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Pharmacology & Medication Management Flashcards

7 cards from real AP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Under Florida law, which schedule of controlled substances may an AP dispense if licensed to do so?

    Answer: No controlled substances under any circumstances

    Florida APs are not authorized to prescribe or dispense controlled substances; their scope does not include controlled substance authority.

  2. Which herbal formula is classically contraindicated in pregnancy due to its emmenagogue and uterotonic properties?

    Answer: Tao Hong Si Wu Tang

    Tao Hong Si Wu Tang contains Tao Ren and Hong Hua, which have emmenagogue and uterotonic effects contraindicated in pregnancy.

  3. A patient taking cyclosporine after a kidney transplant wants to add echinacea for immune support. The AP should:

    Answer: Strongly advise against it as echinacea's immunostimulant effect may promote organ rejection

    Echinacea stimulates immune function, which directly opposes the immunosuppressive goal of cyclosporine and can risk transplant rejection.

  4. What is the primary reason grapefruit juice is clinically significant for many medications?

    Answer: It inhibits intestinal CYP3A4, increasing bioavailability of affected drugs

    Grapefruit juice contains furanocoumarins that irreversibly inhibit intestinal CYP3A4, increasing the bioavailability and plasma levels of many drugs.

  5. A patient on SSRIs asks about using 5-HTP supplements. The main risk is:

    Answer: Serotonin syndrome due to additive serotonergic effects

    5-HTP is a direct precursor to serotonin; combined with SSRIs it can cause serotonin syndrome characterized by agitation, hyperthermia, and autonomic instability.

  6. Which of the following Chinese herbs is classified as a Category X equivalent in pregnancy due to proven teratogenicity?

    Answer: Ban Mao (Cantharis)

    Ban Mao (cantharidin) is a toxic substance with severe teratogenic and abortifacient properties, absolutely contraindicated in pregnancy.

  7. When counseling a patient about potential hepatotoxicity from herbal supplements, which herb should be of HIGHEST concern?

    Answer: Kava (Piper methysticum)

    Kava has been associated with severe hepatotoxicity including fulminant liver failure and has been banned or restricted in several countries.