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What is the purpose of USP Chapter <795>?
a. to recommend accredited pharmacies
b. to identify quality standards for nonsterile compounding
c. to address standards for sterile compounding
d. to list accredited compounding schools and pharmacies
b. 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 compounding
d. at the time of packaging
c. at the time of compounding
A prescription for a pediatric patient calls for 60 ml of a diltiazem suspension at a concentration of 12 mg/ml. Diltiazem is available as 60 mg tablets. How many tablets are needed to compound this prescription?
a. 8
b. 10
c. 12
d. 14
c. 12
What is placed on a balance to avoid contact between the ingredients and the balance pans?
a. counterbalance
b. weighing papers
c. aluminum disks
d. cotton cloth
b. weighing papers
If 125 mg of a material is desired, and 130 mg is the actual measurement, what is the percentage of error?
a. 4%
b. 5%
c. 15%
d. 20%
a. 4%
A pharmacy technician is using the geometric dilution method. At what point is the most potent ingredient placed into the mortar?
a. at the middle of the compounding process
b. at equal stages of the compounding process
c. at the beginning of the compounding process
d. at the end of the compounding process
c. at the beginning of the compounding process
The definition of compounding is
a. 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.
c. the preparation of manufactured drug products for individual patient's medical needs.
d. the preparation of products available from a manufacturer in a needed form, dosage, or concentration.
b. the process in which bulk ingredients are used to prepare a prescribed medication for a specific patient.
When compounding a nonsterile drug for an animal,
a. the animal drug ingredients you use must be FDA approved.
b. the human drug ingredients you use must be FDA approved.
c. the ingredients you use do not have to be FDA approved
d. the animal and human drug ingredients you use must be FDA approved.
d. the animal and human drug ingredients you use must be FDA approved.
Which would NOT be an appropriate scenario for nonsterile compounding?
a. The drug is no longer available from a manufacturer.
b. The drug product is available from a manufacturer but is more affordable for the patient if compounded.
c. A patient has an allergy to the coloring dye in the manufactured product.
d. A child needs a dose considerably smaller than what is manufactured.
b. The drug product is available from a manufacturer but is more affordable for the patient if compounded.
If a pharmacy is specializing in compounding in bulk and selling it to other pharmacies or healthcare professionals, it must apply for a(n)
a. compounding license.
b. manufacturing license.
c. compounding exception.
d. NIOSH waiver
b. manufacturing license.
Compounding pharmacies are overseen by
a, FDA
b. USP
c. state board of pharmacy
d. all of the choices are correct
d. all of the choices are correct
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.
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. Pharmacy Technician Educators Council
b. Professional Compounding Centers of America
c. American Pharmacists Association
d. United States Pharmacopoeial Convention
b. Professional Compounding Centers of America
Where would you find a master recipe for a nonsterile compound product that your pharmacy has never made?
a. USP
b. PCCA formularies
c. professional organizations
d. All of the choices are correct.
d. All of the choices are correct.
What is the purpose of having a Policy and Procedure Manual outlining the necessary steps to compound a nonsterile compound?
a. maximize product quality and effectiveness
b. decrease risk of medication errors
c. minimize legal liability and ensure continued accreditation
d. All of the choices are correct.
d. All of the choices are correct.
What is the minimum percentage of alcohol that should be in a product used for hand hygiene?
a. 10%
b. 50%
c. 60%
d. 100%
c. 60%
Why is it not recommended to use hot water, antibacterial soap, and scrub brushes in hand washing technique in the CDC guidelines?
a. risk of cross contamination
b. lack of efficacy
c. increased risk of skin irritation
d. removes good bacteria
c. increased risk of skin irritation
Which personnel protective gear is NOT required by OSHA or in USP Chapter <795> for nonhazardous nonsterile compounding?
a. long lab coat
b. shoe covers
c. disposable gloves
d. eye goggles
d. eye goggles
With proper hand-washing technique, how long should you vigorously rub your hands together?
a. 10 seconds
b. 15 seconds
c. 30 seconds
d. 1 minute
c. 30 seconds
What standards must a nonsterile compounding area meet?
a. high cleanliness
b. shedding work surface
c. sufficient ventilation
d. high cleanliness and sufficient ventilation
d. high cleanliness and sufficient ventilation
Which large piece of equipment in the compounding area provides intense steam heat and pressure for chemical compounding processes and for the sterilizing of equipment and measuring vessels and devices?
a. convection oven
b. autoclave
c. hot plate
d. microwave
b. autoclave
Why are glass beakers and Erlenmeyer flasks considered nonvolumetric glassware?
a. They cannot be used for liquid dosage forms.
b. They cannot be sterilized in an autoclave after use.
c. Their shape and sparse markings prevent accurate measuring.
d. They are transparent.
c. Their shape and sparse markings prevent accurate measuring.
If the ingredient in the nonsterile compounded product confers pharmacological activity, it is called a(n)
a. added substance.
b. excipient.
c. vehicle.
d. active ingredient.
d. active ingredient.
What type of ingredients does the USP Chapter <795> specify must be used in compounding?
a. FDA registered pharmaceutical grade
b. cosmetic-chemical-grade
c. PCCA primary source
d. lowest cost source generic
a. FDA registered pharmaceutical grade
What section of the Safety Data Sheet would have information on treatment after accidental exposure to a chemical?
a. Composition/Ingredients
b. Exposure Controls/Personal Protection
c. First Aid Measures
d. Toxicological Information
c. First Aid Measures
When a technician is stocking chemicals/ingredients for compounding, where can you check for proper storage information?
a. product labeling
b. USP-NF Compendia
c. Safety Data Sheet
d. All of the choices are correct.
d. All of the choices are correct.
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
According to the UPS, what is the highest accepted percentage of error compared to the desired quantity in a weight or measurement?
a. ±1%
b. ±5%
c. ±10%
d. ±12%
b. ±5%
Calculate the percentage of error of your balance if you weighed 60 mg of powder on it and then double-checked the amount on a digital scale and found it weighed 72 mg?
a. 16.7%
b. 12 %
c. 20 %
d. 25 %
c. 20 %
What do you call the smallest amount of weight needed to move the measurement indicator on a balance one notch?
a. percentage of error
b. least weighable quantity
c. amount of error
d. sensitivity range
d. sensitivity range
What powder size indicates a very coarse powder?
a. No. 8
b. No. 20
c. No. 40
d. No. 80
a. No. 8
Weighing papers or boats should be put _______ prior to weighing on a Class III prescription balance.
a. on the left pan
b. on the right pan
c. on both pans
d. on neither pan
c. on both pans
Where do you read the volume of a graduated cylinder?
a. top of the meniscus
b. bottom of the meniscus
c. middle of the meniscus
d. depends on the liquid
b. bottom of the meniscus
Which compounded dosage form is created by mixing the ingredients, distributing the mixture in a special Teflon mold, and baking it in a convection oven?
a. pressed tablets
b. capsules
c. rapid-dissolving tablets
d. troches
c. rapid-dissolving tablets
Which is the largest size of hard-shell capsules?
a. 5
b. 3
c. 0
d. 000
d. 000
What is the name of a liquid suspension that is used topically on areas of the body where lubrication is desired?
a. cream
b. lotion
c. ointment
d. gel
b. lotion
What dosage form is made by melting the base, adding the active ingredients, and pouring the mixture into molds to set?
a. tablet
b. suppository
c. gel
d. troches
b. suppository
What type of container would be used for a cream that needs to be protected from UV light?
a. clear colored vial
b. amber colored vial
c. white ointment jar
d. clear needle-less syringe
c. white ointment jar
The percentage of how much drug is absorbed in its product form is defined as?
a. BUD
b. % of error
c. Bioavailability range
d. sensitivity
c. Bioavailability range
A _________ is an instrument used for grasping pharmaceutical weights.
a. forceps
b. Class III balance
c. tare
d. weigh boat
a. forceps
Before a compound is mixed, its stability needs to be assessed for patient use, this term is?
a. date of compounding
b. expiration
c. beyond use date
d. bioavailability
c. beyond use date
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
Why does the law assume the risk to public health is low with nonsterile compounding?
a. Compounders must adhere to new drug approval process.
b. Compounders follow current GMPs.
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.
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 beyod use date (BUD), this is called
a. anticipatory compounding.
b. manufacturing.
c. auxiliary compounding.
d. sterile compounding.
a. anticipatory compounding.
The 2012 outbreak of fungal meningitis from epidural injections of a contaminated cortisone injection solution led to the
a. National Institute for Occupational Safety and Health.
b. Drug Quality and Security Act.
c. current good manufacturing practices.
d. USP Chapters <795>, <797>, and <800>.
b. Drug Quality and Security Act.
If compounding involves hazardous ingredients, compounding pharmacies must follow requirements established by
a. OSHA & NIOSH.
b. the DEA.
c. NIOSH.
d. the FDA.
a. OSHA & NIOSH.
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. calculations certification
b. hazardous substance handling training
c. accreditation with ACHC
d. Nothing, you will be trained on the job.
b. hazardous substance handling training
Another name for the recipe with the appropriate, delineated formula and instructions for compounding is the
a. compounding record.
b. procedure record.
c. master formulation record.
d. active pharmaceutical record.
c. master formulation record.
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. compounding record
b. master formulation record
c. active ingredient record
d. pharmaceutically elegant product log
a. compounding record
According to the CDC, what is the single most important practice for minimizing touch contamination and reducing transmission of infectious agents?
a. aseptic garb
b. handwashing
c. dedicated facility area
d. specialized equipment
b. handwashing
What piece of garb is necessary for simple nonsterile compounding?
a. eye goggles
b. respiratory mask
c. disposable gloves
d. chemotherapy gloves
c. disposable gloves
Which of the following can interfere or compromise the accuracy of a scale or balance when compounding?
a. non-shedding work surfaces
b. light fixtures
c. air currents
d. pharmaceutical ingredients
c. air currents
Which compounding tool is used for triturating crystals, granules, and powders?
a. mortar and pestle
b. ointment slab
c. hard rubber spatula
d. Erlenmeyer flask
a. mortar and pestle
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
Where are hazardous chemicals stored in the pharmacy?
a. with the pharmacy stock in alphabetical order
b. with non-hazardous agents in the refrigerator
c. separate from other drug inventory
d. in the compounding area
c. separate from other drug inventory
If you were to try and measure less than the least weighable quantity on a scale, what would be the result?
a. lower percentage of error
b. unacceptable margin of error
c. lower deviation range
d. more weight than desired
b. unacceptable margin of error
After placing a weighing paper on a balance, what do you do?
a. Add weights to the pan.
b. Add a small amount of chemical.
c. Put scale in locked position.
d. Calibrate to zero point.
d. Calibrate to zero point.
What is the name for the process of rubbing, grinding, or pulverizing a substance to a finer particle?
a. sifting
b. trituration
c. tumbling
d. spatulation
b. trituration
To blend two powders together, what method/s can be used?
a. sifting.
b. tumbling
c. comminution.
d. sifting and tumbling.
d. sifting and tumbling.
Which of the following dosage forms will require an inactive ingredient such as tragacanth, acacia, or carboxymethylcellulose to prevent settling?
a. solutions
b. suspensions
c. ointments
d. troches
b. suspensions
In order to create a shearing force when compounding an ointment or cream, you must
a. add the powder in small amounts.
b. press the edge of the spatula against the ointment slab.
c. triturate the substance to a fine powder.
d. All of these choices are correct
b. press the edge of the spatula against the ointment slab.
What is the advantage of the geometric dilution method of adding three dry ingredients to an ointment base?
a. It creates an even dispersion of drug in the base.
b. It is easiest way to determine quantity of each ingredient.
c. It further reduces the particle size of a solid.
d. It provides for accurate calibration of a pipette.
a. It creates an even dispersion of drug in the base.
What is the advantage of the Topi-CLICK to the delivery of topical creams?
a. holds a 3-month supply of all creams
b. accuracy of dose
c. decreased skin reactions
d. prevents premature degradation
b. accuracy of dose
What is the longest beyond use date any compounded drug could have?
a. 14 days
b. 30 days
c. 6 months
d. 1 year
c. 6 months
Which group is responsible for accrediting nonsterile and sterile compounding pharmacies?
a. Professional Compounding Centers of America
b. Pharmacy Compounding Accrediting Board
c. The Joint Commission
d. International Academy of Compounding Pharmacists
b. Pharmacy Compounding Accrediting Board
Holistic quality control methods for compounding pharmacies are outlined in the
a. USP <797>.
b. USP <1163>.
c. Professional Compounding Centers of America.
d. Compounder Rx.
b. USP <1163>.
Clean up after each nonsterile product is compounded prevents the
a. cross-contamination of ingredients.
b. air contamination.
c. contamination of sterile environment.
d. ignitability.
a. cross-contamination of ingredients.
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. electronic balance
b. Reconstitube
c. ointment mill
d. autoclave
c. ointment mill
Besides the usual required patient labeling required on a prescription and the compounding date, what other information must be provided to the patient?
a. abbreviation of active ingredient
b. pharmacist counseling and educational materials
c. master formulation record number
d. emergency phone number
b. pharmacist counseling and educational materials