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M18 Non-Sterile Compounding

Total questions: 60

Worksheet time: 30mins

Name
Class
Date
1.

According to compounding laws, which of the following types of medications can be compounded by a pharmacy?

a)

Medications anticipated for future prescriptions

b)

Medications prescribed for a specific patient

c)

Medications that require experimental, non-FDA approved ingredients

d)

Medications that have a commercial equivalent

2.

Which of the following guidelines should a pharmacy technician follow while ordering an active medication ingredient for use in compounding?

a)

Verify the ingredient is requested by a prescriber.

b)

Ensure the ingredient meets pharmacy standards.

c)

Ensure the ingredient is FDA-approved.

d)

Verify the ingredient is not on the FDA's bulk substance list.

3.

A pharmacy technician should recognize that which of the following is a reason the demand for pharmaceutical compounding has grown?

a)

Decline of home health care

b)

Abundance of commercial products to treat rare conditions

c)

Unavailability of certain medication products

d)

Lack of veterinary compounding

4.

While reviewing a prescription for a compound, a pharmacy technician suspects an ingredient is no longer in use. Which of the following resources should the technician use to verify the ingredient's use?

a)

USP-NF website

b)

Drug monograph

c)

DEA website

d)

FDA website

5.

A pharmacy technician is preparing a compound for a veterinary patient. Which of the following should the technician document in the compounding log?

a)

Specific ingredients

b)

Labeling requirements

c)

FDA approval of the medication

d)

Potential therapeutic equivalents

6.

A pharmacy technician is using a hot plate to melt solids for compounding. Which of the following actions should the technician perform during this process?

a)

Triturate the mixture using a mortar and pestle.

b)

Stir the mixture continuously with a rod.

c)

Add liquids to the mixture using a beaker.

d)

Transfer the melted mixture to a glass slab.

7.

A pharmacy technician is preparing to weigh ingredients using a scale. The technician should identify that forgetting to zero out the scale after placing the weighing paper, and before adding the ingredients, would result in which of the following?

a)

Incomplete mixing of ingredients

b)

Decreased quality of ingredients

c)

Inaccurate measurement of ingredients

d)

Increased potency of ingredients

8.

A pharmacy technician is compounding a suspension that will contain 65 mL of a liquid ingredient. Which of the following pieces of equipment should the technician use to measure the liquid ingredient most accurately?

a)

Beaker

b)

Syringe

c)

Pipette

d)

Graduated cylinder

9.

A pharmacy technician is compounding a liquid medication and is preparing to measure 75 mL of a liquid ingredient. Which of the following pieces of available equipment should the technician choose to measure the ingredient?

a)

150 mL graduated cylinder

b)

100 mL volumetric flask

c)

500 mL graduated cylinder

d)

200 mL graduated cone

10.

A pharmacy technician is preparing to measure 0.25 mL of an ingredient for a liquid preparation. Which of the following pieces of equipment should the technician use to measure the ingredient?

a)

Calibrated pipette

b)

Electronic balance

c)

Graduated cylinder

d)

Volumetric flask

11.

A pharmacy technician is preparing to measure 0.5 mL of a liquid and cannot locate a syringe. Which of the following devices should the technician use instead?

a)

Volumetric flask

b)

Graduated cylinder

c)

Calibrated pipette

d)

Prescription bottle

12.

A pharmacy technician is using a graduated cylinder to measure a liquid ingredient. Which of the following guidelines should the technician follow?

a)

View the graduated cylinder from below eye level when reading the measurement.

b)

Use the largest graduated cylinder possible.

c)

Hold the graduated cylinder at eye level when reading the measurement.

d)

Read the measurement on the graduated cylinder from the bottom of the meniscus.

13.

A pharmacy technician is using a dropper to deliver a small amount of an ingredient. Which of the following actions should the technician take?

a)

Apply varying amounts of pressure to the dropper.

b)

Maintain a slow speed of dropping.

c)

Pause to perform calibrations of the dropper.

d)

Position the dropper horizontally.

14.

A pharmacy technician is compounding a medication that requires the mixing of three dry solids to form a homogenous mixture. Which of the following processes should the technician perform?

a)

Calibration

b)

Geometric dilution

c)

Levigation

d)

Trituration

15.

A pharmacy technician is compounding a product that requires 50 mg of one powdered medication and 100 mg of another powdered medication. Which of the following techniques should the technician use to mix the powders?

a)

Calibration

b)

Geometric dilution

c)

Levigation

d)

Trituration

16.

A pharmacy technician has compounded tablets for a prescription. Which of the following is the final step before the tablets are packaged?

a)

Allow the tablets to air dry.

b)

Warm tablets on the hot plate.

c)

Dry the tablets in the oven.

d)

Place the tablets in the freezer to harden.

17.

A pharmacy technician can use the punch method to prepare which of the following types of medication?

a)

Tablets

b)

Capsules

c)

Suppositories

d)

Ointments

18.

Which of the following capsule sizes is the largest?

a)

000

b)

1

c)

00

d)

5

19.

A pharmacy technician is filling capsules with a compounded medication. Which of the following methods should the technician use to prevent fingerprints?

a)

Wear dry gloves.

b)

Coat the capsules with gel.

c)

Moisten bare fingertips.

d)

Use sterile capsules.

20.

A pharmacy technician is compounding capsules. The technician punches the longer half of the capsule onto the powder. Which of the following steps should the technician take next?

a)

Fill the next capsule.

b)

Place the cap back on the capsule.

c)

Package the capsule.

d)

Rinse the capsule.

21.

Which of the following is the purpose of using an emulsifier when compounding an emulsion?

a)

It keeps the emulsion from separating.

b)

It allows the emulsion to separate for storage.

c)

It increases the emulsion’s absorption rate.

d)

It allows for more powder to dissolve in the emulsion.

22.

A pharmacy technician is compounding an oil-in-water emulsion using the dry gum method. After measuring the required liquid, which of the following actions should the technician take?

a)

Add two parts water to the one-part emulsifier in the mortar.

b)

Add four parts oil to the one-part emulsifier in the mortar.

c)

Add two parts oil to the one-part emulsifier in the mortar.

d)

Add four parts water to the one-part emulsifier in the mortar.

23.

A pharmacy technician is compounding an emulsion using the wet gum method and has already measured the liquid. Which of the following actions should the technician take next?

a)

Add four parts oil in one-part portions while mixing thoroughly.

b)

Add four parts oil to the one-part emulsifier in the mortar.

c)

Add two parts water to the mortar while mixing vigorously.

d)

Add two parts water to the one-part emulsifier in the mortar.

24.

A pharmacy technician is compounding an emulsion for a young child who sometimes refuses oral medications. Which of the following steps should the technician take to improve patient compliance?

a)

Ensure an emulsifier has been added to prevent separation.

b)

Instruct the child’s parents to always give the medication on an empty stomach.

c)

Add flavoring to the emulsion to improve the taste.

d)

Add more water to the emulsion to dilute it.

25.

A pharmacy technician is preparing to dispense a stock emulsion. Which of the following actions should the technician take?

a)

Shake the stock bottle before using.

b)

Mix the emulsion with oil.

c)

Filter the stock emulsion.

d)

Add alcohol to the stock bottle.

26.

A pharmacy technician is assigned to compound suppositories. Which of the following steps should the technician take before using the mold?

a)

Cool the mixture.

b)

Lubricate the mold.

c)

Heat the mold.

d)

Air-dry the mold.

27.

A pharmacy technician is assigned to compound a preparation by melting the base over a hot water bath. Which of the following dosage forms should the technician expect to prepare?

a)

Lotion

b)

Ointment

c)

Cream

d)

Suppository

28.

A pharmacy technician needs an oleaginous base to compound a prescription suppository. Which of the following ingredients should the technician use?

a)

Gelatin

b)

Cocoa butter

c)

Hydrophilic ointment

d)

Polyethylene glycol

29.

A pharmacy technician has finished measuring gelatin for a suppository base. Which of the following actions should the technician take next?

a)

Allow it to dry.

b)

Melt the base over a hot water bath.

c)

Triturate the ingredients.

d)

Thin the base in the oven.

30.

A pharmacy technician is pouring the mixture for a suppository into a mold. Which of the following actions should the technician take?

a)

Cool the mixture in the freezer.

b)

Refrigerate the tray.

c)

Allow the mixture to harden.

d)

Package the suppositories.

31.

Which of the following defines extemporaneous compounding?

a)

The preparation of a medication to meet a need not served by a commercially available product

b)

The preparation of a medication in a sterile environment using a laminar flow hood

c)

The development of a commercial medication for alternate routes of administration when that dosage form is not available

d)

The creation of a medication with a short shelf life

32.

A pharmacy technician is assigned to perform extemporaneous compounding. Which of the following products should the technician expect to prepare?

a)

A commonly prescribed liquid medication formulation

b)

An oral liquid medication based on a prescriber's recipe

c)

An injectable medication based on a known formula

d)

An herbal preparation requested by an alternative medicine practitioner

33.

A pharmacy technician should use a nonsterile compounding technique when preparing prescription products that will be administered using which of the following routes?

a)

Intravenous fluid

b)

Ophthalmic solution

c)

Topical cream

d)

Intramuscular antibiotic injection

34.

A pharmacy technician is preparing to order raw chemicals for compounding. Which of the following guidelines should the technician consult when choosing products for purchase?

a)

Equipment guidelines

b)

Packaging standards

c)

Documentation guidelines

d)

Ingredient standards

35.

Which of the following storage guidelines should a pharmacy technician use while unpacking and shelving a delivery of compounding materials?

a)

USP-NF requirements

b)

Facility policy

c)

Shipping label

d)

Safety data sheets

36.

A pharmacy technician is verifying that two ingredients used for a compounded medication are equal in weight. Which of the following actions should the technician take first if they note a discrepancy in weight?

a)

Calibrate the device.

b)

Review the compounding guidelines.

c)

Document the discrepancy.

d)

Replace the weighing boat.

37.

Which of the following methods should a pharmacy technician use to calibrate a digital scale?

a)

Add weight to the scale, then input amount weighed.

b)

Place a weight of known mass on the scale, and confirm the balance reads accurately.

c)

Weigh the item, then add weight to the balance.

d)

Input the weight of the weighing boat, then add corresponding weight to balance.

38.

A pharmacy technician is preparing equipment for compounding. Which of the following equipment should the technician use to measure liquid volume?

a)

Mortars and pestles

b)

Weighing boats

c)

Spatulas

d)

Graduated cylinder

39.

Which of the following equipment should a pharmacy technician use to mix two different creams for a prescribed medication?

a)

Pipette

b)

Mortar and pestle

c)

Spatula

d)

Beaker

40.

Which of the following pieces of equipment should a pharmacy technician use to create a fine powder for a capsule?

a)

Mortar and pestle

b)

Graduated cylinder

c)

Hot plate

d)

Digital scale

41.

Which of the following is the weight range of a Class III prescription balance?

a)

50 mg to 120 g

b)

120 mg to 120 g

c)

5 mg to 50 mg

d)

0 g to 120 g

42.

A pharmacy technician is weighing ingredients for compounding. The technician should recognize that which of the following ingredients should be excluded from weighing?

a)

Semi-solid substances

b)

Ingredients in powder form

c)

Commercially available tablets

d)

Flavoring and sweetener

43.

Which of the following is an advantage of digital scales over analog scales?

a)

Digital scales are less sensitive.

b)

Digital scales are more appropriate for veterinary compounds.

c)

Digital scales do not require calibration.

d)

Digital scales can weigh much smaller amounts.

44.

Which of the following pieces of pharmacy equipment can be synchronized with a computer system?

a)

Digital scale

b)

Class III balance

c)

Volumetric flask

d)

Graduated cylinder

45.

Which of the following guidelines should a pharmacy technician consider when measuring a liquid ingredient?

a)

Liquid should be added with a syringe or pipette.

b)

Use the smallest device that will accommodate the liquid.

c)

Always measure an oily liquid by volume.

d)

Use a prescription bottle to measure the liquid.

46.

A pharmacy technician is compounding tablets. Which of the following actions should the technician take after triturating the ingredients?

a)

Add a wetting solution.

b)

Fill the tablet plate with the mixture.

c)

Allow the tablets to air-dry.

d)

Measure the powder with a Class III balance.

47.

A senior pharmacy technician is observing a new technician compounding capsules. The senior technician should intervene when the new technician performs which of the following actions?

a)

Packages the capsules

b)

Weighs each capsule

c)

Weighs the powder

d)

Combines the capsules with the pharmacy stock

48.

A pharmacy technician is compounding tablets for a patient who might need to take a half dose. Which of the following should the technician recognize as the appearance of the final dosage form?

a)

Each tablet is covered with a hard gelatin coating.

b)

Each tablet is covered with a polymer coating.

c)

Each tablet is created with a groove along the top.

d)

Each tablet is stamped with the pharmacy initials.

49.

Which of the following tools should a pharmacy technician use to measure powdered ingredients while compounding tablets?

a)

Measuring cup

b)

Graduated cylinder

c)

Class III balance

d)

Spatula

50.

A pharmacy technician is measuring 100 mg of an ingredient using a Class III balance for a capsule preparation. Which of the following steps should the technician take?

a)

Triturate using geometric dilution.

b)

Make a double batch.

c)

Add a wetting solution.

d)

Perform an aliquot calculation.

51.

Which of the following is the most commonly compounded product?

a)

Suspensions

b)

Tablets

c)

Solutions

d)

Capsules

52.

Which of the following dosage forms has the fastest onset of action?

a)

Tablet

b)

Capsule

c)

Oral suspension

d)

Oral solution

53.

A pharmacy technician is compounding a solution. Which of the following methods should the technician use to determine if an ingredient will dissolve in the solvent?

a)

Determine the ingredient's solubility.

b)

Test a small amount of the ingredient in the solvent.

c)

Add water to the ingredient.

d)

Heat a small amount of the solvent.

54.

A pharmacy technician is compounding a suspension. Which of the following auxiliary labels should the technician affix to the bottle?

a)

May Cause Drowsiness

b)

Shake Well Before Using

c)

Take With Plenty of Water

d)

Take With Food

55.

A pharmacy technician is compounding an antibiotic suspension. Which of the following ingredients should the technician add to the antibiotic powder?

a)

Alcohol

b)

Sterile water

c)

Oil

d)

Distilled water

56.

A pharmacy technician is asked to compound a topical preparation for a patient who has a wound that requires extra protection for healing. Which of the following preparations should the technician expect to compound?

a)

Cream

b)

Lotion

c)

Ointment

d)

Suppository

57.

Which of the following ingredients should a pharmacy technician add when compounding an ointment?

a)

Water

b)

Oil

c)

Simple syrup

d)

Petroleum jelly

58.

A pharmacy technician has completed the compounding of an ointment. Which of the following auxiliary labels should the technician affix to the packaging?

a)

May Cause Drowsiness

b)

Shake Well Before Using

c)

For Topical Use Only

d)

Take With Food

59.

A pharmacy technician is compounding a cream. Which of the following substances should the technician add to a powder to make a paste?

a)

Petroleum jelly

b)

Glycerin

c)

Alcohol

d)

Water

60.

Which of the following containers should a pharmacy technician use for packaging a thick cream?

a)

Ointment jar

b)

Amber bottle

c)

Tube

d)

Dram vial