3

Grapefruit juice has which of the following effects on the serum concentration of intraop drugs?a) it induces CYP enzymes and increases drug metabolismb) it inhibits CYP enzyme and decreases drug metabolismc) it has no effect on CYP enzymes

Answer 3

b

Question 4

Indications for use of which drug include: jet lag and insomnia? a) fish oilb) Glucosaminec) Vitamin Ed) Coenzyme Q10e) Melatonin

Answer 4

e

Question 5

Indications for use of which drug include: stroke,MI, and artherosclerosis? a) fish oilb) Glucosaminec) Vitamin Ed) Coenzyme Q10e) Melatonin

Answer 5

c

Question 6

True or False. Garlic acts as anti-platelet?

Answer 6

TRUE

Question 7

What are the cardiac side effects associated with ephedra?

Answer 7

NAME?

Question 8

What are the CNS side effects associated with ephedra?

Answer 8

NAME?

Question 9

What is Echinacea taken for?

Answer 9

NAME?

Question 10

What is Ephedra taken for?

Answer 10

NAME?

Question 11

What is the most serious side effect associated with echinacea?

Answer 11

Hepatotoxicity

Question 12

What patients should not take echinacea?

Answer 12

immunocompromised (AIDs, Cancer)

Question 13

Which drug can potentiate Parkinsonian symptoms?a) St. John’s Wartb) Saw Palmettoc) Valeriand) Kavae) non of the above

Answer 13

d

Question 14

Which drug causes increased metabolism of many of the drugs we use?a) Ephedrab) St. John’s Wartc) Ginsengd) a and be) none of the above

Answer 14

b

Question 15

Which drugs following leads to increased sedative effects if not stopped pre-operatively?a) Valerianb) Saw Palmetto c) Kavad) a and be) a and c

Answer 15

e

Question 16

Which of the following can cause hepatotoxicity?a) Kavab) St. John’s Wartc) Echinacead) a and be) a and c

Answer 16

e

Question 17

Which of the following drugs’ indications for use include: osteoarthritis a) fish oilb) Glucosaminec) Vitamin Ed) Coenzyme Q10e) Melatonin

Answer 17

b

Question 18

Which of the following drugs is indicated for use for: CAD, HTN, cholesterol, and as an anti-inflammatorya) fish oilb) Glucosaminec) Vitamin Ed) Coenzyme Q10e) Melatonin

Answer 18

a

Question 19

Which of the following inhibits serotonin, NE, epi, and dopamine re-uptake? a) Garlicb) Ephedrac) St. John’s Wartd) Kava

Answer 19

c

Question 20

Which of the following is an antioxidant whose indications for use include: heart failure, reduce BP, Parkinson’s, and cancer?a) fish oilb) Glucosaminec) Vitamin Ed) Coenzyme Q10e) Melatonin

Answer 20

d

Question 21

Which of the following is taken to enhance energy levels?a) Ephedrab) Ginsengc) Ginkgo d) Saw Palmetto

Answer 21

b

Question 22

Which of the following must be used with caution with anti-coagulants/ anti-platelets?a) Garlic b) Gingerc) Ginkod) Ginsenge) all of the above

Answer 22

e

Question 23

Which of the following must be used with caution with anti-coagulants/ anti-platelets?a) Saw Palmettob) Vitamin Ec) Gingengd) Gingere) all of the above

Answer 23

E

Question 24

Which should be avoided in pts w/seizure disorder ?a) Ginsengb) Ginkgoc) Kavad) St. John’s Wart

Answer 24

b

Question 25

Which types of drugs interact with ephedra?

Answer 25

MAOIs and sympathomimetics