Herbal

Question 1

1. You are about to start your patient on warfarin when your patient mentions that she loves garlic and eats it with every meal and even uses garlic soap to bathe. What is your recommendation about her use of warfarin with regards to her soap use?

a. Continue with current use of garlic in every meal and bathing.
b. Discontinue all use of garlic.
c. Take warfarin before eating at every meal.
d. Reduce use of garlic

Answer 1

d. Reduce use of garlic

Question 2

2. In which of the following patients, would a trial of Ginkgo Biloba be appropriate?

a. Patient with a history of migraines.
b. Patient suffering from dementia.
c. Patient on Warfarin.
d. Obese woman trying to lose weight

Answer 2

b. Patient suffering from dementia.

Question 3

3. Which of the follow is NOT considered an appropriate use for Ginseng?
   a. Erectile Dysfunction
   b. Diabetes
   c. Cancer
   d. Lupus

Answer 3

d. Lupus

Question 4

4. A major reason why some people take Echinacea purpurea is to:
   a. Thin the blood
   b. Help fight off the common cold and URIs
   c. Decrease blood pressure
   d. Increase bone mass

Answer 4

b. Help fight off the common cold and URIs

Question 5

5. What is a main contraindication for milk thistle?
   a. Diabetes Mellitus
   b. Allergy to chamomile
   c. Dyslipidemia
   d. Cancer

Answer 5

b. Allergy to chamomile

Question 6

6. Which of the following is a potential adverse side effect of St. John’s Wort?
   a. Somnolence
   b. Photosensitivity
   c. Orange colored urine
   d. Dental erosions

Answer 6

b. Photosensitivity

Question 7

7. What lab test would you want to order prior to administering black cohosh?
   a. ESR and CRP
   b. CBC
   c. LFT’s
   d. TSH

Answer 7

c. LFT’s

Question 8

8. Which herbal supplement can be used to treat Benign Prostate Hyperplasia?
   a. Milk thistle
   b. Black cohosh
   c. Saw Palmetto
   d. Ephedra

Answer 8

c. Saw Palmetto

Question 9

9.	A 25 year old female presents to the ED for evaluation after suffering a generalized tonic-clonic seizure. Seizure lasted 1 minute and was witnessed by her boyfriend. Patient did not lose bowel or bladder control during episode. She reports she is feeling better, but still feels like her heart is racing. Patient reports that for the past two weeks she has been taking a weight loss pill given to her by her friend in attempt to get ready for her upcoming pageant. What diet pill do you suspect the patient had been taking? 
	A. Echinacea Purpurea
	B. Gingko Biloba 
	C. Ephedra (Ma Huang)
	D. Vitamin B12

Answer 9

C. Ephedra (Ma Huang)

Question 10

10. What is a common use for Feverfew and what is a possible side effect that can be seen with its use?
    a. Crohn’s Disease, QT prolongation
    b. Ulcerative Colitis, Uveitis
    c. Prophylactic for Psoriasis flare, Vertigo
    d. Prophylactic for Migraine HA, allergic contact dermatitis

Answer 10

d. Prophylactic for Migraine HA, allergic contact dermatitis

Question 11

11. If a patient takes more than 250 mg of Kava per day (the recommended max dose), what is a serious adverse effect that can occur?
    a. Liver failure
    b. Kidney failure
    c. Altered mental status
    d. Constipation

Answer 11

a. Liver failure

Question 12

12. Extracts of the Valerian root are used to induce sleep and improve the quality of sleep. Alvarian may enhance the adverse effects of which of the following medications?
    a. Benzodiazepines
    b. Lisinopril
    c. Levothyroxine
    d. Bisphosphonates

Answer 12

a. Benzodiazepines

Question 13

13. Cannabidiol, an active chemical present in marijuana, has been approved by the FDA to treat what medical condition?
    a. It has been approved by the FDA to treat specific seizure conditions in those two years and older.
    b. It has been approved by the FDA to treat specific eating disorders in those 18 years of age and older.
    c. It has been approved by the FDA to treat specific anxiety disorders in individuals of any age.
    d. Not approved- The FDA has not approved the use of any active chemical present in marijuana for the treatment of any medical condition.

Answer 13

a. It has been approved by the FDA to treat specific seizure conditions in those two years and older.