Introduction
Nutraceuticals, including vitamins, minerals, omega-3s, probiotics, polyphenols and herbal extracts, play an expanding role in preventing and managing health problems and diseases. For B. Pharm students, understanding mechanisms—antioxidant, anti-inflammatory, lipid‑lowering, insulin‑sensitizing, gut‑microbiota modulation—and clinical evidence is essential. Key topics include cardiovascular risk reduction (phytosterols, omega‑3), glycemic control (berberine, fiber), bone health (calcium, vitamin D), neuroprotection (polyphenols), and joint support (glucosamine, chondroitin). Learn about bioavailability, interactions, dosing, safety and regulatory status to apply nutraceuticals as preventive therapeutics. Now let’s test your knowledge with 30 MCQs on this topic.
Q1. Which nutraceutical is most effective at lowering LDL cholesterol through competitive inhibition of intestinal cholesterol absorption?
- Omega‑3 fatty acids
- Phytosterols
- Curcumin
- Coenzyme Q10
Correct Answer: Phytosterols
Q2. What is the primary mechanism by which long‑chain omega‑3 fatty acids reduce cardiovascular risk?
- Inhibition of HMG‑CoA reductase
- Reduction of hepatic triglyceride synthesis and lowering serum triglycerides
- Blocking intestinal cholesterol absorption
- Direct increase of LDL receptor expression
Correct Answer: Reduction of hepatic triglyceride synthesis and lowering serum triglycerides
Q3. Which nutraceutical has clinical evidence showing effects on glycemic control comparable to metformin in some studies?
- Resveratrol
- Berberine
- Cinnamon
- Chromium picolinate
Correct Answer: Berberine
Q4. Which vitamin is essential to prevent rickets in children and osteomalacia in adults?
- Vitamin C
- Vitamin D
- Vitamin B12
- Vitamin K
Correct Answer: Vitamin D
Q5. Which combination is the first‑line nutraceutical approach for improving bone mineral density in postmenopausal women?
- Omega‑3 fatty acids and vitamin K
- Calcium and vitamin D
- Glucosamine and chondroitin
- Coenzyme Q10 and selenium
Correct Answer: Calcium and vitamin D
Q6. Which nutraceutical is commonly used to relieve symptoms and improve function in mild to moderate osteoarthritis?
- Phytosterols
- Glucosamine sulfate
- Resveratrol
- Probiotics
Correct Answer: Glucosamine sulfate
Q7. Probiotic supplementation has the strongest evidence for prevention of which condition?
- Antibiotic‑associated diarrhea
- Type 1 diabetes
- Alzheimer’s disease
- Osteoporosis
Correct Answer: Antibiotic‑associated diarrhea
Q8. Which class of nutraceuticals is best known for neuroprotective antioxidant and anti‑inflammatory actions via multiple signaling pathways?
- Polyphenols (e.g., resveratrol, curcumin)
- Phytosterols
- Plant stanols
- Essential amino acids
Correct Answer: Polyphenols (e.g., resveratrol, curcumin)
Q9. Which nutraceutical reduces LDL cholesterol primarily by displacing dietary cholesterol from mixed micelles in the gut?
- Niacin
- Phytosterols
- Coenzyme Q10
- Probiotic yogurt
Correct Answer: Phytosterols
Q10. Which nutraceutical class is most effective for markedly lowering elevated serum triglycerides?
- Omega‑3 fatty acids (EPA/DHA)
- Lutein and zeaxanthin
- Vitamin B12
- Prebiotic fiber
Correct Answer: Omega‑3 fatty acids (EPA/DHA)
Q11. Lutein and zeaxanthin supplementation is primarily used to prevent progression of which condition?
- Age‑related macular degeneration (AMD)
- Glaucoma
- Cataract caused by infection
- Color blindness
Correct Answer: Age‑related macular degeneration (AMD)
Q12. Which B‑vitamin is key for lowering elevated homocysteine and reducing cardiovascular risk associated with hyperhomocysteinemia?
- Vitamin B2 (riboflavin)
- Folate (vitamin B9)
- Vitamin B7 (biotin)
- Vitamin B5 (pantothenic acid)
Correct Answer: Folate (vitamin B9)
Q13. Which herbal nutraceutical has clinical evidence for modest reductions in systolic and diastolic blood pressure?
- Garlic extract
- Green tea extract
- Ginkgo biloba
- St. John’s wort
Correct Answer: Garlic extract
Q14. Which nutraceutical herb is associated with increased bleeding risk and caution in anticoagulated patients?
- Ginkgo biloba
- Curcumin
- Berberine
- Soy isoflavone
Correct Answer: Ginkgo biloba
Q15. Which compound is most often combined with glucosamine to provide symptomatic relief in osteoarthritis formulations?
- Chondroitin sulfate
- Phytosterols
- Lutein
- Omega‑3
Correct Answer: Chondroitin sulfate
Q16. Which antioxidant nutraceutical has evidence for improving histology in nonalcoholic steatohepatitis (NASH) in selected patients?
- Vitamin A
- Vitamin E
- Vitamin K
- Vitamin B12
Correct Answer: Vitamin E
Q17. Curcumin exerts anti‑inflammatory effects largely through inhibition of which transcription factor?
- HIF‑1α
- NF‑κB
- STAT3
- p53
Correct Answer: NF‑κB
Q18. Which bioavailability enhancer is commonly co‑administered with curcumin to increase systemic absorption?
- Piperine (black pepper extract)
- Alpha‑tocopherol
- Zinc sulfate
- Inulin
Correct Answer: Piperine (black pepper extract)
Q19. Which compound is classified as a prebiotic that stimulates beneficial gut microbiota and increases short‑chain fatty acid production?
- Inulin
- Glucosamine
- Omega‑3 fatty acids
- Coenzyme Q10
Correct Answer: Inulin
Q20. Coenzyme Q10 supplementation is most commonly recommended to manage which nutraceutical‑related adverse effect?
- Statin‑associated myalgia
- Vitamin D toxicity
- Probiotic‑induced bloating
- Iron overload
Correct Answer: Statin‑associated myalgia
Q21. In many regulatory frameworks, nutraceuticals are legally classified as which category?
- Prescription drugs
- Dietary supplements / functional foods
- Medical devices
- Controlled substances
Correct Answer: Dietary supplements / functional foods
Q22. Which nutraceutical is commonly used to reduce menopausal vasomotor symptoms through weak estrogenic activity?
- Soy isoflavones (phytoestrogens)
- Ginseng
- Omega‑3 fatty acids
- Green tea extract
Correct Answer: Soy isoflavones (phytoestrogens)
Q23. Epigallocatechin gallate (EGCG) from green tea is studied for cancer prevention primarily due to which actions?
- Antioxidant and anti‑angiogenic effects
- Inhibition of acetylcholinesterase
- Stimulation of erythropoiesis
- Promotion of bone resorption
Correct Answer: Antioxidant and anti‑angiogenic effects
Q24. Omega‑3 fatty acids contribute to resolution of inflammation by being precursors for which molecules?
- Prostaglandins only
- Resolvins and protectins
- Leukotriene B4 exclusively
- C‑reactive protein
Correct Answer: Resolvins and protectins
Q25. Which herbal supplement induces CYP450 enzymes and can reduce plasma concentrations of many co‑administered drugs?
- St. John’s wort (Hypericum perforatum)
- Milk thistle
- Garcinia cambogia
- Turmeric (curcumin)
Correct Answer: St. John’s wort (Hypericum perforatum)
Q26. In cardiovascular nutraceutical trials, the combined endpoint “MACE” refers to what?
- Major adverse cardiovascular events
- Minimum absolute cholesterol effect
- Metabolic and cognitive evaluation
- Maximum antioxidant capacity
Correct Answer: Major adverse cardiovascular events
Q27. Which nutraceutical is classically used to prevent scurvy?
- Vitamin C (ascorbic acid)
- Vitamin D
- Vitamin B12
- Iron
Correct Answer: Vitamin C (ascorbic acid)
Q28. Iodine supplementation primarily prevents which disease when given at population level?
- Rickets
- Goiter and cretinism (iodine deficiency disorders)
- Scurvy
- Pellagra
Correct Answer: Goiter and cretinism (iodine deficiency disorders)
Q29. Selenium deficiency is associated with which cardiomyopathy that can be mitigated by selenium supplementation in endemic areas?
- Keshan disease
- Cor pulmonale
- Hypertrophic cardiomyopathy of genetic origin
- Ischemic cardiomyopathy only
Correct Answer: Keshan disease
Q30. Dietary soluble fiber (e.g., psyllium) reduces cardiovascular risk primarily by which mechanism?
- Enhancing renal excretion of sodium
- Binding bile acids and lowering LDL cholesterol
- Directly inhibiting platelet aggregation
- Blocking intestinal absorption of omega‑3
Correct Answer: Binding bile acids and lowering LDL cholesterol

I am a Registered Pharmacist under the Pharmacy Act, 1948, and the founder of PharmacyFreak.com. I hold a Bachelor of Pharmacy degree from Rungta College of Pharmaceutical Science and Research. With a strong academic foundation and practical knowledge, I am committed to providing accurate, easy-to-understand content to support pharmacy students and professionals. My aim is to make complex pharmaceutical concepts accessible and useful for real-world application.
Mail- Sachin@pharmacyfreak.com
