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48 Cards in this Set
- Front
- Back
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Which agent is a precursor to androgens (male sex hormones)? Answer A GABA B Lysine C Chondroitin D SAMe E DHEA |
E DHEA |
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Mel is a pharmacist in Los Angeles who has made it a priority to increase folic acid intake among women of child-bearing age. What is Mel's motivation for this important work? Answer ATo reduce the risk of low bone density in young women. BTo reduce the risk of serious birth defects in children born to women with low folic acid intake. CTo reduce the risk of ovarian cancer in young women. DTo reduce the risk of endometrial cancer in young women. ETo make money for the manufacturer of folic acid.
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BTo reduce the risk of serious birth defects in children born to women with low folic acid intake. |
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Agnes had her blood pressure checked and it was lower than usual. Which natural product is most likely to provide additive blood-pressure lowering effects? Answer A Cinnamon BHuperzine CGinkgo DArginine EAll of the above. |
DArginine |
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Mary is a college sophomore. She recently became involved in a sexual relationship. She went to the clinic and was prescribed Loestrin Fe 1/20. Mary believes in natural healing and takes a handful of supplements daily: a fish oil capsule, a B vitamin complex, a multivitamin, a vitamin E 400 IU capsule, St. John's wort, kava and a probiotic supplement. She uses melatonin when she has trouble sleeping. Despite strict adherence with her birth control pill regimen, Mary became pregnant. What was the most likely cause of the pregnancy? Answer AConcurrent use of birth control pills and fish oils. BConcurrent use of birth control pills and St. John's wort. CConcurrent use of birth control pills and lactobacillus. DConcurrent use of birth control pills and melatonin. EConcurrent use of birth control pills and high-dose vitamin E.
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BConcurrent use of birth control pills and St. John's wort. |
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Choose the correct statements concerning vitamin supplementation for breast-fed babies: (Select ALL that apply.) Answer ABreast-fed babies need 1 mg/kg of iron daily from 4-6 months old and until consuming iron-rich foods. BBreast-fed babies need calcium supplementation. CFormula-fed babies need iron supplementation. DExclusively breastfed infants or babies drinking less than 1 liter of baby formula need 400 IU of vitamin D daily. EFormula-fed babies need vitamin D supplementation. |
ABreast-fed babies need 1 mg/kg of iron daily from 4-6 months old and until consuming iron-rich foods.
DExclusively breastfed infants or babies drinking less than 1 liter of baby formula need 400 IU of vitamin D daily. |
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Which of the following agents is required for calcium absorption? Answer AFolic acid BVitamin C CVitamin D DVitamin E EVitamin K |
CVitamin D |
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A patient used a natural product for a cold and then lost his ability to smell. He was likely using this product, which the FDA has recommended against using due to the risk of anosmia: Answer AEchinacea BZinc nasal spray CElderberry DVitamin C EZinc lozenges
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BZinc nasal spray |
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Which calcium supplement is absorbed better in an acidic environment and is taken with meals? Answer ACalcium citrate BCitracal COscal DCitrucel ENone of these should be taken with food. |
COscal |
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Select the correct vitamin name and abbreviation match. (Select ALL that apply.) Answer AVitamin B6-Pyridoxine BVitamin B1-Riboflavin CVitamin B12-Cobalamin DVitamin B3-Thiamine EVitamin A-Retinol |
AVitamin B6-Pyridoxine
CVitamin B12-Cobalamin
EVitamin A-Retinol |
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A patient does not consume dairy products and needs 1,000 mg calcium daily. She has purchased calcium carbonate 500 mg elemental per tablet. What is the best way to take the two tablets she needs each day? Answer AFor the best adherence, take both with breakfast. BFor help sleeping, take both with at bedtime with a light snack. CTake one with breakfast and the other with dinner. DTake both with the largest meal of the day. EFor help sleeping, take both at bedtime with a fatty meal. |
CTake one with breakfast and the other with dinner. |
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The use of metformin can cause a depletion of which of the following nutrients that may need to be supplemented? Answer AThiamine BNiacin CVitamin B6 DVitamin B12 EVitamin C |
DVitamin B12 |
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Melatonin is used for the following conditions: (Select ALL that apply.) Answer ADyslipidemia BInsomnia Cenergy DDepression EJet lag |
BInsomnia
EJet lag |
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A 73 year-old male was given a prescription for tamsulosin but wishes to use a natural product instead. Which product has claimed benefit for this indication? Answer A Ginger BCranberry CFeverfew DSaw palmetto EMagnesium |
DSaw palmetto |
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Which natural products can be useful for migraine headache prophylaxis? (Select ALL that apply.) Answer AFeverfew BSaw palmetto CGinger DMagnesium ERiboflavin |
AFeverfew
DMagnesium ERiboflavin |
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Which patient populations are considered at-risk for low calcium intake: (Select ALL that apply.) Answer ACaucasians BMales taking daily steroids or androgen blocking agents CFemales during pregnancy and around menopause DMales between ages 18 and 35 EChildren
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BMales taking daily steroids or androgen blocking agents CFemales during pregnancy and around menopause
EChildren |
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Which calcium supplement is absorbed well on either an empty stomach or if taken with food? Answer A Tums BCitracal (w/ or w/o food) COscal (with food = good with acid) DRolaids ECaltrate
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BCitracal (w/ or w/o food) |
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A patient with recently-diagnosed active tuberculosis was prescribed isoniazid, rifampin, pyrazinamide and ethambutol. Which vitamin supplement is recommended with this regimen? Answer AVitamin B1 BVitamin B12 CVitamin B2 DVitamin B3 EVitamin B6 |
EVitamin B6 |
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Which natural product can be useful for urinary tract infection prophylaxis? Answer AGinger BCranberry CFeverfew DSaw palmetto EMagnesium |
BCranberry |
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A patient brings in a prescription for orlistat. Which of the following vitamins should the pharmacist recommend the patient take while on this medication? (Select ALL that apply.) Answer AVitamin A BVitamin B6 CVitamin D DVitamin E EVitamin K |
AVitamin A
CVitamin D DVitamin E EVitamin K |
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What is the NIH's Recommended Adequate Intake (AI) for calcium in a 65 year-old female? Answer A1,500 mg daily B2,000 mg daily C2,250 mg daily D1,000 mg daily E1,200 mg daily |
E1,200 mg daily |
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Choose the correct statement concerning vitamin D supplements: Answer A50,000 units of vitamin D (the large green capsules), taken daily, is acceptable for most patients. BVitamin D intake is acceptable in most patients in the United States. CVitamin D2 should not be recommended. DVitamin D3 should not be recommended. ECholecalciferol is vitamin D3 and is the preferred source. |
ECholecalciferol is vitamin D3 and is the preferred source. |
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Jessica is a skilled-nursing facility patient who is 73 years old. She is started on monthly Boniva. She eats the following foods as part of her regular diet: one cup of vitamin D-fortified milk with cereal in the morning and a cup of yogurt with lunch of mid-afternoon snack and cheese as either a snack or with dinner. Choose the correct statement/s: Answer AJessica needs supplemental vitamin D. BJessica needs supplemental calcium. CJessica does not need additional vitamin D or calcium. DJessica needs both supplemental calcium and vitamin D. EBoniva does not require additional calcium or vitamin D. |
AJessica needs supplemental vitamin D. |
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Select the agents that are used for anxiety: (Select ALL that apply.) Answer AGarlic BChamomile tea CLemon balm DGinseng EValerian root |
BChamomile tea CLemon balm
EValerian root |
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Olga is a 51 year-old pharmacist with night sweats. Due to having difficulty sleeping, she is moody at work and the pharmacist interns are quite unhappy. Olga is in the peri-menopause. What supplement/s are used by some to possibly provide a mild benefit? (Select ALL that apply.) Answer ASaw palmetto BWillow bark CGinseng DEstroven EBlack cohosh |
DEstroven EBlack cohosh |
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A patient presented with poor muscle coordination, confusion and vision changes. He was diagnosed with Wernicke's encephalopathy. Select the correct statement: Answer AThe patient has a vitamin B6 deficiency. BThis condition is mostly common caused by a lack of intrinsic factor. CThis condition can lead to permanent cognitive deterioration, and cause psychosis. DThe patient has a vitamin B9 deficiency. EThe patient has a vitamin A deficiency.
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CThis condition can lead to permanent cognitive deterioration, and cause psychosis. |
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Another name for vitamin B3 is: Answer APyridoxine BNiacin CFolic acid DRiboflavin EThiamine
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BNiacin |
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Julia is an elementary school teacher. She suffers from frequent bouts of osteoarthritis pain during the school day and only gets relief when she sits down to rest. This is not always possible. To get by, Julia has been taking 5-6 tablets of Extra Strength Tylenol throughout the day. Julia heard a news report about using excessive acetaminophen and became frightened. She is at the pharmacy counter asking if there is anything "natural" that might help for arthritis pain. What supplement might provide a mild benefit? Answer AFeverfew BComfrey CCystex DEstroven E SAMe (glucosamine, chrondroitin and SAMe) |
E SAMe (glucosamine, chrondroitin and SAMe) |
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The pediatrician has told a couple that their 3 month old infant requires vitamin D and iron supplementation. Which supplement would be a suitable product? Answer AFer-In-Sol BFeosol CFlintstones Chewable Multi-Vitamins DSlow-Fe EPoly-Vi-Sol with Iron |
EPoly-Vi-Sol with Iron |
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It is flu season and your pharmacy is selling a lot of natural products to fight viral infections. Which of the following products are used for colds and flu? (Select ALL that apply.) Answer AElderberry BEchinacea CVitamin C DZinc lozenges EVitamin A |
AElderberry BEchinacea CVitamin C DZinc lozenges |
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Mary developed a UTI and received a 3-day course of an antibiotic. She tells the pharmacist that she used to get diarrhea when she took antibiotics but does not expect this to happen now because she uses a probiotic. The pharmacist could offer the following advice: Answer ADo not use the probiotic during the 3 days you are using antibiotic; wait until the therapy is complete. BIf you take the antibiotic in the morning and at night, take the probiotic in the middle of the day. CIt would be best to replace the probiotic with lycopene. DIt would be best to replace the probiotic with saw palmetto. EIt would be best to replace the probiotic with comfrey. |
BIf you take the antibiotic in the morning and at night, take the probiotic in the middle of the day. |
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Natalie is considerably overweight. She has purchased an over-the-counter weight loss product at the pharmacy. It is a "natural" product that contains bitter orange, guarana and green tea. Natalie feels less hungry the first day, but feels that her heart is racing. Within a few days, she finds the product does not work as well and she increases the dose. She finds her heart is racing and she is nervous. Which of the following is incorrect? Answer AShe is using a caffeine-containing product, likely at high doses. BShe is using an "ephedra-like" compound, which is not safe, and she is likely using it at high doses. CThere is no lasting weight loss with this type of product. DThis product may cause serious health consequences. EAll of the above are correct. |
EAll of the above are correct. |
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A product labeled as homeopathic is supposedly useful for sleep and anxiety. It contains an inert filler and an active ingredient labeled as Anxol. A patient using it regularly develops liver damage. Select the correct statement: Answer AHomeopathic products may not be homeopathic but labeled as such to sound pleasing to the patient. BHomeopathic products generally cause liver damage and are not recommended, for this reason, by competent pharmacists. CHomeopathic products are regulated strictly by the FDA and must be produced according to Good Manufacturing Principles. DHomeopathy is based on the belief that giving large amount of an illness to healthy patients will produce an immune response if the patient is infected at a later date. EHomeopathic products are not sold in most pharmacies. |
AHomeopathic products may not be homeopathic but labeled as such to sound pleasing to the patient. |
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Marge requires calcium supplementation. Her sister suggested CitraCal, but she has trouble swallowing the large capsules. Marge does not use any prescription or over the counter medicines. Choose the correct statement: Answer ACitraCal has 1000 milligrams of elemental calcium per tablet. BShe should not use calcium citrate; it has poorer absorption than calcium carbonate. CCalcium carbonate tablets will be smaller and may be an acceptable alternative. DCalcium carbonate should be taken on an empty stomach at bedtime. ECalcium intake is acceptable in most patients in the United States. |
CCalcium carbonate tablets will be smaller and may be an acceptable alternative. |
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A woman needs to take a prescription bone density agent. She has little calcium or vitamin D in her diet but does not like to take too many pills. She asks which prescription agent does not require supplemental calcium and vitamin D? Select the correct response: Answer ATeriparatide BEstrogen CIbandronate DDenosumab ENone of the above |
ENone of the above |
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What is the NIH's Recommended Adequate Intake (AI) for vitamin D in a 65 year-old female? Answer A200 IU B600 IU C800 IU D1,000 IU E2,000 IU |
B600 IU |
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Jessica has self-treated acne for the past three years. She has tried spot treatments, facial scrubs and exfoliation kits that contain either benzoyl peroxide or salicylic acid to help clear her skin. These are useful, but leave her skin dry and sore. She is asking for something more lubricating and "natural". What OTC supplements might provide benefit? Answer AHawthorne BMilk Thistle CIpriflavone DTea tree oil EGrape seed extract
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DTea tree oil |
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A patient has depression and sore knee joints from when he used to be a runner. Which natural product might be useful for both conditions? Answer ASt. John's wort BSAMe CDHEA DGlucosamine EChondroitin |
BSAMe |
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A patient brings the pharmacist a bottle of "natural pain pills" that he ordered off a late-night TV show. The name of the manufacturer listed on the bottle is "Magic Cure-All." The pharmacist conducts an internet search and cannot locate that this company exists. Choose the correct statement regarding the "natural pain pills": Answer ANatural products are always manufactured according to Good Manufacturing Processes (GMPs), according to FDA regulations passed in 1984. BThe dietary supplement manufacturer must have proved the product's safety and effectiveness. CPharmacists have easily accessible sources to check for drug interactions and safety concerns with natural products. DThis product has been approved by the FDA. EThis product was obtained illegally. |
CPharmacists have easily accessible sources to check for drug interactions and safety concerns with natural products. |
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A patient with scurvy is deficient in which of the following? Answer AVitamin A BVitamin B6 CVitamin C DVitamin D EVitamin E |
CVitamin C |
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Jerry gets canker sores (apthous ulcers) whenever he is under stress. Which agent is sometimes recommended to help reduce this occurrence? Answer ALycopene BLysine CRed yeast rice DPlant stanols/sterols EFish oils |
BLysine |
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Marge is having night sweats and cannot get a good night's sleep. She has been told by her doctor that she is in the perimenopause. All of these natural products are used for menopausal symptoms except? Answer ABlack cohosh BSaw palmetto CRed clover DEvening primrose EDong quai |
BSaw palmetto |
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Mary believes in natural healing and takes a handful of supplements daily: a fish oil capsule, a B vitamin complex, a multivitamin, a vitamin E 400 IU capsule, St. John's wort, kava and a probiotic supplement. She uses melatonin when she has trouble sleeping. Which natural product is putting Mary at a health risk, in particular cardiovascular disease risk, for no known benefit? Answer AKava BSt. John's wort CLactobacillus DMelatonin EVitamin E
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EVitamin E |
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Jerry has high cholesterol. Which of the following agents can help improve cholesterol values? (Select ALL that apply.) Answer ASt. John's wort BPlant stanols/sterols CGinseng DStatins ERed yeast rice |
BPlant stanols/sterols
DStatins ERed yeast rice |
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Agnes had a stent placement in a coronary artery. She has been using the following medicines for many months: clopidogrel, aspirin, rosuvastatin, amlodipine, atenolol and the natural products arginine, coenzyme Q10 and cinnamon. Agnes has felt confused lately and could not remember where she put her house keys. A friend recommended that she begin to use some "brain booster" natural products. About a month ago, after speaking with her friend, Agnes began to use ginkgo biloba and huperzine A. It was wintertime and for the first time ever in the dry, indoor heat Agnes began to have chronic, bothersome nose bleeds. Agnes came in to the pharmacy to ask for advice. The pharmacist should recommend the following: (Select ALL that apply.) Answer AYou should not be using ginkgo biloba, it is unsafe with the rest of your medicines. BYou should consider using a humidifier in the room where you spend the most time. CYou should consider vitamin E instead of ginkgo. DYou should be using warfarin instead of clopidogrel. EYou should be using warfarin instead of aspirin. |
AYou should not be using ginkgo biloba, it is unsafe with the rest of your medicines. BYou should consider using a humidifier in the room where you spend the most time. |
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Marge has decided to use the black cohosh product Remifemin. Choose the correct statement concerning this popular product: Answer A It is less effective than estrogen for improving vasomotor symptoms. BIt is more effective than estrogen for improving vasomotor symptoms. CIt is available by prescription only. DIt should be combined with HRT. EIt is contraindicated in women over the age of 50. |
A It is less effective than estrogen for improving vasomotor symptoms. |
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Mary believes in natural healing and takes a handful of supplements daily: a fish oil capsule, a B vitamin complex, a multivitamin, a vitamin E 400 IU capsule, St. John's wort, kava and a probiotic supplement. She uses melatonin when she has trouble sleeping. Which natural product is putting Mary at risk for hepatotoxicity? Answer AKava BSt. John's wort CLactobacillus DMelatonin EVitamin E |
AKava |
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A patient named Marla is experiencing constipation from the use of hydrocodone-acetaminophen 5/325 mg, taken 3-4 times daily. She states that she is "sick" of using medicines and asks if there is an herbal that can be used for constipation. The pharmacist could recommend this natural product: Answer AGlucosamine BSennosides (senna) CButterbur DFish oil EFeverfew
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BSennosides (senna) |
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Michelle is a patient at the pharmacy who is planning to take a cruise to the Bahamas. She explains that she gets really bad motion sickness and does not want to take Dramamine due to sedation. She has tried this before and does not wish to sleep through her vacation. What OTC product might provide mild benefit for nausea? Answer ADiphenhydramine BAloe Vera CCinnamon DDimenhydrinate EGinger
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EGinger |
