AP Pharmacology & Medication Management 3

Question 1

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

Accepted Answer

No controlled substances under any circumstances

Answer

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

Question 2

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

Accepted Answer

Tao Hong Si Wu Tang

Answer

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

Question 3

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

Accepted Answer

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

Answer

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

Question 4

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

Accepted Answer

It inhibits intestinal CYP3A4, increasing bioavailability of affected drugs

Answer

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

Question 5

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

Accepted Answer

Serotonin syndrome due to additive serotonergic effects

Answer

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

AP Practice Test

AP Practice Test

AP Pharmacology & Medication Management 3