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What piece of garb is necessary for simple nonsterile compounding?
a. chemotherapy gloves
b. respiratory mask
c. disposable gloves
d. eye goggles
c. disposable gloves
What is the advantage of the Topi-CLICK to the delivery of topical creams?
a. prevents premature degradation
b. accuracy of dose
c. holds a 3-month supply of all creams
d. decreased skin reactions
b. accuracy of dose
The 2012 outbreak of fungal meningitis from epidural injections of a contaminated cortisone injection solution led to the
a. Drug Quality and Security Act.
b. National Institute for Occupational Safety and Health.
c. current good manufacturing practices.
d. USP Chapters <795>, <797>, and <800>.
a. Drug Quality and Security Act.
If compounding involves hazardous ingredients, compounding pharmacies must follow requirements established by
a. NIOSH.
b. the DEA.
c. OSHA & NIOSH.
d. the FDA.
c. OSHA & NIOSH.
After placing a weighing paper on a balance, what do you do?
a. Calibrate to zero point.
b. Add weights to the pan.
c. Add a small amount of chemical.
d. Put scale in locked position.
a. Calibrate to zero point.
What document should be created to go with a patient's prescription for a compounded medication to provide all the information necessary to recreate an identical product for refills?
a. pharmaceutically elegant product log
b. master formulation record
c. active ingredient record
d. compounding record
d. compounding record
According to the CDC, what is the single most important practice for minimizing touch contamination and reducing transmission of infectious agents?
a. dedicated facility area
b. specialized equipment
c. handwashing
d. aseptic garb
c. handwashing
Holistic quality control methods for compounding pharmacies are outlined in the
a. USP<1163>.
b. Professional Compounding Centers of America.
c. USP<797>.
d. Compounder Rx.
a. USP<1163>
Besides the usual required patient labeling required on a prescription and the compounding date, what other information must be provided to the patient?
a. pharmacist counseling and educational materials
b. emergency phone number
c. master formulation record number
d. abbreviation of active ingredient
a. pharmacist counseling and educational materials
Which of the following can interfere or compromise the accuracy of a scale or balance when compounding?
a. light fixtures
b. air currents
c. non-shedding work surfaces
d. pharmaceutical ingredients
b. air currents
You receive a prescription to compound a hormone replacement therapy. The prescription reads E3/E2/E1, Disp: 120 g, Apply as directed. What is the percentage of each estrogen?
a. Estrone 50%, Estradiol 10%, Estriol 40%
b. Estrone 80%, Estradiol 10%, Estriol 10%
c. Estriol 80%, Estradiol 10%, Estrone 10%
d. Estrone 20%, Estradiol 20%, Estriol 60%
c. Estriol 80%, Estradiol 10%, Estrone 10%
You are going to create 30 g of an anti-itch cream with 4% lidocaine. How much cream base will be used?
a. 1.2 g
b. 18 g
c. 28.8 g
d. 12 g
c. 28.8 g
What should be referenced to address an emergency involving an active ingredient in the pharmacy?
a. USP-NF
b. PCCA website
c. Safety Data Sheet
d. EHR
c. Safety Data Sheet
What is the longest beyond use date any compounded drug could have?
a. 14 days
b. 30 days
c. 1 year
d. 6 months
d. 6 months
Which group is responsible for accrediting nonsterile and sterile compounding pharmacies?
a. Pharmacy Compounding Accrediting Board
b. International Academy of Compounding Pharmacists
c. The Joint Commission
d. Professional Compounding Centers of America
a. Pharmacy Compounding Accrediting Board
If you were to try and measure less than the least weighable quantity on a scale, what would be the result?
a. more weight than desired
b. lower percentage of error
c. lower deviation range
d. unacceptable margin of error
d. unacceptable margin of error
In order to create a shearing force when compounding an ointment or cream, you must
a. triturate the substance to a fine powder.
b. add the powder in small amounts.
c. All of these choices are correct.
d. press the edge of the spatula against the ointment slab.
d. press the edge of the spatula against the ointment slab.
To blend two powders together, what method/s can be used?
a. comminution.
b. tumbling
c. sifting and tumbling.
d. sifting.
c. sifting and tumbling
Why does the law assume the risk to public health is low with nonsterile compounding?
a. Compounders follow current GMPs.
b. Compounders must adhere to new drug approval process.
c. Compounders are not involved in mass production.
d. Compounders are not covered by the FDA Modernization Act.
c. Compounders are not involved in mass production.
What is the advantage of the geometric dilution method of adding three dry ingredients to an ointment base?
a. It is easiest way to determine quantity of each ingredient.
b. It provides for accurate calibration of a pipette.
c. It further reduces the particle size of a solid.
d. It creates an even dispersion of drug in the base.
d. It creates an even dispersion of drug in the base.
Where are hazardous chemicals stored in the pharmacy?
a. in the compounding area
b. with non-hazardous agents in the refrigerator
c. separate from other drug inventory
d. with the pharmacy stock in alphabetical order
c. separate from other drug inventory
Which piece of sophisticated equipment used in a compounding pharmacy greatly reduces the particle size of ingredient powders used to compound a dermatological ointment or cream preparation?
a. autoclave
b. electronic balance
c. ointment mill
d. Reconstitube
c. ointment mill
Which of the following dosage forms will require an inactive ingredient such as tragacanth, acacia, or carboxymethylcellulose to prevent settling?
a. troches
b. solutions
c. suspensions
d. ointments
c. suspensions
When a compounding pharmacy makes an excess quantity of a compounded suppository that will be used in a short time period and is labeled with a lot number and beyond use date (BUD), this is called
a. anticipatory compounding.
b. manufacturing.
c. sterile compounding.
d. auxiliary compounding.
a. anticipatory compounding.
You want to apply for a pharmacy technician job at a compounding pharmacy that handles hazardous substances. You are a certified pharmacy technician, and you have taken courses in non-sterile and sterile compounding. What else do you need to qualify for the job?
a. Nothing, you will be trained on the job.
b. accreditation with ACHC
c. hazardous substance handling training
d. calculations certification
c. hazardous substance handling training
Which compounding tool is used for triturating crystals, granules, and powders?
a. ointment slab
b. Erlenmeyer flask
c. hard rubber spatula
d. mortar and pestle
d. mortar and pestle
What is the name for the process of rubbing, grinding, or pulverizing a substance to a finer particle?
a. trituration
b. spatulation
c. sifting
d. tumbling
a. trituration
Clean up after each nonsterile product is compounded prevents the
a. air contamination.
b. ignitability.
c. contamination of sterile environment.
d. cross-contamination of ingredients.
d. cross-contamination of ingredients.
Another name for the recipe with the appropriate, delineated formula and instructions for compounding is the
a. procedure record.
b. master formulation record.
c. compounding record.
d. active pharmaceutical record.
b. master formulation record.
Much of the compounding done in a community pharmacy is considered extemporaneous compounding because it
a. occurs outside the pharmacy's normal operating hours.
b. occurs for a specific need of the moment for a particular patient.
c. requires aseptic technique to prepare parenteral products or ophthalmic preparations.
d. requires minimal special training or added skill.
b. occurs for a specific need of the moment for a particular patient.
Compounding pharmacies are overseen by
a. All of the choices are correct.
b. FDA.
c. USP.
d. state board of pharmacy.
a. All of the choices are correct.
With proper hand-washing technique, how long should you vigorously rub your hands together?
a. 15 seconds
b. 10 seconds
c. 30 seconds
d. 1 minute
c. 30 seconds
What powder size indicates a very coarse powder?
a. No. 20
b. No. 80
c. No. 40
d. No. 8
d. No. 8
If 125 mg of a material is desired, and 130 mg is the actual measurement, what is the percentage of error?
a. 15%
b. 20%
c. 5%
d. 4%
d. 4%
Calculate the beyond-use-date for a solution containing water in which the active ingredients have the following expiration date: Ingredient A 10/2025; Ingredient B 1/2020; and Ingredient C 3/2021.
a. 30 days from the date prepared
b. 6 months from the date prepared
c. 14 days from date prepared
d. 1 year from the date prepared
c. 14 days from date prepared
According to the UPS, what is the highest accepted percentage of error compared to the desired quantity in a weight or measurement?
a. ±12%
b. ±10%
c. ±1%
d. ±5%
d. ±5%
Where would you find a master recipe for a nonsterile compound product that your pharmacy has never made?
a. professional organizations
b. PCCA formularies
c. USP
d. All of the choices are correct.
d. All of the choices are correct.
What is placed on a balance to avoid contact between the ingredients and the balance pans?
a. weighing papers
b. aluminum disks
c. cotton cloth
d. counterbalance
a. weighing papers
When compounding with a controlled substance, you must account for the quantity used on the ___________ and deduct the amount from the pharmacy's inventory.
a. master formulation record
b. compounding log
c. invoice
d. percentage error log
b. compounding log
Weighing papers or boats should be put _______ prior to weighing on a Class III prescription balance.
a. on both pans
b. on the right pan
c. on the left pan
d. on neither pan
a. on both pans
If you want to work in a compounding pharmacy and want to complete a certification and laboratory training program, which organization presents workshops and labs?
a. American Pharmacists Association
b. United States Pharmacopoeial Convention
c. Pharmacy Technician Educators Council
d. Professional Compounding Centers of America
d. Professional Compounding Centers of America
What type of ingredients does the USP Chapter <795> specify must be used in compounding?
a. lowest cost source generic
b. cosmetic-chemical-grade
c. PCCA primary source
d. FDA registered pharmaceutical grade
d. FDA registered pharmaceutical grade
Why is it not recommended to use hot water, antibacterial soap, and scrub brushes in hand washing technique in the CDC guidelines?
Select one:
a.increased risk of skin irritation
b. removes good bacteria
c. lack of efficacy
d. risk of cross contamination
a. increased risk of skin irritation
What standards must a nonsterile compounding area meet?
a. high cleanliness and sufficient ventilation
b. high cleanliness
c. sufficient ventilation
d. shedding work surface
a. high cleanliness and sufficient ventilation
Which personnel protective gear is NOT required by OSHA or in USP Chapter <795> for nonhazardous nonsterile compounding?
a. long lab coat
b. disposable gloves
c. eye goggles
d. shoe covers
c. eye goggles
What is the purpose of USP Chapter <795>?
a. to recommend accredited pharmacies
b. to list accredited compounding schools and pharmacies
c. to identify quality standards for nonsterile compounding
d. to address standards for sterile compounding
c. to identify quality standards for nonsterile compounding
When is beyond-use dating determined?
a. at the time of dispensing
b. at the time of labeling
c. at the time of packaging
d. at the time of compounding
d. at the time of compounding
Which is the largest size of hard-shell capsules?
a. 0
b. 000
c. 5
d. 3
b. 000
What should a pharmacy technician possess to be able to do simple and moderate nonsterile compounding?
a. national certification as a pharmacy technician
b. understanding of pharmacy calculations
c. studied and practiced compounding skills
d. All of the choices are correct.
d. All of the choices are correct.
The definition of compounding is
a. the preparation of manufactured drug products for individual patient's medical needs.
b. the process in which bulk ingredients are used to prepare a prescribed medication for a specific patient.
c. the preparation of products available from a manufacturer in a needed form, dosage, or concentration.
d. the reconstitution, flavoring, or diluting of a manufactured product as directed in the package insert.
b. the process in which bulk ingredients are used to prepare a prescribed medication for a specific patient.
Mini-certifications and laboratory training in nonsterile compounding for both pharmacists and technicians are provided by the
a. PCCA.
b. FDA.
c. USP.
d. PCAB.
a. PCCA
The certification process for compounding pharmacies that comply with all national standards and the best industry practices in nonsterile and sterile compounding is administered by the
a. USP.
b. ACHC.
c. PCCA.
d. FDA.
b. ACHC
Pharmacies are allowed to compound more product than what is needed at that moment to have some on hand for refills or a similar need; this practice is called
a. extemporaneous compounding.
b. sterile compounding.
c. anticipatory compounding.
d. manufacturing.
c. anticipatory compounding.
The most accurate balance used in a compounding pharmacy is a(n)
a. counterbalance.
b. electronic digital balance.
c. Class III prescription balance.
d. Class A prescription balance.
b. electronic digital balance.
