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WorksheetsPulmonary Delivery
Total questions: 52
Worksheet time: 3hrs 36mins
In pulmonary delivery, gravitational sedimentation is the major mechanism for particles greater than 5 um in diameter
False
True
In aerosol delivery, the inhaled particles ___________ in diameter are deposited on the tracheobronchial surface by _________.
Between 0.5-3 um; Brownian diffusion
Greater than 5 um; gravitational sedimentation
Between 0.5-3 um; inertial impaction
Greater than 5 um; inertial impaction
Increase in tidal column results in _________ penetration of aerosol particles deeper into the _________ tracheobronchial and alveolar regions.
less; proximal
greater; proximal
less; distal
greater; distal
Valve discharge rate of an aerosol is the amount of the drug discharged per unit volume.
False
True
For pressurized metered dose inhalers (PMDIs), the momentum of aerosol particles generated depends on the device rather than the patient’s IFR.
True
False
Device must be kept vertical to ground to keep powder aerosolized.
True
False
Deposition by diffusion _________ with the increase in particle size.
decreases
increases
The unit of the Valve Discharge Rate could be_____
mg/sec
mg/ml
mcg/ml
mg/min
Because of the large size of protein, they cannot be used for pulmonary delivery.
False
True
Pulmonary delivery usually has delayed onset of action compared to the oral dosage forms.
False
True
Pulmonary delivery dosage forms are inhaled through the mouth but not the nose.
True
False
For efficient deposition, breath-holding for a period less than than 5 seconds after inspiration recommended.
False
True
Deposition by diffusion increases with the increase in particle size.
False
True
Dissolution in the mucus is the rate limiting step for absorption of water soluble drugs in the aerosols.
False
True
The pleated steel is usually used for small volume aerosols.
True
False
If the drugs are suspended or emulsified in the propellant system, agitation during manufacture and use is required.
True
False
Which one has the largest surface area?
0-16
16-19
19-22
22-23
Probability of deposition increases with each bifurcation
True
False
INCREASE in tidal volume results in less penetration of aerosol particles deeper into the distal tracheobronchial and alveolar regions.
False
True
Deposition by sedimentation mainly occurs in the lung periphery.
True
False
Which statement is true about the nebulizers?
Ultrasonic nebulizers may cause crystallization of drug due to the evaporation of solvent
Ultrasonic nebulizers can be used for thermo-sensitive drugs
Ultrasonic nebulizers are quieter than air-jet nebulizers
Ultrasonic nebulizer can nebulize high-viscosity liquids
If the drugs are suspended or emulsified in the propellant system, agitation during manufacture and use is required.
True
False
Ideal Particle size for lung penetration is 1-5 um
True
False
What is the difference between two-phase aerosol systems?
Propellant and product concentrate are miscible in 2-phase systems but are miscible in 3-phase systems
There is one liquid phase in 2-phase systems but two liquid phases in 3-phase systems
The propellant and product enter through separate ducts in a 3-phase system but enter through the same duct in a 2-phase system
Device must be kept Parallel to ground to keep powder aerosolized.
True
False
Which statement is true about the nebulizers?
Air-jet nebulizer are louder than ultrasonic nebulizers.
Air-jet nebulizer may cause crystallization of drugs due to the evaporation of solvent.
Ultrasonic nebulizers can nebulize high-viscosity liquids.
Ultrasonic nebulizer can be used for thermos-sensitive drugs
If a drug has to enter blood circulation after pulmonary delivery, it must reach what part of the respiratory tract?
Alveolar
Trachea
Mouth
An increased inspiratory flow rate causes:
Deposition in the first few generations of airway
Increase in particle momentum and turbulence resulting in increased impaction in proximal tracheobronchial region
Decreased impaction in proximal tracheobronchial region
increased impaction in mouth
Inertial impaction is a mechanism of particle deposition in the lungs, Inertial impaction is:
Observed with particles that cannot travel in the direction of airflow and therefore impact on the airways
deposition increases with particle velocity, diameter, and density.
deposition of particles occurs in zones of highest airflow velocity, i.e. The first 10 generations.
Greater than 5 mm in diameter
Particles and dissolved drug entrapped in the mucus are removed from the respiratory tract by
Mucocillary Clearance
Alveolar clearance
Enzymatic degradation
Which of the following statements about nebulizer is False?
Nebulizers transform solutions or suspension containing drugs into aerosols that can be taken by inspiration
Air jet nebulizers use a pressurized jet air stream delivered by a compressor to form an aerosol
Ultrasonic nebulizers use piezo-electric crystal that produce high frequency sound
waves to form an aerosol
Nebulizers do not cause any wastage of the drug and are therefore a very cost-effective method of drug delivery
As a pharmacist, how will you instruct a patient to breathe when using a nebulizer:
Breathe slowly and deeply and hold the breath for up to a few seconds
mixing with other medications with the prescribed medication for nebulization
Nebulizers should be kept upright
Nebulizers should be kept horizontal
The form of the product and the amount of product expelled out of an aerosol system is controlled by the valve assembly
True
False
Which of these pMDI product produce aerosols without propellants?
Respimat
Autoinhaler
Smartmist
Proair
DPIs differ from pMDIs in which of the following ways?
DPIs do not have a propellant
DPIs generally have large carrier particles to carry the drug
DPIs can deliver solids only; no liquids
Cristalization of drug may occur due to evaporation of solvent
Air-jet
Ultrasonic
Which of the following is TRUE about ultrasonic nebulizer disadvantage?
Cannot nebulize high-viscosity liquids
Increase in temperature causes degradation of thermo-sensitive drugs
Cristalization of drug may occur due to evaporation of solvent
The function of the ______ is to permit the expulsion of the contents of the can in the desired form, at the desired rate, and, in the case of metered valves, in the proper amount or dose.
valve assembly
stem
Gasket
Dip tube
Lower water soluble drugs may dissolve at the very high relative humidity in the airways.
TRUE
FALSE
Brownian Diffusion, Deposition by diffusion increases with the decrease in particle size, and breath-holding following inhalation
TRUE
FALSE
For dry powder inhalers (DPI) and nebulizers, the aerosol droplet is carried by the inhaled air and thus aerosol velocity is controlled by IFR
TRUE
FALSE
Which one has the smallest surface area?
0-16
16-19
19-22
22-23
Surface area decreases with the increasing distance of the airway from the glottis.
TRUE
FALSE
Pulmonary delivered drugs may produce local side effects due to the oropharyngeal deposition
TRUE
FALSE
Pulmonary delivery dosage forms are inhaled through the nose.
TRUE
FALSE
Inertial impaction is the general mechanism for deposition of particles greater than 5 microns in diameter.
TRUE
FALSE
The macrophages engulfed particles will be eliminated via the lymphatic system or absorbed into the pulmonary circulation.
TRUE
FALSE
Propane cannot be used as propellant.
TRUE
FALSE
The actuator in the valve assembly prevents leakage of the formulation when the valve is in the closed position.
TRUE
FALSE
If the drugs are suspended or emulsified in the propellant system, constant agitation during manufacture and use is required.
TRUE
FALSE
The pharmacists are not allowed to put any label on an aerosol container because only the manufacturers can do that.
TRUE
FALSE
If multiple dosing is recommended in administering a pMDI, the patients need to wait for about 1 minute interval between actuations.
TRUE
FALSE
