2025-2026 Updated Tests
A person with what type of condition should not take echinacea? ANS Prolonged use should be avoided in
those who are immunocompromised including HIV, cancer, drug therapy for TB, RA, and SLE
Therapeutic effect of coenzyme Q-10 ANS Antioxidant that serves a vital role in cellular energy
production
Structurally similar to vitamin K, not used with warfarin
What is the dietary supplement act of 1994 (DSHEA)? ANS Categorizes botanical products (herbal
supplements), vitamins, minerals as dietary (food) supplements rather than drugs. By classifying products as
dietary supplements the DSHEA excepts them from undergoing FDA scrutiny and approval before marketing.
DSHEA does impose restrictions with labeling. All herbal products must be labeled as dietary supplements.
Ginkgo Biloba adverse effects ANS stomach upset, headache, dizziness, vertigo. Some reports of
spontaneous bleeding. Incorrect ingestion can lead to seizures and fatalities (if you eat seeds)
Kava adverse effects ANS can cause severe liver injury (ABSOUTELY contraindicated in hepatotoxicity.
Patient education about administration/consumption about flaxseed ANS Flaxseed can reduce absorption
of conventional medications so it should be taken 1 hour before or 2 hours after these drugs
Therapeutic effect of feverfew (dietary supplement) ANS Used primarily for migraine prophylaxis,
seasonal allergies, asthma, RA, and psoriasis
St. Johns wort adverse effects ANS insomnia, vivid dreams, restlessness, anxiety, agitation, irritability,
abdominal pain, dry mouth, headache
Ginger root adverse effects ANS CNS depression and cardiac dysrhythmias. Excessive doses can cause GI
side effects
Current good manufacturing practices (CGMP) ruling of 2007 ANS This ruling ensures that a product
contains what the label proclaims - the package contains ingredients that are listed and does not lack any.
, Set of standards to regulate the manufacturing and labeling of dietary supplements set for by the FDA.
Designed to ensure that dietary supplements be devoid of adulterants, contaminants, and impurities and tha
package labels accurately reflect the identity, purity, quality, and strength of what is inside. In addition, the
label should indicate not only active ingredients but also inactive ingredients. Also mandates that mfr establish
quality-control procedures with the objective of preventing mislabeled, underfilled, or overfilled formulations,
variations in tablet size, color, or potency; and contamination with drugs, bacteria, pesticides, glass, lead, and
other potential contaminants.
Dietary supplement and non-prescription drug consumer protection act of 2006 ANS mandates the
reporting of serious averse events for non-prescription drugs and dietary supplements. The following should be
reported: deaths, hospitalizations, life-threatening experiences, persistent or significant disabilities and birth
defects
First line treatment for primary, secondary, or early latent syphilis ANS Benzathine penicillin G 2.4
million units IM once
First line treatment for bacterial vaginosis (BV) ANS Metronidazole 500 mg PO BID X 7 days
First line treatment for genital herpes (first clinical episode) ANS acyclovir 400 mg PO TID x 7-10 days or
acyclovir 200 mg PO 5 times a day for 7-10 days or famciclovir 250 mg PO TID/day for 7-10 days or
valacyclovir 1G PO 2 times/day for 7-10 days
Patient teaching and response to delayed onset of therapeutic effect for dutasteride ANS "I cannot donate
blood while taking this medication" (men should not donate blood for at least 6 months after stopping to avoid
transmission to women through administration of blood product)
Long half life (about 5 weeks)
reduces ejaculate volume and libido in some men and causes decline in PSA in all men
Teratogenic
absorbed through skin - pregnant women should not handle
Terazosin - how to know its working? ANS symptom improvement and increased urinary flow develop
rapidly
"urine stream wasn't as delayed and the urine flow was a lot stronger"
Major drawback of progestin only oral contraceptives ANS Irregular bleeding