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Vitamins Final Exam Islam's Questions
review of vitamins/mineral and drug interactions
45
Biology
Graduate
12/01/2010

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Cards

Term
what can increase HDL levels when combined with simvastatin?
Definition
Niacin
Term
what can inhibit the incorporation of riboflavin into FAD and FMN?
Definition
Chlorpromazine, tricyclic antidepressants, quinacrine, adriamycin
Term
what drug increases destruction of riboflavin by liver enzymes?
Definition
Phenobarbital
Term
what can inhibit the conversion of thiamine to thiamine pyrophosphate?
Definition
5-Fluorouracil
Term
what can displace vitamin B6 from protein binding sites?
Definition
Anticonvulsants (Carbamazepine)
Term
these can act as a vitamin B6-antagonists, producing its inactive metabolites
Definition
isoniazide and levodopa
Term
Vitamin ___ is an antidote for isoniazide-induced neurotoxicity
Definition
B6
Term
there will be marked reduction in seizure activity by anticonvulsants (phenytoin) when combined with this vitamin
Definition
B6
Term
what can impair the conversion of B6 to pyridoxine-5-phosphate?
Definition
Theophylline
Term
Vitamin ___ increases the analgesic and anti-inflammatory activity when combined with NSAIDs
Definition
B6
Term
_____ and _____ can result in depletion of folate by inhibiting folate absorption?
Definition
Ethanol and oral contraceptives
Term
what drugs are folate antagonists?
Definition
sulfasalazine/trimethoprim
Term
what drugs can develop folate deficiency by impairing metabolism?
Definition
phenytoin, phenobarbital, phenothiazine, and primidone
Term
what can decrease plasma B12 levels?
Definition
long term use of proton pump inhibitors
Term
what medications inhibit B12 absorption from food?
Definition
Metformin, neomycin, cholestyramine, chloramphenicol, and colchicine
Term
what blocks the action of warfarin?
Definition
high doses of vitamin C
Term
this drug can result in decreased serum levels of 1,25-dihydroxy vitamin D (due to inhibition of 25(OH)-vitamin D3-1-hydroxylase enzyme)
Definition
ketoconazole
Term
when combined with calcium, which of the following results in an increased rick of developing hypercalcemia?

a) digoxin
b) levothyroxine
c) hydrochlorothiazide
Definition
hydrochlorothiazide
Term
when combined with calcium, which of the following can increase the likelihood of arrhythmias?

a) fosamax
b) digoxin
c) hydrochlorothiazide
Definition
digoxin
Term
when combined with calcium, which of the following decreases the absorption of calcium? (more than one answer)

a)digoxin
b)tetracycline
c) omeprazole
d) mineral oil and stimulant laxatives
Definition
omeprazole, mineral oil, and stimulant laxatives
Term
when combined with calcium, which of the following can result in decreased drug absorption? (more than one answer)

a) omeprazole
b) ciprofloxacin
c) tetracycline
d) fosamax
e) levothyroxine
f) prednisone
Definition
tetracycline, ciprofloxacin, fosamax, levothyroxine
Term
when combined with calcium, the use of this drug (when used for months) can cause calcium depletion which leads to osteoporosis:

a) fosamax
b) prednisone
c) tetracycline
d) omeprazole
Definition
prednisone
Term
T/F?
magnesium hydroxide interferes with the absorption of folic acid and iron
Definition
true
Term
T/F?
concomitant administration of zinc supplements and cetain antibiotics (tetracyclines and quinolones) may decrease absorption of the antibiotics and potentially reduce their efficacy
Definition
true
Term
T/F?
concurrently administered oral calcium supplement decreases the absorption of tetracycline, ciprofloxacin, and levothyroxine
Definition
true
Term
T/F?
iron supplements may result in decreased absorption and efficacy of levothyroxone and tetracyclines
Definition
true
Term
T/F?
glucocorticoids (such as prednisone) can cause hypercalcemia leading to cardiac arrhythmias
Definition
false
Term
T/F?
orally administered magnesium decreases the absorption of tetracycline
Definition
true
Term
T/F?
thiazide diuretics increase the risk of developing hypercalcemia
Definition
true
Term
T/F?
patients with severe chronic kidney disease are advised to avoid overconsumption of milk of magnesia
Definition
true
Term
T/F?
calcium supplements increase the likelihood of arrhythmias in people taking digoxin for heart failure
Definition
true
Term
T/F?
mineral oil and stimulant laxatives increase intestinal calcium absorption
Definition
false
Term
T/F?
H2-blockers and proton pump inhibitors (omeprazole) may decrease the absorption of calcium citrate
Definition
false
Term
T/F?
aluminum containing (not magnesium containing) antacids increase urinary excretion of calcium
Definition
false
Term
T/F?
long term administration of certain diuretics may result in the hypermagnesimia
Definition
false
Term
T/F?
oral calcium supplement may enhance the action of calcium channel blockers
Definition
false
Term
T/F?
Combination of simvastatin (Zocor) and niacin inhibits the progression of
coronary artery stenosis and decreases the frequency of cardiovascular events by
decreasing LDL level. [Note: HDL is replaced with LDL]
Definition
false
Term
T/F?
Concurrent therapy with vitamin C, vitamin E, selenium, and beta-carotene
enhanced the protective effects of the simvastatin-niacin combination.
Definition
false
Term
T/F?
Coadministration of nicotinic acid with lovastatin may result rhabdomyolysis.
Definition
true
Term
T/F?
Niacin supplementation is required during long-term treatment with isoniazid or 5-fluorouracil.
Definition
true
Term
T/F?
Niacin deficiency may result during long-term treatment with isoniazid or 5-fluorouracil.
Definition
true
Term
T/F?
Oral contraceptives inhibit folate absorption.
Definition
true
Term
T/F?
Intake of large doses of vitamin C may synergistically increase the effects of
warfarin.
Definition
false
Term
T/F?
Rifampin decreases plasma vitamin D levels.
Definition
true
Term
T/F?
Use of vitamin E supplements may decrease the risk of bleeding with Coumadin therapy.
Definition
false
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