Exam 11: Pharmacology

A patient taking MAOIs should avoid foods high in _____ in order to avoid life-threatening side effects

The study of drugs, their properties, and their effects is known as:

Long-term use of corticosteroids can have which of the following effects?

Which of the following is not an absorptive mechanism for drugs?

Case Study

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.
The physician’s notes are as follows:
Current Medication	Reason for Prescribing
St. John’s wort	WD read in a magazine that this helps with depression
Slow Fe (iron supplement)	prior anemia
Warfarin	history of embolic stroke
Omeprazole	history of embolic stroke
Tums	upset stomach
Amoxicillin	recent respiratory infection
Doxazosin	incontinence
Allegra	seasonal allergies
Lipitor	high cholesterol
Vitamin E	she heard it was “good for heart disease”
Diet hx
B- eggs	D- cooked spinach
bacon	chicken breast
orange juice	mashed potatoes
fruit cocktail
L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea

-You notice that WD is taking an iron supplement The physician confirms that he would like her to continue with this supplement How would you advise WD regarding potential negative drug-nutrient interactions?

_____ are used to inhibit the production of _____, which causes a decrease in blood pressure

The use of drugs for treatment of disease and health maintenance is known as:

Case Study

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.
The physician’s notes are as follows:
Current Medication	Reason for Prescribing
St. John’s wort	WD read in a magazine that this helps with depression
Slow Fe (iron supplement)	prior anemia
Warfarin	history of embolic stroke
Omeprazole	history of embolic stroke
Tums	upset stomach
Amoxicillin	recent respiratory infection
Doxazosin	incontinence
Allegra	seasonal allergies
Lipitor	high cholesterol
Vitamin E	she heard it was “good for heart disease”
Diet hx
B- eggs	D- cooked spinach
bacon	chicken breast
orange juice	mashed potatoes
fruit cocktail
L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea

-What in WD's diet or medication history is of particular concern to the physician due to several reported drug interactions and potential to decrease effectiveness of medications?

Which of the following is not an example of a pressor agent?

When you are treating a patient taking a statin medication, you should advise her or him not to consume which of the following with this medication?

Which of the following is true regarding the effect of vomiting and diarrhea on drug absorption?

When treating kidney stones, dietary modification is intended to control

Prozac, an antidepressant medication, is often associated with which of the following side effects?

Which of the following medications does not affect gastric acidity?

Which of the following is not one of the dietary interventions for treating kidney stones?

Which of the following enhances the absorption of an Fe supplement?

Which of the following diseases has the greatest negative impact on the effectiveness of drug absorption?

Case Study

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.
The physician’s notes are as follows:
Current Medication	Reason for Prescribing
St. John’s wort	WD read in a magazine that this helps with depression
Slow Fe (iron supplement)	prior anemia
Warfarin	history of embolic stroke
Omeprazole	history of embolic stroke
Tums	upset stomach
Amoxicillin	recent respiratory infection
Doxazosin	incontinence
Allegra	seasonal allergies
Lipitor	high cholesterol
Vitamin E	she heard it was “good for heart disease”
Diet hx
B- eggs	D- cooked spinach
bacon	chicken breast
orange juice	mashed potatoes
fruit cocktail
L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea

-You notice that WD is taking warfarin You would also advise her regarding which food that could potentially cause a drug-nutrient interaction?

Case Study

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.
The physician’s notes are as follows:
Current Medication	Reason for Prescribing
St. John’s wort	WD read in a magazine that this helps with depression
Slow Fe (iron supplement)	prior anemia
Warfarin	history of embolic stroke
Omeprazole	history of embolic stroke
Tums	upset stomach
Amoxicillin	recent respiratory infection
Doxazosin	incontinence
Allegra	seasonal allergies
Lipitor	high cholesterol
Vitamin E	she heard it was “good for heart disease”
Diet hx
B- eggs	D- cooked spinach
bacon	chicken breast
orange juice	mashed potatoes
fruit cocktail
L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea

-You would also warn WD of which potential side effect of Nardil?

Case Study

WD is an 86 yo F who is seen by the internal medicine physician because she has been feeling very depressed. The physician takes a full history from WD, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the meds that WD was prescribed by her other doctors and the potential drug-nutrient interactions.
The physician’s notes are as follows:
Current Medication	Reason for Prescribing
St. John’s wort	WD read in a magazine that this helps with depression
Slow Fe (iron supplement)	prior anemia
Warfarin	history of embolic stroke
Omeprazole	history of embolic stroke
Tums	upset stomach
Amoxicillin	recent respiratory infection
Doxazosin	incontinence
Allegra	seasonal allergies
Lipitor	high cholesterol
Vitamin E	she heard it was “good for heart disease”
Diet hx
B- eggs	D- cooked spinach
bacon	chicken breast
orange juice	mashed potatoes
fruit cocktail
L- Italian hoagie (salami, ham, cheddar cheese, lettuce, and tomato) iced tea

-The doctor is concerned about potential drug-nutrient interactions as a consequence of WD taking Allegra and Lipitor He consults the registered dietitian to have a look at WD's diet Which of the following in her diet history is of concern?