Deck 11: Bulk Repackaging and Non-Sterile Compounding

Question 1

Which of the following statements is(are) true concerning beyond-use dating of compounded non-sterile products?

A) The BUD of the final compound cannot exceed the expiration date of any of the separate components.
B) No non-sterile compounded product can be assigned a BUD longer than 6 months unless documented in the literature.
C) A topical formulation containing water has a 30-day maximum BUD unless documented in the literature.
D) All of the above statements are true.

Answer 1

All of the above statements are true.

Question 2

Which one of the following is not necessary when manually repackaging?

A) Gloves
B) Laboratory coat
C) Hand washing
D) Shoe covers

Answer 2

Shoe covers

Question 3

All of the following are GMPs for repackaging bulk medication except:

A) Equipment is in good, clean condition
B) Appropriate packaging is used
C) Correct beyond-use date (BUD) is assigned
D) Medication is checked by a technician

Answer 3

Medication is checked by a technician

Question 4

On April 14, 2016, 1000 low-dose (81 mg) aspirin with a manufacturer's expiration date of December 2018 are unit dosed. What BUD should be assigned?

A) October 14, 2016
B) October 31, 2016
C) April 14, 2017
D) December 14, 2016

Question 5

Which of the following is a compounding activity?

A) Mixing
B) Reconstituting
C) Packaging
D) All of the above

Question 6

The minimum weighable quantity for a class A balance is _____ mg.

A) 6
B) 60
C) 100
D) 120

Question 7

Which of the following is not a taste that may need to be masked in medicines?

A) Sweet
B) Salty
C) Sour
D) Bitter

Question 8

The water portion of saline solution is called the:

A) Dissolver
B) Solute
C) Solvent
D) Dissolvent

Question 9

GMP means :

A) Good mixing process
B) Good manufacturing process
C) Good manufacturing procedure
D) Good manufacturing practice

Question 10

Which one of the following is not a reason for a pharmacy to repackage a bulk medication?

A) Repackaging helps the technicians learn the drug names and strengths.
B) Purchasing a bulk medication is less expensive than purchasing a unit-dosed medication.
C) Certain medications are not available in unit doses.
D) Repackaging may decrease the wait time for the patient to receive the medication.

Question 11

What should be done with pill trays that are used for guiding tablets into unit-dose containers after each use?

A) Nothing
B) Clean with alcohol
C) Rinse with water
D) B and C

Question 12

USP <795> sets the standards for all of the following dosage forms except:

A) Ointments
B) Elixirs
C) Suppositories
D) Intravenous (IV) medications

Question 13

Weights for a class A balance should be handled with:

A) Latex gloves
B) Tweezers
C) Spatula
D) Glassine paper

Question 14

Which of the following is not an advantage of blister packing in long-term care facilities?

A) Allows older adult patients to get one dose out of the package without spilling or touching the other doses.
B) Allows the crediting of unused doses if the physician changes the medication.
C) Is less expensive.
D) Identifying missed doses is easy; therefore compliance is increased.

Question 15

Which of the following statements is(are) true regarding a class A balance?

A) Class A balance is also called a torsion or class III balance.
B) Class A balance is required by most states' boards of pharmacy.
C) Class A balance uses special milligram and gram weights for counterbalance.
D) All of the above statements are true.

Question 16

Which of the following dosage forms are prepared using the punch method?

A) Gelcaps
B) Capsules
C) Suppositories
D) Enteric coated tablets

Question 17

All of the following are reasons to compound medications except:

A) A compound medication is no longer manufactured by a drug company
B) Compounding a medication saves the patient money
C) A specialized dose is needed
D) The patient is allergic to something in the manufactured form

Question 18

Which of the following ingredients is(are) considered hydrophobic?

A) Ointment
B) Cream
C) Oleaginous base
D) A and B

Question 19

Which organization establishes the standards for a non-sterile compounding area?

A) U.S. Food and Drug Administration (FDA)
B) American Society of Health-System Pharmacists (ASHP)
C) United States Pharmacopeia (USP)
D) Drug Enforcement Administration (DEA)

Question 20

All of the following are used for mixing compounds except:

A) Mortars and pestles
B) Spatulas
C) Cylindrical graduated cylinders
D) Automated ointment mill

Question 21

What type of compounding may be performed away from the specified compounding area?

A) Suppositories
B) Skin creams
C) Reconstitution of antibiotics
D) None of the above

Question 22

Which of the following would be an appropriate flavoring for an antibiotic?

A) Apricot
B) Cherry
C) Lime
D) Raspberry

Question 23

When combining two or more ingredients that have different melting points, the ingredients are:

A) Placed in a container and melted together
B) Melted from the lowest to the highest melting point
C) Melted from the highest to the lowest melting point
D) Mixed; the order of mixing is not important

Question 24

What is the BUD for a water-containing oral formulation?

A) The BUD is not later than the time remaining until the earliest expiration date of any API or 6 months
B) The BUD is not later than 14 days when stored at controlled cold temperatures
C) The BUD is not later than 21 days
D) The BUD is not later than 30 days

Question 25

The proper and accurate way to read a graduated cylinder is:

A) At eye level
B) From a distance
C) At the top of the meniscus
D) A and C

Question 26

Where could a pharmacy technician find a list of ingredients, preparation methods, safety requirements, BUD information, and references for compounding a product?

A) Recipe book
B) Product book
C) Formulation record
D) Compounding record

Question 27

Which of the following compounding additives maintains the dispersion of finely divided liquid droplets in a liquid vehicle made from two or more immiscible liquids?

A) Disintegrant
B) Lubricant
C) Plasticizer
D) Emulsifying agent

Question 28

For continuity of measurement with a class A balance, the weights are always placed on the:

A) Right side
B) Left side
C) Weighing boat or paper
D) A and C

Question 29

Which of the following capsules is the smallest?

A) 000
B) 0
C) 1
D) 5

Question 30

Suppositories can be prepared using all of the following methods except:

A) Hand-rolling
B) Punch
C) Compression
D) Fusion-molding

Question 31

Which of the following dosage forms has the highest percentage of solid ingredients?

A) Creams
B) Ointments
C) Suspensions
D) Pastes

Question 32

Compounded gummy lozenges may include:

A) Glycerinated gelatin and water
B) Fruit flavoring
C) Medicinal drug
D) All of the above

Question 33

All of the following should appear on a Unit Dose Record Log Sheet except:

A) Drug name
B) Manufacturer's lot number
C) Technician's initials
D) Time prepared

Question 34

What type of mortar and pestle is used for blending powders and pulverizing soft aggregates or crystals?

A) Aluminum
B) Glass
C) Porcelain
D) Wood

Question 35

Which dosage form consists of alcohol and water?

A) Elixir
B) Emulsion
C) Syrup
D) Suspension

Question 36

What is the smallest volume that can be accurately measured with a 100-mL graduated cylinder?

A) 5 mL
B) 10 mL
C) 20 mL
D) 50 mL

Question 37

Who may mass produce medications?

A) Drug manufacturers
B) Hospital pharmacies
C) Long-term care pharmacies
D) Mail order pharmacies

Question 38

Where does a technician log information concerning the contents of a particular product that has been compounded?

A) Material safety data sheets (MSDS)
B) Formulation record
C) Compounding record
D) GMP

Question 39

A technician authorized to do perform tech-check-tech would be checking all of the following except:

A) Floor stock
B) Non-sterile compounding
C) Patient medication drawers
D) Repackaged unit doses

Question 40

Who assigns the expiration date for a medication?

A) Drug manufacturer
B) Individual compounding a medication
C) Individual reconstituting a medication
D) Individual repackaging a medication