NR 566 Final Exam Questions with Verified Answers (Correct
Update)
Question 1: A person with what type of condition should not take echinacea?
Answer: Prolonged use should be avoided in those who are immunocompromised including HIV,
cancer, drug therapy for TB, RA, and SLE
Question 2: Therapeutic effect of coenzyme Q- 10
Answer: Antioxidant that serves a vital role in cellular energy production Structurally similar to vitamin
K, not used with warfarin
Question 3: What is the dietary supplement act of 1994 (DSHEA)?
Answer: 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.
Question 4: Ginkgo Biloba adverse effects
Answer: stomach upset, headache, dizziness, vertigo. Some reports of spontaneous bleeding. Incorrect
ingestion can lead to seizures and fatalities (if you eat seeds)
Question 5: Kava adverse effects
Answer: can cause severe liver injury (ABSOUTELY contraindicated in hepatotoxicity.
Question 6: Patient education about administration/consumption about flaxseed
Answer: Flaxseed can reduce absorption of conventional medications so it should be taken 1 hour before
or 2 hours after these drugs
Question 7: Therapeutic effect of feverfew (dietary supplement)
Answer: Used primarily for migraine prophylaxis, seasonal allergies, asthma, RA, and psoriasis
Question 8: St. Johns wort adverse effects
Answer: insomnia, vivid dreams, restlessness, anxiety, agitation, irritability, abdominal pain, dry mouth,
headache
Question 9: Ginger root adverse effects
Answer: CNS depression and cardiac dysrhythmias. Excessive doses can cause GI side effects
Page 1
, Question 10: Current good manufacturing practices (CGMP) ruling of 2007
Answer: 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.
Question 11: Dietary supplement and nonprescription drug consumer protection act of 2006
Answer: 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
Question 12: First line treatment for primary, secondary, or early latent syphilis
Answer: Benzathine penicillin G 2.4 million units IM once
Question 13: First line treatment for bacterial vaginosis (BV)
Answer: Metronidazole 500 mg PO BID X 7 days
Question 14: First line treatment for genital herpes (first clinical episode)
Answer: 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
Question 15: Patient teaching and response to delayed onset of therapeutic effect for dutasteride
Answer: "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
Question 16: Terazosin - how to know its working?
Answer: symptom improvement and increased urinary flow develop rapidly "urine stream wasn't as
delayed and the urine flow was a lot stronger"
Question 17: Major drawback of progestin only oral contraceptives
Answer: Irregular bleeding slightly safer than combination but less effective and more likely to cause
irregular bleeding, spotting, amenorrhea, inconsistent cycle lengths, variations in volume and duration of
monthly flow
Page 2
Update)
Question 1: A person with what type of condition should not take echinacea?
Answer: Prolonged use should be avoided in those who are immunocompromised including HIV,
cancer, drug therapy for TB, RA, and SLE
Question 2: Therapeutic effect of coenzyme Q- 10
Answer: Antioxidant that serves a vital role in cellular energy production Structurally similar to vitamin
K, not used with warfarin
Question 3: What is the dietary supplement act of 1994 (DSHEA)?
Answer: 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.
Question 4: Ginkgo Biloba adverse effects
Answer: stomach upset, headache, dizziness, vertigo. Some reports of spontaneous bleeding. Incorrect
ingestion can lead to seizures and fatalities (if you eat seeds)
Question 5: Kava adverse effects
Answer: can cause severe liver injury (ABSOUTELY contraindicated in hepatotoxicity.
Question 6: Patient education about administration/consumption about flaxseed
Answer: Flaxseed can reduce absorption of conventional medications so it should be taken 1 hour before
or 2 hours after these drugs
Question 7: Therapeutic effect of feverfew (dietary supplement)
Answer: Used primarily for migraine prophylaxis, seasonal allergies, asthma, RA, and psoriasis
Question 8: St. Johns wort adverse effects
Answer: insomnia, vivid dreams, restlessness, anxiety, agitation, irritability, abdominal pain, dry mouth,
headache
Question 9: Ginger root adverse effects
Answer: CNS depression and cardiac dysrhythmias. Excessive doses can cause GI side effects
Page 1
, Question 10: Current good manufacturing practices (CGMP) ruling of 2007
Answer: 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.
Question 11: Dietary supplement and nonprescription drug consumer protection act of 2006
Answer: 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
Question 12: First line treatment for primary, secondary, or early latent syphilis
Answer: Benzathine penicillin G 2.4 million units IM once
Question 13: First line treatment for bacterial vaginosis (BV)
Answer: Metronidazole 500 mg PO BID X 7 days
Question 14: First line treatment for genital herpes (first clinical episode)
Answer: 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
Question 15: Patient teaching and response to delayed onset of therapeutic effect for dutasteride
Answer: "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
Question 16: Terazosin - how to know its working?
Answer: symptom improvement and increased urinary flow develop rapidly "urine stream wasn't as
delayed and the urine flow was a lot stronger"
Question 17: Major drawback of progestin only oral contraceptives
Answer: Irregular bleeding slightly safer than combination but less effective and more likely to cause
irregular bleeding, spotting, amenorrhea, inconsistent cycle lengths, variations in volume and duration of
monthly flow
Page 2
