Question 1

Which of the following herbal medications contains ephedrine and can increase heart rate when given with sympathomimetic drugs?

Accepted Answer

A)  Yohimbe 
B)  Ephedra 
C)  Comfrey 
D)  Clove 
E)  Ma huang 
A)  Yohimbe 
B)  Ephedra 
C)  Comfrey 
D)  Clove 
E)  Ma huang E

Question 2

Garlic, ginkgo biloba, and feverfew can _____ when taken in conjunction with antiplatelet drugs or anticoagulants.

Accepted Answer

A)  cause tachycardia 
B)  increase the risk of bleeding 
C)  cause postural hypotension 
D)  cause hypertension 
A)  cause tachycardia 
B)  increase the risk of bleeding 
C)  cause postural hypotension 
D)  cause hypertension B

Question 3

Which of the following oral and dental effects have been observed with herbal medications? (Select all that apply.)

Accepted Answer

A)  Intraoral hemorrhage 
B)  Xerostomia 
C)  Oral candidiasis 
D)  Stomatitis 
A)  Intraoral hemorrhage 
B)  Xerostomia 
C)  Oral candidiasis 
D)  Stomatitis A, B, C, D

Question 4

Triclosan has not been shown to significantly reduce plaque and gingivitis when compared with placebo dentifrice.

Accepted Answer

A) True 
 B)False

Question 5

Labels for DSHEA products can contain claims of effects on the structure or function of the body.

Accepted Answer

A) True 
 B)False

Question 6

Which of the following statements is true of oil of cloves?

Accepted Answer

A)  It requires a prescription. 
B)  Many published trials confirming its efficacy have been conducted. 
C)  Its proposed mechanism of action is unclear. 
D)  It is found in calcium hydroxide cement. 
A)  It requires a prescription. 
B)  Many published trials confirming its efficacy have been conducted. 
C)  Its proposed mechanism of action is unclear. 
D)  It is found in calcium hydroxide cement.

Question 7

The term _____ has been associated with herbal products because they are primarily derived from plant sources.

Accepted Answer

A)  homeopathic 
B)  natural 
C)  unadulterated 
D)  pure 
A)  homeopathic 
B)  natural 
C)  unadulterated 
D)  pure

Question 8

The FDA has investigated over _____ reports of adverse reactions with over 100 different ephedra alkaloid-containing products since 1994.

Accepted Answer

A)  200 
B)  400 
C)  600 
D)  800 
A)  200 
B)  400 
C)  600 
D)  800

Question 9

All herbal products must be labeled as a(n):

Accepted Answer

A)  pharmaceutical. 
B)  dietary supplement. 
C)  medication. 
D)  adjuvant. 
A)  pharmaceutical. 
B)  dietary supplement. 
C)  medication. 
D)  adjuvant.

Question 10

The Dietary Supplement Health and Education Act (DSHEA)exempts _____ from meaningful FDA regulation: (1)vitamins, (2)minerals, (3)botanical products, (4)domestic products?

Accepted Answer

A)  1, 2, 3, 4 
B)  1, 2, 3 
C)  2, 3, 4 
D)  1, 2 
A)  1, 2, 3, 4 
B)  1, 2, 3 
C)  2, 3, 4 
D)  1, 2

Question 11

Manufacturers of natural or herbal substances do not have to prove efficacy in treating or preventing a specific disease nor can they make that claim.

Accepted Answer

A)  Both parts of the statement are true. 
B)  Both parts of the statement are false. 
C)  The first part of the statement is true; the second part is false. 
D)  The first part of the statement is false; the second part is true. 
A)  Both parts of the statement are true. 
B)  Both parts of the statement are false. 
C)  The first part of the statement is true; the second part is false. 
D)  The first part of the statement is false; the second part is true.

Question 12

Which government entity bears responsibility for proof of misleading labeling of herbal products?

Accepted Answer

A)  DEA 
B)  FDA 
C)  DSHEA 
D)  OSHA 
A)  DEA 
B)  FDA 
C)  DSHEA 
D)  OSHA

Question 13

Herbal products will not interact with conventional drugs.

Accepted Answer

A) True 
 B)False

Question 14

The FDA inspects all manufacturing facilities of herbal products for compliance.

Accepted Answer

A) True 
 B)False

Question 15

Which of the following statements is true regarding the safety of herbal and nutritional products?

Accepted Answer

A)  Some products may have potential therapeutic effects. 
B)  The majority cause adverse effects and drug interactions. 
C)  Noting the use of herbal products by the patient in his or her chart is unnecessary. 
D)  Both a and b are true. 
E)  Both b and c are true. 
A)  Some products may have potential therapeutic effects. 
B)  The majority cause adverse effects and drug interactions. 
C)  Noting the use of herbal products by the patient in his or her chart is unnecessary. 
D)  Both a and b are true. 
E)  Both b and c are true.

Question 16

Most of the herbal products available contain ingredients that produce profound pharmacologic effects.

Accepted Answer

A) True 
 B)False

Question 17

Manufacturers can make claims of curing conditions, and they can make claims of improving structure or function.

Accepted Answer

A)  Both parts of the statement are true. 
B)  Both parts of the statement are false. 
C)  The first part of the statement is true; the second part is false. 
D)  The first part of the statement is false; the second part is true. 
A)  Both parts of the statement are true. 
B)  Both parts of the statement are false. 
C)  The first part of the statement is true; the second part is false. 
D)  The first part of the statement is false; the second part is true.

Question 18

Xylitol:

Accepted Answer

A)  is artificially produced in the laboratory. 
B)  is metabolized by Streptococcus mutans to form acids. 
C)  consumption reduces S. mutans levels, leading to antibacterial and cariostatic effects. 
D)  Both a and b are correct. 
E)  Both b and c are correct. 
A)  is artificially produced in the laboratory. 
B)  is metabolized by Streptococcus mutans to form acids. 
C)  consumption reduces S. mutans levels, leading to antibacterial and cariostatic effects. 
D)  Both a and b are correct. 
E)  Both b and c are correct.

Question 19

Acemannan is available as an over-the-counter (OTC)topical patch to reduce the healing time of:

Accepted Answer

A)  aphthous ulcers. 
B)  oral herpes lesions. 
C)  bullous lesions. 
D)  oral abrasions. 
A)  aphthous ulcers. 
B)  oral herpes lesions. 
C)  bullous lesions. 
D)  oral abrasions.

Question 20

The recent trend in the use of natural or herbal substances has been a(n)_____ in the use of these products and the number of people using them.

Accepted Answer

A)  exponential rise 
B)  steady rise 
C)  slight decrease 
D)  marked decline 
A)  exponential rise 
B)  steady rise 
C)  slight decrease 
D)  marked decline

Exam 27: Natural/Herbal Products and Dietary Supplements

Which of the following herbal medications contains ephedrine and can increase heart rate when given with sympathomimetic drugs?

Garlic, ginkgo biloba, and feverfew can _____ when taken in conjunction with antiplatelet drugs or anticoagulants.

Which of the following oral and dental effects have been observed with herbal medications? (Select all that apply.)

Triclosan has not been shown to significantly reduce plaque and gingivitis when compared with placebo dentifrice.

Labels for DSHEA products can contain claims of effects on the structure or function of the body.

Which of the following statements is true of oil of cloves?

The term _____ has been associated with herbal products because they are primarily derived from plant sources.

The FDA has investigated over _____ reports of adverse reactions with over 100 different ephedra alkaloid-containing products since 1994.

All herbal products must be labeled as a(n):

The Dietary Supplement Health and Education Act (DSHEA)exempts _____ from meaningful FDA regulation: (1)vitamins, (2)minerals, (3)botanical products, (4)domestic products?

Manufacturers of natural or herbal substances do not have to prove efficacy in treating or preventing a specific disease nor can they make that claim.

Which government entity bears responsibility for proof of misleading labeling of herbal products?

Herbal products will not interact with conventional drugs.

The FDA inspects all manufacturing facilities of herbal products for compliance.

Which of the following statements is true regarding the safety of herbal and nutritional products?

Most of the herbal products available contain ingredients that produce profound pharmacologic effects.

Manufacturers can make claims of curing conditions, and they can make claims of improving structure or function.

Xylitol:

Acemannan is available as an over-the-counter (OTC)topical patch to reduce the healing time of:

The recent trend in the use of natural or herbal substances has been a(n)_____ in the use of these products and the number of people using them.

Information Sources, Regulatory Agencies, Drug Legislation, and Prescription Writing

Drug Action and Handling

Adverse Reactions

Autonomic Drugs

Nonopioid (Nonnarcotic)Analgesics

Opioid (Narcotic)Analgesics and Antagonists

Antiinfective Agents

Antifungal and Antiviral Agents

Local Anesthetics

General Anesthetics

Antianxiety Agents

Oral Conditions and Their Treatment

Hygiene-Related Oral Disorders

Drugs for the Treatment of Cardiovascular Disease

Drugs for the Treatment of Gastrointestinal Disorders

Drugs for the Treatment of Seizure Disorders

Drugs for the Treatment of Central Nervous System Disorders

Adrenocorticosteroids

Drugs for the Treatment of Respiratory Disorders

Drugs for the Treatment of Allergic Rhinitis

Drugs for the Treatment of Diabetes Mellitus

Drugs for the Treatment of Other Endocrine Disorders

Antineoplastic Drugs

Emergency Drugs

Pregnancy and Breast Feeding

Drug Abuse

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