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Dietary Tier 2

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Which of the following products may have a fishy aftertaste as an adverse effect with use?

a)

Milk thistle

b)

Omega-3 fatty acids

c)

Aluminum acetate

d)

Zinc

2.

Which of the following counseling statements is FALSE regarding butterbur?

a)

Use butterbur with caution in liver disease.

b)

Butterbur may cause flatulence and belching.

c)

Butterbur is effective in treating a migraine.

d)

Butterbur is considered a smooth muscle relaxant

3.

A patient presents to your pharmacy and has a medication history containing garlic. She should be counseled that garlic may increase her risk of:

a)

Cancer

b)

Diarrhea

c)

Bleeding

d)

Heart attack

4.

A common adverse effect of St. John’s wort is which of the following?

a)

Flushing

b)

GI upset

c)

Bleeding

d)

Photosensitivity

5.

Prenatal vitamins should be taken in which of the following ways to decrease GI distress?

a)

Take with antacids.

b)

Take with 8 oz of water.

c)

Take with food.

d)

Take 2 hours apart from iron supplements.

6.

What is the recommended dose of flaxseed oil for lipid-lowering effects?

a)

50 mg daily

b)

100 mg daily

c)

400 mg daily

d)

1000 mg daily

7.

The dose of vitamin C needed to be effective for the prevention of colds is at least _____/day:

a)

500 mg

b)

1 g

c)

1.5 g

d)

2 g

8.

Which of the following adverse effects should be warned to a patient during counseling of zinc supplementation?

a)

Constipation

b)

Taste disturbance

c)

Runny nose

d)

Erythema

9.

Which of the following claims to improve memory but can also cause a drop in blood pressure as an adverse effect?

a)
Ginkgo biloba
b)

Black cohash

c)

Vitamin E

d)

Saw palmetto

10.

Taking saw palmetto with food may help to do which of the following?

a)

Reduce upset stomach

b)

Improve absorption

c)

Minimize drug interactions

d)

Reduce urinary frequency

11.

Patients should be referred to their HCP if they have breast cancer and desire to take which of the following?

a)

Omega-3 fatty acids

b)

Black cohosh

c)

Prenatal vitamins

d)

Butterbur

12.

Which of the following may decline over time for a Lactobacillus probiotic product?

a)

Potency

b)

Absorption

c)

Drug interactions

d)

Cost

13.

Which of the following probiotics has a pediatric formulation that is the same strength and dosing as the adult formulation, but has a tutti-frutti flavoring for distinction?

a)

Lactobacillus

b)

Saccharomyces boulardii

c)

Bifidobacterium infantis

d)

Activia yogurt

14.

Cholecalciferol is a dietary supplement that is used to support which of the following?

a)

Bone health

b)

Heart health

c)

Healthy GI system

d)

Immune health

15.

Taking aspirin or an NSAID 30 minutes prior to niacin may reduce which adverse effect?

a)

Headaches

b)

Tinnitus

c)

Flushing

d)

Nausea

16.

Vitamin E supplementation with doses at or above units/day should be avoided unless recommended by PCP.

a)

50

b)

100

c)

400

d)
1000
17.

All of the following should be counseled to a patient taking ferrous sulfate EXCEPT:

a)

Your stools may turn black.

b)

Do not chew or crush.

c)

Take with food to maximize absorption.

d)

Accidental ingestion by children may be fatal.

18.

Which of the following can enhance absorption of calcium carbonate?

a)

Quinolone antibiotics

b)

Bisphosphonates

c)

Iron

d)

Most foods

19.

A patient comes to your pharmacy to inquire about use of magnesium oxide. Which of the following is FALSE regarding this agent?

a)

Diarrhea is a common adverse effect.

b)

You should take on an empty stomach.

c)

You should take with at least 8 oz of water.

d)

You should not self-treat for hypomagnesemia.

20.

When Bifidobacterium infantis is used for treating antibiotic-associated GI issues, patients should take:

a)

Until the “best by” date

b)

On an empty stomach

c)

Up until 1 week after the antibiotic course

d)

Before starting antibiotic