School Health & Medicine Food and Drug Quiz

How much do I know about Medication and Food?

1. You are counseling a youth about birth control. The following would be a concern to discuss with her further.

aShe is taking vitamin suppliments
bShe is on low dose Tetracycline for a skin condition for an extended period of time.
cShe is taking them with her dinner every night.

2. Your patient is anemic and has been prescribed Iron suppliments. What would inicate further teaching?

a I take my iron with a large glass of water.
bI take my vitamins/mineral suppliments all together with a large glass of milk.

3. A woman who is a vegetarian comes in complaining that the medication (Z-pack) is upsetting her stomach. Your response should be:

a Get a history of the kinds of vegetables that she eats and educate her about gas-producing foods with the combination of an antibiotic that iritates the stomach.
b Tell her to try it for a few more days and see if the symptoms subside.

4. A man is put on Tetracycline for 2 weeks. He works out vigorously and states that his diet includes the following items. Which would be a concern?

a Protein / Red Meat
b 4 -5 glasses of Milk
c Plenty of Green leafy vegetables.

5. A child with 2 broken bones has a low calcium count. He is put on vitamins with calcium. When should he take this?

a With his dinner
b With a glass of milk or water an hour before or two hours after a meal
cWith his chocolate cake for dessert

6. You have a patient with high blood pressure taking a anti-hypertensive drug. What are some foods that should be avoided?

a Oranges, lemons, limes, grapefruit
b Milk, red meat, nuts, eggs
c Licorice, bananas,yogurt, sour cream

7. Acidic foods, such as tomatoes, fruits, vegetable and fruit juices, cause some drugs such as penicillin G and erythromycin, to break down faster in the intestinal tract.

a True
b False

8. An "antabuse" reaction (detoxification feelings) when a person ingests alcohol and some of the following drugs:

aCephalosporins, sufonylurea hypoglycemic agents, chloral hydrate, and metronidazole (Flagyl)
b Diuril, Lopressor, Diazyde
cBroad spectrum antibiotics, sulfa drugs, birth control pills

ANSWERS

1. b.
Tetracycline is one of many drugs, especially antibiotics, that can decrease the effectiveness of birth control. Question 2

2.b.
Calcium and iron bind together, limiting the uptake of the iron. Iron supplements should not be taken and hour before or two hours after calcium is ingested.

3. a.
There are many gas-producing foods that many are use to until a medication or other item is taken that iritates the natural flora of the intestinal tract. Question 4

4. b.
Tetracycline binds with milk, cheese products, iron, calcium, chocolate, and all antacids to form an insoluble precipitate that is excreted rather than absorbed. When in doubt, take with water at least an hour from eating. Question 5

5. b.
Don't Got Milk? Since calcium binds with chocolate and iron, it is best to give an hour before or two hours after eating with water. Depending on how much , there's enough iron in a meal to slow down calcium intake somewhat. Question 6

6. c.
Licorice, bananas,yogurt & sour cream are some of the foods that increase vasoconstriction and hypertension.
Question 7

7. a.
These acidic foods do increase the breakdown of many medications. The more acidic, the faster breakdown, whether the acid is from the stomach or outside sources.
Question 8

8. a.
A very strong reaction can occur making the person who is taking any of these drugs and alcohol nauseous, vomitous, flushed and dizzy.

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