CM - Complementary Medicine
Researchers from LaTrobe University, Vic, conducted an online survey of pharmacists’ knowledge of a selection of complementary medicines that are defined as having therapeutic benefits in Australian Therapeutic Guidelines. In total 21 questions were asked and 535 complete surveys were returned and included in the final analysis.
They found an average mean score of 62% accurate knowledge among the respondents. Mean knowledge scores increased with a pharmacist’s level of experience suggesting “that education regarding complementary medicines may not be occurring through university courses and is instead being learnt ‘on the job’ or through continuing professional development,” said the authors.
Topics in which pharmacists appeared to have poor knowledge included the recognition of vitamin E as a therapy for reducing peripheral neuropathies; recognising an interaction between St John’s Wort and a prescription medicine (25% correct responses) and the required number of fish oil capsules required to obtain a therapeutic effect (29% correct responses).
All budding naturopaths should take the test at the bottom.
The study was published in the Australian Journal of Primary Health.
1. A lack of intrinsic factor can cause a deficiency of which vitamin?
(a) Cyanocobalamin (B12); (b) Pyridoxine (B6); (c) Thiamine (B1);
2. Deficiency of which vitamin may result in night blindness, complete
blindness and xerophthalmia?
(a) VitaminA; (b) Vitamin C; (c) Cyanocobalamin (B12); (d) Thiamine (B1)
3. A lack of which of the following nutrients can cause megaloblastic
(a) Iron; (b) Vitamin D; (c) Cyanocobalamin (B12); (d) Vitamin A
4. What is the recommended daily intake of folic acid for pregnant women in
their first trimester?
(a) 0.6 mgdaily; (b) 5 mg daily; (c) 0.5 mgtwice daily; (d) 6 mg twice daily
5. Toxicity of which of the following results in arrhythmia and myocardial
(a) Vitamins C; (b) Potassium; (c) Vitamin D; (d) Vitamin A
6. What is the recommended daily intake of vitamin D for adults who are at risk
of vitamin D deficiency?
(a) 600–800 IU; (b) 1000–2000 IU; (c) 2000–40 000 IU; (d) 3000–50 000
7. Which of the following is routinely given to neonates to prevent
haemorrhagic disease of the newborn?
(a) Vitamin K; (b) Iron; (c) Cyanocobalamin (B12); (d) Folic Acid
8. Risk of which of the following has been shown to increase with daily
supplementation of Calcium and Vitamin D?
(a) Myocardial Infarction; (b) Pancreatitis; (c) Hashimoto’s Disease;
9. Which of the following may help prevent nausea associated with
(a) Pyridoxine (B6); (b) Calcium; (c) Vitamin D; (d) Vitamin A
10. Which of the following may reduce the development of peripheral
neuropathies in chemotherapy patients?
(a) Magnesium; (b) Iron; (c) Vitamin E; (d) Riboflavin (B2)
11. Which of the following are fat soluble vitamins?
(a) Vitamins A, D,EandK; (b) Vitamins B12, C,Dand A; (c) Vitamins C, E,
Thiamine and A; (d) Vitamins B12, Thiamine, B6 and C
12. When treating iron deficiency, what is the usual duration of oral treatment
required to replenish iron stores?
(a) 1–3 months; (b) 3–6 months; (c) 6–9 months; (d) 9–12 months
13. How many doses of standard commercial 1 g fish oil-containing capsules
are required daily to induce an anti-inflammatory response?A (Each contain
300 mg of Omega-3, 180 mg of EPA and 120 mg of DH(A).)
(a) 3; (b) 6; (c) 9; (d) 12
14. Patients with which allergy should avoid intake of glucosamine?
(a) Gluten; (b) Nuts; (c) Shellfish; (d) Eggs
15. Which of the following complementary medicines has been shown to
interact with warfarin?
(a) Cranberry; (b) Gingko Biloba; (c) Echinacea; (d) Black Cohosh
16. What is the recommended dose of Cranberry used for prophylactic
management of UTI?
(a) The effective prophylactic dose is unknown; (b) 15 000 mg daily;
(c) 10 000mg daily; (d) 20 000 mg daily
17. What is the recommended daily dose of ginger that can assist with the
management of nausea in pregnancy?
(a) 1–2g; (b) 2–3 g; (c) 3–4 g; (d) 4–5 g
18. What is the clinical use of black cohosh?
(a) Prevent liver failure; (b) symptoms of menopause; (c) symptoms of
dysmenorrhea; (d) assist with fertility
19. Which laboratory test can be affected by the intake of glucosamine?
(a) HbA1c; (b) INR; (c) BGL; (d) GFR
20. In a patient using St John’s Wort, which of the following drugs should be
used with caution because of risk of developing serotonin toxicity?
(a) Metoclopramide; (b) Phenelzine; (c) Mirtazapine; (d) Cyproheptadine
21. Excessive alcohol consumption causes a significant deficiency of which
(a) Vitamin D; (b) Vitamin A; (c) Vitamin C; (d) Thiamine (B1)