Questions and CORRECT Answers
When doing a nutrient assessment of drug-nutrient interactions, which primary organs are
assessed? - CORRECT ANSWER - kidneys, liver, heart
When MAO is blocked by MAO inhibitors, which amine is affected (levels rise)? - CORRECT
ANSWER - tyramine
What are the three main biomarkers used to assess liver function? - CORRECT
ANSWER - ALT, AST, bilirubin
What is a type of medication that is used to treat hyperlipidemia? - CORRECT ANSWER -
statins
She also gets chronic migraines. The physician takes a full history from Mrs. Z, 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 medications that Mrs. Z was prescribed by her other
doctors and the potential drug-nutrient interactions. She also takes some daily health
supplements.The physician's notes are as follows:Current Medication/Supplements Reason for
Prescribing/TakingSt. John's wort ............................... she read in a magazine that this helps with
depressionSlow Fe (iron supplement) ............ for prior anemiaWarfarin .........................................
history of embolic strokeOmeprazole ................................... history of peptic ulcerTUMS
............................................ chronic upset stomachAmoxicillin ................................... recent
respiratory - CORRECT ANSWER - eliminate deli (cured) meats
The binding of a nutrient or food component with a drug (making it unabsorbable) is called: -
CORRECT ANSWER - chelation
What has to happen to the medication before absorption is successful? - CORRECT
ANSWER - dissolution
,Which parts of the body have the largest surface areas for drug absorption? - CORRECT
ANSWER - small intestine and lungs
Which of the following drugs is used for the treatment of seizures? - CORRECT
ANSWER - phenytoin
Which of the following vitamins is an antagonist of the drug warfarin (Coumadin)? - CORRECT
ANSWER - vitamin K
dentify the medication that acts as an H2 blocker. - CORRECT ANSWER - famotidine
Which immunosuppressant medications have been associated with large amounts of magnesium
loss in urine? - CORRECT ANSWER - cyclosporins
Which type of excipients are added to medications to increase dissolution? - CORRECT
ANSWER - disintegrants
Mrs. Z is a 76-year-old female who consults an internal medicine physician because she has been
depressed. She also gets chronic migraines. The physician takes a full history from Mrs. Z,
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 medications that Mrs. Z was
prescribed by her other doctors and the potential drug-nutrient interactions. She also takes some
daily health supplements.The physician's notes are as follows:Current Medication/Supplements
Reason for Prescribing/TakingSt. John's wort ............................... she read in a magazine that this
helps with depressionSlow Fe (iron supplement) ............ for prior anemiaWarfarin
......................................... history of embolic strokeOmeprazole ................................... history of
peptic ulcerTUMS .......................... - CORRECT ANSWER - amoxicillin
Which of the following drugs increases the excretion of albumin? - CORRECT
ANSWER - calcitriol
Which of the following refers to the placement of a drug in the cheek? - CORRECT
ANSWER - buccal
,What kind of meal increases gastric emptying time (i.e., slow emptying rate) the most? -
CORRECT ANSWER - What kind of meal increases gastric emptying time (i.e., slow
emptying rate) the most?
St. John's wort, an herbal supplement, impacts the metabolism of drugs because it significantly
induces the activity of: - CORRECT ANSWER - CYP 3A4
She also gets chronic migraines. The physician takes a full history from Mrs. Z, 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 medications that Mrs. Z was prescribed by her other
doctors and the potential drug-nutrient interactions. She also takes some daily health
supplements. The physician's notes are as follows:Current Medication/Supplements Reason for
Prescribing/TakingSt. John's wort ............................... she read in a magazine that this helps with
depressionSlow Fe (iron supplement) ............ for prior anemiaWarfarin .........................................
history of embolic strokeOmeprazole ................................... history of peptic ulcerTUMS
............................................ chronic upset stomachAmoxicillin ................................... recent
respiratory - CORRECT ANSWER - St. Johns wort
Which drug increases the urinary excretion of riboflavin and folacin? - CORRECT
ANSWER - tetracycline
What kind of drugs are quickly absorbed across cell membranes? - CORRECT ANSWER -
lipid-based
Which of the following medications is affected by changes in kidney function? - CORRECT
ANSWER - digoxin
What is the effect of ACE (angiotensin-converting enzyme) inhibitors? - CORRECT
ANSWER - vasodilation of blood vessels
Identify the medication that acts as an H2 blocker. - CORRECT ANSWER - famotidine
, Which vitamin-B supplement interferes with the metabolism of blood glucose? - CORRECT
ANSWER - niacin
Which method of administering drugs requires an injection? - CORRECT ANSWER -
subcutaneous
What is a common side effect of the drug Prozac? - CORRECT ANSWER - decreased
appetite and weight loss
Which route of drug administration is absorbed at a slower rate? - CORRECT ANSWER -
oral
Which class of medications results in decreased absorption of calcium from the GI tract as well
as increased urinary loss of calcium, leading to a high risk of bone fracture and osteoporosis? -
CORRECT ANSWER - corticosteroids
Mrs. Z is a 76-year-old female who consults an internal medicine physician because she has been
depressed. She also gets chronic migraines. The physician takes a full history from Mrs. Z,
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 medications that Mrs. Z was
prescribed by her other doctors and the potential drug-nutrient interactions. She also takes some
daily health supplements. The physician's notes are as follows:Current Medication/Supplements
Reason for Prescribing/TakingSt. John's wort ............................... she read in a magazine that this
helps with depressionSlow Fe (iron supplement) ............ for prior anemiaWarfarin
......................................... history of embolic strokeOmeprazole ................................... history of
peptic ulcerTUMS ......................... - CORRECT ANSWER - spinach
Which criteria are used to identify the medications most likely to result in adverse effects? -
CORRECT ANSWER - Beers criteria
Adverse drug effects happen more often within what age group? - CORRECT ANSWER -
the elderly