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5 Written questions

5 Matching questions

  1. St John's Wort (Hypericum perforatum)
  2. Ginger (Zingiber officinale)
  3. Ginseng (American or Asian (Panax) ginseng) Side Effects
  4. Evening Primrose Oil (Oenothera biennis) Side Effects
  5. Ginseng (American or Asian (Panax) ginseng)
  1. a GI upset, headache
  2. b Nausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy
  3. c Increasing stamina, regulating glucose, aphrodisiac
  4. d potential effects on coagulation, do not use in patients taking anti-coagulants, MAO-Is, antipsychotics and hypoglycemics. Not recommended in pregnancy. Risk of serotonin syndrome.

    Discontinue 7 days before general anesthesia
  5. e Uses: depression
    One of the most frequently used herbal supplements

5 Multiple choice questions

  1. sleep, reduces nervousness, stress, anxiety
  2. Reduce cholesterol, triglycerides, blood pressure and inhibit platelet aggregation
  3. May reduce growth of canker sores
  4. topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)
  5. Will produce exaggerated effects:

    Antidepressants (SSRI's, TCA's or MAOI's)
    Some opioids (tramadol, meperidine, dextromethorphan)
    Amphetamine, cocaine
    MDMA (ecstacy), LSD, psilocybin
    Triptans (migraine)

5 True/False questions

  1. Clove Oil Side EffectsSmall ulcers when applied to gums; in large doses or if injected can cause liver failure, CNS and respiratory depression (lethal dose = 3.8 g/kg)


  2. Echinacea (purpura, angustifolia) Side EffectsHypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB


  3. Ginkgo (Ginkgo biloba) Side EffectsMay increase risk of bleeding - use caution with anticoagulants or NSAIDS, discontinue 2 weeks before surgery, risk of serotonin syndrome


  4. Herds Important to Dental Surgery: SedativesDiscontinue before anesthesia:
    Clove oil
    Passion Flower
    Valerian Root


  5. Echinacea (purpura, angustifolia)Treatment of early colds, or topically for psoriasis, eczema and burns