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WorksheetsSUPPOSITORIES CEUTICS FINAL EXAM
Total questions: 59
Worksheet time: 1hrs 27mins
Solid dosage forms only designed for rectal administration to provide local or systemic effect.
Suppositories
Inserts
Pessaries are known to be
Vaginal inserts
Vaginal suppositories
Bougies are known to be
Urethral inserts
Vaginal inserts
When suppositories promote defecation and treat anorectal diseases it is said to have a?
Local action
Systemic action
When suppositories introduces drug into the body it is said to have a ?
Local action
Systemic action
A pediatric suppository can be which of the following?
1 gm
3 gm
0.5 gm
4 gm
The pH of the mucous layer in the rectum is 6.8-7.4, with ?
negligible (so small) buffer capacity.
High capacity
High significant capacity
Which of the following statements are TRUE about Rectal Drug Absorption? Select all that apply
Passive diffusion
Unpredictable bioavailability
Typically lower rate and extent of drug absorption as compared to oral route
higher bioavailability than oral route
Which of the following are considered Physiological Factors affecting rectal drug absorption? Select all that apply
Quantity of fluid available
Property of rectal mucus
Contents of the rectum
Motility of the rectal wall
Lymphatic circulation
Which of the following are Physicochemical properties of APIs affecting rectal drug absorption? Select all that apply
Solubility in water & vehicle (log P)
Surface properties
Particle size
Amount
pKa
Which of the following are Physicochemical properties of the base affecting rectal drug absorption? Select all that apply
Composition
Melting behavior
Rheological properties
Surface properties
Which of the following are limitations of rectal administration? Select all that apply
Poor patient compliance
Upward movement of the dosage form can increase first-pass metabolism
Suppositories can leak
Insertion of suppositories can be problematic
Erratic absorption
Suppositories for local action are mostly used to reduce pain and itching due to hemorrhoids.
True
False
Which of the following is an example of Suppositories for local action?
Preparation H
Promethazine
Which of the following is an example of Suppositories for systemic action?
Phenergan (Promethazine HCl)
Preparation H
Shape is an important characteristic of a vaginal insert and should be carefully designed.
True
False
Which of the following are TRUE about Shape & Size of Vaginal Inserts? Select all that apply
Globular, oviform, or cone shaped
Weight ~ 1 gm
Weight ~ 5 gm
No defined shaped is relevant
When Vaginal Delivery is Beneficial? Select all that apply
Local drug delivery
When a drug is not suitable for oral administration due to stability issues
Oral intake is restricted
Severe vomiting
Preferential delivery to the uterus on vaginal is the first uterine pass effect.
True
False
Systemic drug absorption is unfavorable when a vaginal insert containing an antibiotic for the treatment of a vaginal infection is administered to a patient.
True
False
Which of the following are TRUE about Vaginal Drug Absorption? Select all that apply
Drug release from the delivery system
Drug dissolution in vaginal lumen
Penetration through the vaginal wall
Drug dissolution in rectum
Which of the following are examples for Vaginal Inserts for Systemic Action? Select all that apply
Prostin E2 (Dinoprostone)
Endometrin (Progesterone)
Preparation H
Promethazine
Which of the following drugs is a Contraceptive for termination of pregnancy from 12th to 20th gestational week?
Promethazine Supp.
Preparation H
Prostin E2 (Dinoprostone)
Progesterone
Which of the following is beneficial for drugs subjected to extensive first-pass metabolism?
Promethazine
Preparation H
Progesterone
Prostin E2 (Dinoprostone)
Which of the following are the commonly delivered drugs for treatment of vaginal disorders? Select all that apply
Antiseptics
Contraceptives
Anti-infectives
Antifungals
Analgesic
GENDER specific, is one of the limitations of Vaginal Administration/
True
False
Commonsense!
Yes
No
Which of the following ingredients is very important in the typical suppository composition?
cocoa butter (Theobroma oil)
glycerin
menthol
acacia
The drug loading in a Typical Suppository Composition?
0.1-40%
1-22%
1%-40
0-30%
The BASE/VEHICLE (and protectant) in a Typical Suppository Composition?
44%
58%
88%
50%
Common sense
Yes
No
Understand this
Yes
No
Cocoa Butter (Theobroma Oil) is considered which type of base?
Fatty or Oleaginous Bases
Aqueous
Water-Dispersible
Which of the following are TRUE about Cocoa Butter (Theobroma Oil) ? Select all that apply
The standard USP base
Exhibits polymorphism (due to the triglyceride content)
melting point varies
Not much used
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
True
False
Which form of cocoa butter has the highest melting point?
Gamma form 18° C
Beta prime form 27° C
Alpha form 22° C
Beta form
Which of the following is similar to cocoa butter, but show no polymorphism?
(Semi)synthetic Fatty Bases
Fatty or Oleaginous Bases
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?
(Semi)synthetic Fatty Bases
Aqueous bases
Fatty or Oleaginous Bases
Liquid at RT, clear, colorless
PEG 200-400
PEG 1000-1500
PEG 1540-20K
Semisolid, wax-like, white
PEG 200-400
PEG 1000-1500
PEG 1540-20K
Solid, wax-like, white (3350 & 8000)
PEG 1540-20K
PEG 1000-1500
PEG 200-400
Which of the following need to contain at least 20% water to prevent irritation?
PEG suppositories
Vaginal suppositories
Rectal suppositories
Promethazine Supp.
Understand this
Yes
No
Which of the following is a water soluble base incorporating at least 20% water in the base causing irritation.
PEG
Polybase
Polymitrin
Which of the following is Not for Rectal Use , but suitable for vaginal inserts and is hygroscopic and thus can cause dehydration?
Glycerinated Gelatin Base
Theobroma Oil
Hygroscopicity and Potential interactions with APIs are Disadvantages of Glycerinated Gelatin Base.
True
False
Which of the following are excipients agents decreasing Melting-point? Select all that apply
PEG
Polysorbate 80
Beeswax
Magnesium stearate
Which of the following are excipients agents increasing Melting-point? Select all that apply
Beeswax
Magnesium stearate
Colloidal silicon dioxide
PEG
Understand the choices based on solubility
Yes
No
Which of the following is the most common method for all kind of suppositories?
Compression
Fusion molding
Hands made
Using levitation agents
In fusion molding if necessary, lubricate mold with SMALL amount of mineral oil or glycerin.
True
False
Uses special suppository-making machine to compress paste-like mass into suppository and APIs insoluble in the base.
Fusion molding
Compression
Which of the following applies to Packaging of Suppositories? Select all that apply
Disposable suppository molds
Tightly closed glass containers
Compartmented Boxes
Individually wrapped
Which of the following statements is TRUE about Suppositories?
keep all suppositories melting for 20 minutes before use
keep all suppositories refrigerated
keep all suppositories out of the fridge
Which of the following is a Quality Assurance test that oversees for suppositories dosage forms?
Texture Uniformity
Weight Variation
Contact angle
Friability test
Which of the following suppositories should be moistened with water before insertion? Select all that apply
Glycerinated gelatin
PEG
Cocoa butter
Which of the following are TRUE statements about Patient Counseling in Suppositories? Select all that apply
Any wrapping material must be removed completely before insertion
Fridge
rub gently with fingers to lubricate the surface
If needed a suppository should be cut lengthwise
Bullet-shaped rectal suppositories should be inserted pointed end first
If needed a suppositories can be cut in half.
True
False
The desired property of a base is the absorption of water.
True
False
