NEET PG / USMLE – MCQ 28

A 32-year-old man with non-Hodgkin lymphoma comes to the physician 6 days after finishing the initial chemotherapy regimen. His leukocyte count is 1600/mm3, indicating greater bone marrow suppression than expected. When questioned, the patient says that he has been taking Madagascar periwinkle as an herbal remedy for his condition. He obtains this substance from an herbalist. Which of the following is the most appropriate response by the physician?
(A) Ask the patient to stop using the herbal supplement because supplements are generally ineffective
(B) Continue the patient’s chemotherapy
(C) Explain the adverse effects this herbal supplement has on the patient’s treatment
(D) Report the herbalist to the Food and Drug Administration
(E) Suggest that the patient take daily multivitamin and protein supplements in addition to the herbal supplement

Correct answer : (C) Explain the adverse effects this herbal supplement has on the patient’s treatment

Catharanthus (Madagascar Periwinkle) is the source of the alkaloids vincristine and vinblastine – used in treatment for leukaemia and lymphoma. Hence it will cause additional bone marrow suppression.

13 Comments

Add a Comment

Your email address will not be published. Comments will be displayed only after moderation.

Read previous post:
NEET PG / USMLE – MCQ 27

A 20-year-old woman comes to the physician because of a 5-year history of increasingly severe, unilateral, throbbing headaches. The headaches,...

Close