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Pulmonary Delivery

Total questions: 52

Worksheet time: 3hrs 36mins

Name
Class
Date
1.

In pulmonary delivery, gravitational sedimentation is the major mechanism for particles greater than 5 um in diameter

a)

False

b)

True

2.

   In aerosol delivery, the inhaled particles ___________ in diameter are deposited on the tracheobronchial surface by _________.

a)

Between 0.5-3 um; Brownian diffusion

b)

Greater than 5 um; gravitational sedimentation

c)

Between 0.5-3 um; inertial impaction

d)

Greater than 5 um; inertial impaction

3.

Increase in tidal column results in _________ penetration of aerosol particles deeper into the _________ tracheobronchial and alveolar regions.

a)

   less; proximal

b)

greater; proximal

c)

less; distal

d)

greater; distal

4.

Valve discharge rate of an aerosol is the amount of the drug discharged per unit volume.

a)

False

b)

True

5.

For pressurized metered dose inhalers (PMDIs), the momentum of aerosol particles generated depends on the device rather than the patient’s IFR.

a)

True

b)

False

6.

Device must be kept vertical to ground to keep powder aerosolized.

a)

True

b)

False

7.

Deposition by diffusion _________ with the increase in particle size.

a)

decreases

b)

increases

8.

The unit of the Valve Discharge Rate could be_____

a)

mg/sec

b)

mg/ml

c)

mcg/ml

d)

mg/min

9.

Because of the large size of protein, they cannot be used for pulmonary delivery.

a)

False

b)

True

10.

Pulmonary delivery usually has delayed onset of action compared to the oral dosage forms.

a)

False

b)

True

11.

Pulmonary delivery dosage forms are inhaled through the mouth but not the nose.

a)

True

b)

False

12.

For efficient deposition, breath-holding for a period less than than 5 seconds after inspiration recommended.

a)

False

b)

True

13.

Deposition by diffusion increases with the increase in particle size.

a)

False

b)

True

14.

Dissolution in the mucus is the rate limiting step for absorption of water soluble drugs in the aerosols.

a)

False

b)

True

15.

The pleated steel is usually used for small volume aerosols.

a)

True

b)

False

16.

If the drugs are suspended or emulsified in the propellant system, agitation during manufacture and use is required.

a)

True

b)

False

17.

    Which one has the largest surface area?

a)

0-16

b)

16-19

c)

19-22

d)

22-23

18.

Probability of deposition increases with each bifurcation

a)

True

b)

False

19.

INCREASE in tidal volume results in less penetration of aerosol particles deeper into the distal tracheobronchial and alveolar regions.

a)

False

b)

True

20.

Deposition by sedimentation mainly occurs in the lung periphery.

a)

True

b)

False

21.

  Which statement is true about the nebulizers?

a)

  Ultrasonic nebulizers may cause crystallization of drug due to the evaporation of solvent

b)

Ultrasonic nebulizers can be used for thermo-sensitive drugs

c)

  Ultrasonic nebulizers are quieter than air-jet nebulizers

d)

Ultrasonic nebulizer can nebulize high-viscosity liquids

22.

If the drugs are suspended or emulsified in the propellant system, agitation during manufacture and use is required.

a)

True

b)

False

23.

Ideal Particle size for lung penetration is 1-5 um

a)

True

b)

False

24.

  What is the difference between two-phase aerosol systems?

a)

Propellant and product concentrate are miscible in 2-phase systems but are miscible in 3-phase systems

b)

There is one liquid phase in 2-phase systems but two liquid phases in 3-phase systems

c)

The propellant and product enter through separate ducts in a 3-phase system but enter through the same duct in a 2-phase system

25.

Device must be kept Parallel to ground to keep powder aerosolized.

a)

True

b)

False

26.

  Which statement is true about the nebulizers?

a)

Air-jet nebulizer are louder than ultrasonic nebulizers.

b)

Air-jet nebulizer may cause crystallization of drugs due to the evaporation of solvent.

c)

Ultrasonic nebulizers can nebulize high-viscosity liquids.

d)

Ultrasonic nebulizer can be used for thermos-sensitive drugs

27.

If a drug has to enter blood circulation after pulmonary delivery, it must reach what part of the respiratory tract? 

a)

Alveolar

b)

Trachea

c)

Mouth

28.

An increased inspiratory flow rate causes:

a)

Deposition in the first few generations of airway

b)

Increase in particle momentum and turbulence resulting in  increased impaction in proximal tracheobronchial region

c)

Decreased impaction in proximal tracheobronchial region

d)

increased impaction in mouth

29.

Inertial impaction is a mechanism of particle deposition in the lungs, Inertial impaction is:

a)

Observed with particles that cannot travel in the direction of airflow and therefore impact on the airways

b)

deposition increases with particle velocity, diameter, and density.

c)

deposition of particles occurs in zones of highest airflow velocity, i.e. The first 10 generations.

d)

Greater than 5 mm in diameter

30.

Particles and dissolved drug entrapped in the mucus are removed from the respiratory tract by

a)

Mucocillary Clearance

b)

Alveolar clearance

c)

Enzymatic degradation

31.

Which of the following statements about nebulizer is False?

a)

Nebulizers transform solutions or suspension containing drugs into aerosols that can be taken by inspiration

b)

   Air jet nebulizers use a pressurized jet air stream delivered by a compressor to form an aerosol

c)

Ultrasonic nebulizers use piezo-electric crystal that produce high frequency sound

waves to form an aerosol

d)

Nebulizers do not cause any wastage of the drug and are therefore a very cost-effective method of drug delivery

32.

As a pharmacist, how will you instruct a patient to breathe when using a nebulizer:

a)

Breathe slowly and deeply and hold the breath for up to a few seconds

b)

mixing with other medications with the prescribed medication for nebulization

c)

Nebulizers should be kept upright

d)

Nebulizers should be kept horizontal

33.

The form of the product and the amount of product expelled out of an aerosol system is controlled by the valve assembly

a)

True

b)

False

34.

Which of these pMDI product produce aerosols without propellants?

a)

Respimat

b)

Autoinhaler

c)

Smartmist

d)

Proair

35.

  DPIs differ from pMDIs in which of the following ways?

a)

DPIs do not have a propellant

b)

DPIs generally have large carrier particles to carry the drug

c)

DPIs can deliver solids only; no liquids

36.

Cristalization of drug may occur due to evaporation of solvent

a)

Air-jet

b)

Ultrasonic

37.

Which of the following is TRUE about ultrasonic nebulizer disadvantage?

a)

Cannot nebulize high-viscosity liquids

b)

Increase in temperature causes degradation of thermo-sensitive drugs

c)

Cristalization of drug may occur due to evaporation of solvent

38.

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.

a)

valve assembly

b)

stem

c)

Gasket

d)

Dip tube

39.

Lower water soluble drugs may dissolve at the very high relative humidity in the airways.

a)

TRUE

b)

FALSE

40.

Brownian Diffusion, Deposition by diffusion increases with the decrease in particle size, and breath-holding following inhalation

a)

TRUE

b)

FALSE

41.

For dry powder inhalers (DPI) and nebulizers, the aerosol droplet is carried by the inhaled air and thus aerosol velocity is controlled by IFR

a)

TRUE

b)

FALSE

42.

Which one has the smallest surface area?

a)

0-16

b)

16-19

c)

19-22

d)

22-23

43.

Surface area decreases with the increasing distance of the airway from the glottis.

a)

TRUE

b)

FALSE

44.

Pulmonary delivered drugs may produce local side effects due to the oropharyngeal deposition

a)

TRUE

b)

FALSE

45.

Pulmonary delivery dosage forms are inhaled through the nose.

a)

TRUE

b)

FALSE

46.

Inertial impaction is the general mechanism for deposition of particles greater than 5 microns in diameter.

a)

TRUE

b)

FALSE

47.

The macrophages engulfed particles will be eliminated via the lymphatic system or absorbed into the pulmonary circulation.

a)

TRUE

b)

FALSE

48.

Propane cannot be used as propellant.

a)

TRUE

b)

FALSE

49.

The actuator in the valve assembly prevents leakage of the formulation when the valve is in the closed position.

a)

TRUE

b)

FALSE

50.

If the drugs are suspended or emulsified in the propellant system, constant agitation during manufacture and use is required.

a)

TRUE

b)

FALSE

51.

The pharmacists are not allowed to put any label on an aerosol container because only the manufacturers can do that.

a)

TRUE

b)

FALSE

52.

If multiple dosing is recommended in administering a pMDI, the patients need to wait for about 1 minute interval between actuations.

a)

TRUE

b)

FALSE