M5: Manufacturing Pharmacy - Sterile Dosage Forms

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102 Terms

1

Prepared, filled and sterilized. Method of choice whenever possible.

a. Terminal sterilization

b. Aseptic processing

a. Terminal sterilization

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Components are sterilized separately and assembled.

a. Terminal sterilization

b. Aseptic processing

b. Aseptic processing

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3

Sterilization method:

1) Uses autoclave

2) Sterilize through protein coagulation

a. Moist heat sterilization

b. Dry heat sterilization

c. Gas sterilization

d. Membrane filtration

e. Ionizing radiation

a. Moist heat sterilization

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Setting of autoclave for moist heat sterilization:

a. 120C, 20 psi, 15-20 minutes

b. 121C, 15 psi, 15-20 minutes

c. 125C, 20 psi, 15-30 minutes

d. 121C, 15 psi, 15-30 minutes

b. 121C, 15 psi, 15-20 minutes

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Sterilization method:

1) Uses oven

2) Ideal for sterilization of glass containers

a. Moist heat sterilization

b. Dry heat sterilization

c. Gas sterilization

d. Membrane filtration

e. Ionizing radiation

b. Dry heat sterilization

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Setting of oven for dry heat sterilization:

a. 160-170C, 2-4 hours

b. 150-170C, 2-4 hours

c. 160-170C, 3-5 hours

d. 150-170C, 3-5 hours

a. 160-170C, 2-4 hours

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Sterilization method:

1) Uses ethylene oxide and beta-propiolactone.

2) Sterilization of plastic containers.

a. Moist heat sterilization

b. Dry heat sterilization

c. Gas sterilization

d. Membrane filtration

e. Ionizing radiation

c. Gas sterilization

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The following are used for gas streilization:

a. Ethylene oxide

b. Beta-propiolactone

c. Carbon monoxide

d. a and b

e. a and c

f. All

d. a and b:

Ethylene oxide

Beta-propiolactone

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Sterilization method:

Ideal for heat labile solutions.

a. Moist heat sterilization

b. Dry heat sterilization

c. Gas sterilization

d. Membrane filtration

e. Ionizing radiation

d. Membrane filtration

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Sterilization method:

1) Use gamma rays, cathode rays

2) Most ideal for workplace

a. Moist heat sterilization

b. Dry heat sterilization

c. Gas sterilization

d. Membrane filtration

e. Ionizing radiation

e. Ionizing radiation

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Sterilization method MOA:

Dry heat sterilization

a. Protein coagulation

b. Oxidation

c. Alkylation

d. Physical separation

e. DNA mutation

b. Oxidation

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Sterilization method MOA:

Membrane filtration

a. Protein coagulation

b. Oxidation

c. Alkylation

d. Physical separation

e. DNA mutation

d. Physical separation

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13

Sterilization method MOA:

Gas sterilization

a. Protein coagulation

b. Oxidation

c. Alkylation

d. Physical separation

e. DNA mutation

c. Alkylation

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14

Sterilization method MOA:

Moist heat sterilization

a. Protein coagulation

b. Oxidation

c. Alkylation

d. Physical separation

e. DNA mutation

a. Protein coagulation

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Sterilization method MOA:

Ionizing radiation

a. Protein coagulation

b. Oxidation

c. Alkylation

d. Physical separation

e. DNA mutation

e. DNA mutation

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16

Biological indicator for dry heat sterilization.

a. Bacillus geostearothermophilus

b. Bacillus subtilis

c. Bacillus pumilus

d. Brevudimonas diminuta

b. Bacillus subtilis

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Biological indicator for membrane filtration.

a. Bacillus geostearothermophilus

b. Bacillus subtilis

c. Bacillus pumilus

d. Brevudimonas diminuta

d. Brevudimonas diminuta

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Biological indicator for ionizing radiation.

a. Bacillus geostearothermophilus

b. Bacillus subtilis

c. Bacillus pumilus

d. Brevudimonas diminuta

c. Bacillus pumilus

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19

Biological indicator for moist heat sterilization.

a. Bacillus geostearothermophilus

b. Bacillus subtilis

c. Bacillus pumilus

d. Brevudimonas diminuta

a. Bacillus geostearothermophilus

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20

Depyrogenation is performed by heating in oven with the setting:

a. 180°C for 4 hours

b. 250°C for 45 minutes

c. 650°C for 1 minute

d. a and b

e. b and c

f. All

f. All:

180°C for 4 hours

250°C for 45 minutes

650°C for 1 minute

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21

Sterile production areas include

Clean room

Ante room

Buffer area

Compounding area

Aseptic filling area

Quarantine area

Finishing area

a. True

b. False

a. True

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Sterile production area:

Areas with reduced tendency of environmental contamination.

a. Clean room

b. Ante room

c. Buffer area

d. Compounding area

e. Aseptic filling area

f. Quarantine area

a. Clean room

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23

True about HEPA Filter except:

a. High Efficiency Particulate Air

b. Used to cleanse air

c. Remove 99.99% (high efficiency) air borne particles which are 0.3 um or larger.

d. Parts include blower, pre-filter, electrostatic precipitator

e. None

c. Remove 99.99% (high efficiency) air borne particles which are 0.3 um or larger:

It remove 99.97% NOT 99.99%

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HEPA filter remove 99.97% or air borne particles which are

a. 0.1 um or larger

b. 0.2 um or larger

c. 0.3 um or larger

d. 0.4 um or larger

c. 0.3 um or larger

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Parts of HEPA filter except:

a. Blower

b. Pre-filter

c. Electrostatic precipitator

d. None

d. None

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Quality control test to determine if HEPA filter is working.

a. Dioctylphthalate test

b. Aniline phthalate test

c. HC Emery 3004

d. a and b

e. a and c

f. All

e. a and c:

Dioctylphthalate test

HC Emery 3004

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Pressure of airflow that prevent entry of contaminated air into clean room.

a. Negative pressure airflow

b. Positive pressure airflow

c. Strong pressure airflow

d. Soft pressure airflow

b. Positive pressure airflow

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Sterile production area:

Area for personal cleaning such as changing clothes.

a. Clean room

b. Ante room

c. Buffer area

d. Compounding area

e. Aseptic filling area

f. Quarantine area

b. Ante room

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29

Ante room is Class

a. 100

b. 1,000

c. 100,000

d. 1,000,000

c. 100,000

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Ante room is Class 100,000 wherein there is not more than 100,000 particles with size > 0.5 um per cubic foot of air.

a. True

b. False

a. True

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Sterile production area:

Staging of supplies & equipment for manufacturing.

a. Clean room

b. Ante room

c. Buffer area

d. Compounding area

e. Aseptic filling area

f. Quarantine area

c. Buffer area

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Buffer area is Class

a. 100

b. 1,000

c. 10,000

d. 100,000

c. 10,000

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Buffer area is Class 10,000 wherein not more than 10,000 particles with size > 0.5 um per cubic foot of air.

a. True

b. False

a. True

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Sterile production area:

Contains laminar flow hood, biological safety cabinets, barrier isolutions.

a. Clean room

b. Ante room

c. Buffer area

d. Compounding area

e. Aseptic filling area

f. Quarantine area

d. Compounding area

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Compounding area is class:

a. 100

b. 1,000

c. 10,000

d. 100,000

a. 100

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Especially designed to create class 100 environment.

a. Laminar flow hood

b. HEPA filter

c. Biological safety

d. Barrier isolations

a. Laminar flow hood

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Compounding area is Class 100 and Grade A.

a. True

b. False

a. True

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Direction of air in laminar flow hood:

a. Horizontal

b. Vertical

c. Both

c. Both

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Biological safety cabinets has _____ flow hoods in which a portion of the HEPAfiltered air is recirculated a second time.

a. Horizontal

b. Vertical

c. Positive

d. Negative

b. Vertical

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Aseptic filling area is class:

a. 100

b. 1,000

c. 10,000

d. 100,000

a. 100

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Aseptic filling area is class 100 wherein not more than 100 particles with size > 0.5 um per cubic foot of air.

a. True

b. False

a. True

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42

Sterile pharmaceutical production

1- Filtration

2- Compounding

3- Cleaning

4- Sealing

5- Filling

a. 32154

b. 31254

c. 32145

d. 31254

a. 32154

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43

Compounding of sterile powders

a. Spray drying

b. Freeze drying or lyophilization

c. Air drying

d. a and b

e. b and c

f. All

d. a and b:

Spray drying

Freeze drying or lyophilization

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44

Sterile powder compounding mechanism:

a. Oxidation

b. Sublimation

c. Alkylation

d. Protein coagulation

b. Sublimation

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45

Filtration:

Removal of 2-3 um size particles.

a. Clarification

b. Cold filtration

a. Clarification

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46

Filtration:

Removal of 0.2-0.3 um size particles

a. Clarification

b. Cold filtration

b. Cold filtration

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47

Sterile product filling method:

Most common.

a. Volumetric filling

b. Pressure/Gravity filling

c. Net weight filling

a. Volumetric filling

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48

Sterile product filling method:

For sterile powders in vials.

a. Volumetric filling

b. Pressure/Gravity filling

c. Net weight filling

c. Net weight filling

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Sterile product filling method that is hand operated.

a. Gravity filling

b. Pressure filling

c. Vacuum filling

a. Gravity filling

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Sterile product filling method that is semiautomatic.

a. Gravity filling

b. Pressure filling

c. Vacuum filling

b. Pressure filling

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Sterile product filling method that is fully automated.

a. Gravity filling

b. Pressure filling

c. Vacuum filling

c. Vacuum filling

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52

Sealing method for ampules except:

a. Tip sealing

b. Bead sealing

c. Pull sealing

d. Siliconization and Halogenization

e. None

d. Siliconization and Halogenization

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Sealing method for vials.

a. Siliconization

b. Halogenization

c. Lyophilization

d. a and b

e. b and c

f. All

d. a and b

Siliconization

Halogenization

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Siliconization and Halogenaization:

a. Enables easy insertion of rubber closures onto vials.

b. Produce less friction during stoppering & sealing.

c. Both

d. None

c. Both

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55

Laminar flow enclosure:

a. These hoods provides a total sweep of the confined area, since the entire body of air moves with uniform velocity along lines originating through the HEPA filter, occupying the entire side of the parenteral area.

b. Provide circulation of clean, sterile air inside the hood.

c. Both

c. Both

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Vapor lamps used in sterile production areas

a. UV

b. Mercury

c. IR

d. a and b

e. b and c

f. All

d. a and b:

UV

Mercury

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UV/mercury vapor lamps are present in

a. Clean-up area

b. Aseptic area

c. Compounding area

d. a and b

e. b and c

f. All

f. All

Clean-up area

Aseptic area

Compounding area

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Environmental control method:

Collection of air sample into a measured volume of nutrient broth, in an impinger.

a. Air sampling techniques

b. Total sterility tests

c. Instrumental scanners

a. Air sampling techniques

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Broth is the source of microorganism food in which presence of microorganism is indicated by turbidity.

a. True

b. False

a. True

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Environmental control method:

Best indication of the efficiency of an aseptic filling process.

a. Air sampling techniques

b. Total sterility tests

c. Instrumental scanners

b. Total sterility tests

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61

Medium for total sterility test:

a. Fluid Thioglycollate Medium (FTM)

b. Trypticase soy broth (TSB)

c. Both

d. None

c. Both

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Environmental control method:

Measurement of light-scattered from particles passed through the optical system.

a. Air sampling techniques

b. Total sterility tests

c. Instrumental scanners

c. Instrumental scanners

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63

Filter type for sterilization:

Liberate alkaline substances, heavy metals, fibers.

a. Asbestos pads

b. Cellulose ester

c. Diatomaceous earth candles

d. Sintered glass candles/disc

e. Unglazed porcelain candles

a. Asbestos pads

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Filter type for sterilization:

Do not liberate any constituents.

a. Asbestos pads

b. Cellulose ester

c. Diatomaceous earth candles

d. Sintered glass candles/disc

e. Unglazed porcelain candles

b. Cellulose ester

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Filter type for sterilization:

Liberate alkaline substances, heavy metals, fractured atoms.

a. Asbestos pads

b. Cellulose ester

c. Diatomaceous earth candles

d. Sintered glass candles/disc

e. Unglazed porcelain candles

c. Diatomaceous earth candles

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Filter type for sterilization:

Liberate glass beads.

a. Asbestos pads

b. Cellulose ester

c. Diatomaceous earth candles

d. Sintered glass candles/disc

e. Unglazed porcelain candles

d. Sintered glass candles/disc

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Filter type for sterilization:

Liberate clay particles.

a. Asbestos pads

b. Cellulose ester

c. Diatomaceous earth candles

d. Sintered glass candles/disc

e. Unglazed porcelain candles

e. Unglazed porcelain candles

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Principal components of asbestos pads except:

a. Asbestos fibers

b. Wood cellulose

c. Cellulose acetate

d. None

c. Cellulose acetate

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Cellulose ester principal components

a. Cellulose acetate

b. Cellulose nitrate

c. Both

d. None

c. Both

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Diatomaceous earth candles include diatoms of

a. SiO2

b. Fe2O3

c. Both

d. None

c. Both

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Principal components of sintered glass candles:

a. Borosilicate glass

b. Soda lime

c. Cellulose acetate

d. Wood cellulose

a. Borosilicate glass

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Principal components of unglazed porcelain candles:

a. Clay

b. Silicon dioxide

c. Borosilicate glass

d. a and b

e. b and c

f. All

d. a and b:

Clay

Silicon dioxide

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Filter type for sterilization:

Adsorbs large charged ion and raises pH.

a. Asbestos pads

b. Cellulose ester

c. Diatomaceous earth candles

d. Sintered glass candles/disc

e. a and c

f. a and b

e. a and c:

Asbestos pad

Diatomaceous earth candles

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Filter type for sterilization:

Negligible effect on solutions.

a. Sintered glass candles/disc

b. Unglazed porcelain candles

c. Cellulose ester

d. a and b

e. b and c

f. All

d. a and b:

Sintered glass candles/disc

Unglazed porcelain candles

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Filter type for sterilization:

No effect on solutions.

a. Sintered glass candles/disc

b. Unglazed porcelain candles

c. Cellulose ester

d. a and b

e. b and c

f. All

c. Cellulose ester

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76

In ampules, withdrawal of the delivery tube should not allow the hanging drop from the tip.

a. True

b. False

a. True

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Filling machine for sterile products should be equipped with retraction device.

a. True

b. False

a. True

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Filling method for sterile solids such as antibiotics.

a. Gravity

b. Pressure pump filling machine

c. Vacuum filling machine

d. Auger or filling wheel

d. Auger or filling wheel

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Filling method for large volume parenteral.

a. Gravity

b. Pressure pump filling machine

c. Vacuum filling machine

d. Auger or filling wheel

b. Pressure pump filling machine

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Filling method for small volume.

a. Gravity

b. Pressure pump filling machine

c. Vacuum filling machine

d. Auger or filling wheel

c. Vacuum filling machine

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Type of ampule sealing:

Melting enough glass at the tip of the ampule neck, to form a bead and close the opening.

a. Tip/Bead sealing

b. Pull sealing

a. Tip/Bead sealing

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Tip/Bead sealing:

a. Rapid

b. Used high temperature gas-oxygen flame

c. Neck must be heated evenly on all sides

d. Used for sterile liquids filled in standard ampules

e. Stationary burners on opposite sides of the stationary ampules.

f. All

f. All

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Flame used in tip/bead sealing is ______ and tech grade oxygen at 10 to 20 psi.

a. Butane

b. Propane

c. Pentane

d. Hexane

b. Propane

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Flame used in tip/bead sealing is propane and tech grade oxygen at _____ psi.

a. 10 to 20

b. 5 to 10

c. 15 to 20

d. 10 to 15

a. 10 to 20

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Type of ampule sealing:

Heating the neck (below the tip) of the ampule, leaving enough of the tip for grasping with forceps or other mechanical pulling device.

a. Tip/Bead sealing

b. Pull sealing

b. Pull sealing

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In pull sealing, ampule is rotated in a single burner.

a. True

b. False

a. True

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Pull seal method is slower and seal less than tip seal method.

a. True

b. False

b. False:

Pull seal method is SLOWER, but SEALS MORE.

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Type of ampule sealing:

For sterile liquids filled in standard ampoules

a. Tip/Bead sealing

b. Pull sealing

a. Tip/Bead sealing

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Type of ampule sealing:

Can also be for sterile powders.

a. Tip/Bead sealing

b. Pull sealing

b. Pull sealing

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Type of ampule sealing:

Standard ampoules.

a. Tip/Bead sealing

b. Pull sealing

a. Tip/Bead sealing

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Type of ampule sealing:

Funnel-topped ampoules.

a. Tip/Bead sealing

b. Pull sealing

b. Pull sealing

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In filling of ampule, filling needle must not touch the sides/walls of the ampule.

a. True

b. False

a. True

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Fill range for ampule.

a. 1mL to 20mL

b. 2mL to 10mL

c. 3mL to 15mL

d. 5mL to 20mL

a. 1mL to 20mL

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Sealing of vials and bottles.

a. Closing the opening is through a rubber closure/stopper

b. The stopper must fit the container lip snug enough so that its elasticity will permit adjustment to slight irregularities in the container lip and neck.

c. Both

d. None

c. Both

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Halogenated and siliconized rubber closures produce less friction upon insertion.

a. True

b. False

a. True

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Produce less friction upon closure

a. Halogenated rubber closure

b. Siliconized rubber closure

c. Aluminum caps

d. a and b

e. b and c

d. a and c

d. a and b:

Halogenated rubber closure

Siliconized rubber closure

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Can lead to crimpling.

a. Halogenated rubber closure

b. Siliconized rubber closure

c. Aluminum caps

d. a and b

e. b and c

d. a and c

c. Aluminum caps

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98

Thermal method of parenteral product sterilization except:

a. Dry Heat Method

b. Moist Heat Method

c. Inspissation

d. Tyndallization

e. UV Irradiation

f. None

e. UV Irradiation

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99

Fractional method of sterilization of parenteral products.

a. Inspissation

b. Tyndallization

c. Both

d. None

c. Both

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100

Non-thermal method of parenteral product sterilization except:

a. UV Irradiation

b. Ionization

c. Radiation

d. Sterilization by Membrane Filtration

e. Surface disinfection

f. None

e. Surface disinfection

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