Deck 25: The Integrative Medicine Pharmacopoeia: Herbals, vitamins, and Dietary Supplements

Question 1

What statement regarding the Dietary Supplement and Health Education Act is false?

A)It was passed in 1994 as a first step in the federal regulation of dietary supplement manufacturing.
B)As of October 1994,it guaranteed availability to the consumer of all dietary supplements on the market.
C)Requiring label accuracy,it guaranteed safety,efficacy,or purity of products sold.
D)It permitted a claim on bodily structure and function but disallowed claims of treatment or cure for disease.

Answer 1

Requiring label accuracy,it guaranteed safety,efficacy,or purity of products sold.

Question 2

What statement regarding the U.S.Food and Drug Administration's MedWatch Reporting System is true?

A)It is used by clinicians to report the drug efficacy of dietary supplements.
B)It is used by patients to screen for fraudulent advertising of a dietary supplement.
C)It is used by manufacturers to identify dietary supplements most utilized by the public.
D)It is used by clinicians to report suspected adverse events caused by dietary supplements.

Answer 2

It is used by clinicians to report suspected adverse events caused by dietary supplements.

Question 3

Which agent may be utilized as a preventative agent against dementia?

A)Dehydroepiandrosterone (DHEA)
B)Echinacea
C)Dong quai
D)Docosahexanoic acid (DHA)

Answer 3

Docosahexanoic acid (DHA)

Question 4

Which natural product has a greater body of evidence for the prevention of Helicobacter pylori infections than for urinary tract infections (UTIs)?

A)Echinacea
B)Cranberry
C)Elderberry
D)Black cohosh

Question 5

Why should evening primrose oil be avoided in patients on anticoagulation therapy?

A)It may potentiate the effects of the anticoagulant.
B)It may interfere with platelet aggregation.
C)It may decrease the effects of the anticoagulant.
D)It may increase the potential for embolic events.

Question 6

Why is integrative medicine considered a patient-centered therapy?

A)It incorporates recognition of the role of the "body,mind,and spirit" in wellness and disease.
B)It allows the patient alone to choose the appropriate course of therapeutic management.
C)It allows the health-care provider the freedom to withhold conventional therapeutic options and utilize natural products.
D)It incorporates the use of natural products to affect a patient's pathophysiologic abnormalities.

Question 7

Which of the following is not an effect of black cohosh?

A)Improvement of sleep disturbances
B)Reduction of hot flushes
C)Reduction of night sweats
D)Improvement of vaginal atrophy

Question 8

Which option most appropriately describes complementary and integrative medicine?

A)The combination of conventional pharmaceutical therapy with the use of natural products in designing patient treatment plans
B)The exclusive use of natural products in designing patient treatment plans
C)The combination of conventional pharmaceutical therapy with evidence-based use of natural products in designing patient treatment plans
D)The use of natural products as the tertiary line of intervention in designing patient treatment plans

Question 9

What is the best definition of an "opportunity cost"?

A)A loss of health resulting from delay in care
B)A decrease in prescriptive medical costs
C)A decrease in side effects due to the use of natural products
D)A belief that natural substances are inherently safer than synthetic drugs

Question 10

Why does Generally Recognized as Safe (GRAS)status not preclude possible significant side effects or drug interactions of herbs and spices used for medicinal purposes?

A)It does not take into account the higher doses needed for medicinal purposes.
B)It does not take into account the purity of an herb or spice.
C)It does not take into account patient comorbidities.
D)It does not take into account the half-life of an herb or spice used for medicinal purposes.

Question 11

What statement regarding probiotics is false?

A)They are small live microorganisms.
B)They help to maintain the natural balance of the micro-flora in the gastrointestinal tract.
C)The majority of commercially available probiotics are made from human strains.
D)Probiotics as natural agents have been utilized only within the past 20 years.