Herbal Medicines

Question 1

Echinacea intended use

Answer 1

decreasing duration and intensity of colds

Question 2

Echinacea proven effects

Answer 2

immune modulating
anti-inflammatory
increases numbers of immunologic blood cells

Question 3

Contraindications of echinacea

Answer 3

avoid with patients with immune deficiencies or those on immunosuppressants

Question 4

Ginkgo biloba current uses

Answer 4

imrove memory
tx/prevention of alzheimers
tx/prevention of peripheral vascular disease

Question 5

Ginkgo biloba two unique adverse effects/drug interactions

Answer 5

may have anti-platelet actions

uncooked seeds contain a toxin that may induce seizures in susceptible individuals

Question 6

Garlic primary uses

Answer 6

atherosclerosis
high cholesterol
hypertension

Question 7

Garlic most studied constituent

Answer 7

ALLICIN

Question 8

Proposed mechanisms of garlic

Answer 8

inhibition of ACE
Increased NO availability
Increased H2S production

Question 9

Adverse effects of garlic

Answer 9

INCREASED BLEEDING

discontinue 7 days prior to surgery

Question 10

Ginseng primary uses

Answer 10

support overall health and immune system, well being, stamina, MENTAL AND PHYSICAL PERFORMANCE

Question 11

Adverse effects of ginseng

Answer 11

CNS stimulation
Hypertension

Auto-immune disorers
Anti-platelet activity

Question 12

Milk Thistle primary uses

Answer 12

LIVER DISEASE

cirrhosis, drug induced hepatotoxicity, hepatitis

Question 13

Milk thistle mechanism of action proposed

Answer 13

preventing excessive collagen accumulation

Question 14

St. John’s Wort used primarily as

Answer 14

anti-depressant

Question 15

St. Johns Wort mechanism

Answer 15

inhibiting re-uptake of serotonin

Question 16

St. Johns Wort adverse interactions

Answer 16

CAN INDUCE P-450 SYSTEM

DECREASES SERUM CONCENTRATIONS OF OTHER DRUGS

may have caused transplant rejection

Question 17

Saw palmetto primary use

Answer 17

BENIGN PROSTATIC HYPERPLASIA

Question 18

Glucosamine and Chondroitin primary uses

Answer 18

OSTEOARTHRITIS

Question 19

Melatonin primary use

Answer 19

insomnia, sleep aid

Question 20

Adverse effect of melatonin

Answer 20

DECREASES SPERM QUALITY IN MEN

DECREASES LUTEINIZING HORMONE IN WOMEN

Question 21

Butterbur primary use

Answer 21

MIGRAINE

Question 22

Feverfew primary use

Answer 22

migraines

Question 23

Feverfew adverse effects

Answer 23

mouth ulceration
uterine contractions
coagulation effects

Question 24

Coenzyme Q10 primary uses

Answer 24

REDUCTION OF STATIN INDUCED MYOPATHY

statins decreased serum CoQ10 levels

HTN, ischemic heart disease, migraine, neurodegenerative diseases

Question 25

CoQ10 Adverse effects

Answer 25

SHOULDN’T BE USED IN PATIENTS TAKING WARFARIN

Question 26

Fish oil primary uses

Answer 26

hypertriglyceridemia

CV disease

Question 27

Glucosamine/Chondroitin adverse effect

Answer 27

bleeding