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SUPPOSITORIES CEUTICS FINAL EXAM

Total questions: 59

Worksheet time: 1hrs 27mins

Name
Class
Date
1.

Solid dosage forms only designed for rectal  administration to provide local or systemic effect.

a)

Suppositories

b)

Inserts

2.

Pessaries are known to be

a)

Vaginal inserts

b)

Vaginal suppositories

3.

Bougies are known to be

a)

Urethral inserts

b)

Vaginal inserts

4.

When suppositories promote defecation and treat anorectal diseases it is said to have a?

a)

Local action

b)

Systemic action

5.

When suppositories introduces drug into the body it is said to have a ?

a)

Local action

b)

Systemic action

6.

A pediatric suppository can be which of the following?

a)

1 gm

b)

3 gm

c)

0.5 gm

d)

4 gm

7.

The pH of the mucous layer in the rectum is 6.8-7.4, with ?

a)

negligible (so small) buffer capacity.

b)

High capacity

c)

High significant capacity

8.

Which of the following statements are TRUE about Rectal Drug Absorption? Select all that apply

a)

Passive diffusion

b)

Unpredictable bioavailability

c)

Typically lower rate and extent of drug absorption as compared to oral route

d)

higher bioavailability than oral route

9.

Which of the following are considered Physiological Factors affecting rectal drug absorption? Select all that apply

a)

Quantity of fluid available

b)

Property of rectal mucus

c)

Contents of the rectum

d)

Motility of the rectal wall

e)

Lymphatic circulation

10.

Which of the following are Physicochemical properties of APIs affecting rectal drug absorption? Select all that apply

a)

Solubility in water & vehicle (log P)

b)

Surface properties

c)

Particle size

d)

Amount

e)

pKa

11.

Which of the following are Physicochemical properties of the base affecting rectal drug absorption? Select all that apply

a)

Composition

b)

Melting behavior

c)

Rheological properties

d)

Surface properties

12.

Which of the following are limitations of rectal administration? Select all that apply

a)

Poor patient compliance

b)

Upward movement of the dosage form can increase first-pass metabolism

c)

Suppositories can leak

d)

Insertion of suppositories can be problematic

e)

Erratic absorption

13.

Suppositories for local action are mostly used to reduce pain and itching due to hemorrhoids.

a)

True

b)

False

14.

Which of the following is an example of Suppositories for local action?

a)

Preparation H

b)

Promethazine

15.

Which of the following is an example of Suppositories for systemic action?

a)

Phenergan (Promethazine HCl)

b)

Preparation H

16.

Shape is an important characteristic of a vaginal insert and should be carefully designed.

a)

True

b)

False

17.

Which of the following are TRUE about Shape & Size of Vaginal Inserts? Select all that apply

a)

Globular, oviform, or cone shaped

b)

Weight ~ 1 gm

c)

Weight ~ 5 gm

d)

No defined shaped is relevant

18.

When Vaginal Delivery is Beneficial? Select all that apply

a)

Local drug delivery

b)

When a drug is not suitable for oral administration due to stability issues

c)

Oral intake is restricted

d)

Severe vomiting

19.

Preferential delivery to the uterus on vaginal is the first uterine pass effect.

a)

True

b)

False

20.

Systemic drug absorption is unfavorable when a vaginal insert containing an antibiotic for the treatment of a vaginal infection is administered to a patient.

a)

True

b)

False

21.

Which of the following are TRUE about Vaginal Drug Absorption? Select all that apply

a)

Drug release from the delivery system

b)

Drug dissolution in vaginal lumen

c)

Penetration through the vaginal wall

d)

Drug dissolution in rectum

22.

Which of the following are examples for Vaginal Inserts for Systemic Action? Select all that apply

a)

Prostin E2 (Dinoprostone)

b)

Endometrin (Progesterone)

c)

Preparation H

d)

Promethazine

23.

Which of the following drugs is a Contraceptive for termination of pregnancy from 12th to 20th gestational week?

a)

Promethazine Supp.

b)

Preparation H

c)

Prostin E2 (Dinoprostone)

d)

Progesterone

24.

Which of the following is beneficial for drugs subjected to extensive first-pass metabolism?

a)

Promethazine

b)

Preparation H

c)

Progesterone

d)

Prostin E2 (Dinoprostone)

25.

Which of the following are the commonly delivered drugs for treatment of vaginal disorders? Select all that apply

a)

Antiseptics

b)

Contraceptives

c)

Anti-infectives

d)

Antifungals

e)

Analgesic

26.

GENDER specific, is one of the limitations of Vaginal Administration/

a)

True

b)

False

27.

Commonsense!

a)

Yes

b)

No

28.

Which of the following ingredients is very important in the typical suppository composition?

a)

cocoa butter (Theobroma oil)

b)

glycerin

c)

menthol

d)

acacia

29.

The drug loading in a Typical Suppository Composition?

a)

0.1-40%

b)

1-22%

c)

1%-40

d)

0-30%

30.

The BASE/VEHICLE (and protectant) in a Typical Suppository Composition?

a)

44%

b)

58%

c)

88%

d)

50%

31.

Common sense

a)

Yes

b)

No

32.

Understand this

a)

Yes

b)

No

33.

Cocoa Butter (Theobroma Oil) is considered which type of base?

a)

Fatty or Oleaginous Bases

b)

Aqueous

c)

Water-Dispersible

34.

Which of the following are TRUE about Cocoa Butter (Theobroma Oil) ? Select all that apply

a)

The standard USP base

b)

Exhibits polymorphism (due to the triglyceride content)

c)

melting point varies

d)

Not much used

35.

Due to polymorphism cocoa butter should not be melted at high temperature and chilled quickly. This leads to a metastable form (α) that has a lower melting temperature

a)

True

b)

False

36.

Which form of cocoa butter has the highest melting point?

a)

Gamma form  18° C

b)

Beta prime form  27° C

c)

Alpha form  22° C

d)

Beta form

37.

Which of the following is similar to cocoa butter, but show no polymorphism?

a)

(Semi)synthetic Fatty Bases

b)

Fatty or Oleaginous Bases

38.

Which of the following bases do not melt at body temperature (melting point is above body temperature) , but slowly dissolve in body fluids and it is less frequently used?

a)

(Semi)synthetic Fatty Bases

b)

Aqueous bases

c)

Fatty or Oleaginous Bases

39.

Liquid at RT, clear, colorless

a)

PEG 200-400

b)

PEG 1000-1500

c)

PEG 1540-20K

40.

Semisolid, wax-like, white

a)

PEG 200-400

b)

PEG 1000-1500

c)

PEG 1540-20K

41.

Solid, wax-like, white (3350 & 8000)

a)

PEG 1540-20K

b)

PEG 1000-1500

c)

PEG 200-400

42.

Which of the following need to contain at least 20% water to prevent irritation?

a)

PEG suppositories

b)

Vaginal suppositories

c)

Rectal suppositories

d)

Promethazine Supp.

43.

Understand this

a)

Yes

b)

No

44.

Which of the following is a water soluble base incorporating at least 20% water in the base causing irritation.

a)

PEG

b)

Polybase

c)

Polymitrin

45.

Which of the following is Not for Rectal Use , but suitable for vaginal inserts and is hygroscopic and thus can cause dehydration?

a)

Glycerinated Gelatin Base

b)

Theobroma Oil

46.

Hygroscopicity and Potential interactions with APIs are Disadvantages of Glycerinated Gelatin Base.

a)

True

b)

False

47.

Which of the following are excipients agents decreasing Melting-point? Select all that apply

a)

PEG

b)

Polysorbate 80

c)

Beeswax

d)

Magnesium stearate

48.

Which of the following are excipients agents increasing Melting-point? Select all that apply

a)

Beeswax

b)

Magnesium stearate

c)

Colloidal silicon dioxide

d)

PEG

49.

Understand the choices based on solubility

a)

Yes

b)

No

50.

Which of the following is the most common method for all kind of suppositories?

a)

Compression

b)

Fusion molding

c)

Hands made

d)

Using levitation agents

51.

In fusion molding if necessary, lubricate mold with SMALL amount of mineral oil or glycerin.

a)

True

b)

False

52.

Uses special suppository-making machine to compress paste-like mass into suppository and APIs insoluble in the base.

a)

Fusion molding

b)

Compression

53.

Which of the following applies to Packaging of Suppositories? Select all that apply

a)

Disposable suppository molds

b)

Tightly closed glass containers

c)

Compartmented Boxes

d)

Individually wrapped

54.

Which of the following statements is TRUE about Suppositories?

a)

keep all suppositories melting for 20 minutes before use

b)

keep all suppositories refrigerated

c)

keep all suppositories out of the fridge

55.

Which of the following is a Quality Assurance test that oversees for suppositories dosage forms?

a)

Texture Uniformity

b)

Weight Variation

c)

Contact angle

d)

Friability test

56.

Which of the following suppositories should be moistened with water before insertion? Select all that apply

a)

Glycerinated gelatin

b)

PEG

c)

Cocoa butter

57.

Which of the following are TRUE statements about Patient Counseling in Suppositories? Select all that apply

a)

Any wrapping material must be removed completely before insertion

b)

Fridge

c)

rub gently with fingers to lubricate the surface

d)

If needed a suppository should be cut lengthwise

e)

Bullet-shaped rectal suppositories should be inserted pointed end first

58.

If needed a suppositories can be cut in half.

a)

True

b)

False

59.

The desired property of a base is the absorption of water.

a)

True

b)

False