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Questions and Answers
Weights for a class A balance should be handled with:
Weights for a class A balance should be handled with:
Which one of the following is not a reason for a pharmacy to repackage a bulk medication?
Which one of the following is not a reason for a pharmacy to repackage a bulk medication?
For continuity of measurement with a class A balance, the weights are always placed on the:
For continuity of measurement with a class A balance, the weights are always placed on the:
Which of the following dosage forms has the highest percentage of solid ingredients?
Which of the following dosage forms has the highest percentage of solid ingredients?
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On April 14, 2015, 1000 low-dose (81 mg) aspirin with a manufacturer's expiration date of December 2017 are unit dosed. What BUD should be assigned?
On April 14, 2015, 1000 low-dose (81 mg) aspirin with a manufacturer's expiration date of December 2017 are unit dosed. What BUD should be assigned?
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Which of the following is not a taste that may need to be masked in medicines?
Which of the following is not a taste that may need to be masked in medicines?
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Which of the following methods is not used to prepare suppositories?
Which of the following methods is not used to prepare suppositories?
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All of the following are used for mixing compounds except:
All of the following are used for mixing compounds except:
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Where could a pharmacy technician find a list of ingredients, preparation methods, safety requirements, BUD information, and references for compounding a product?
Where could a pharmacy technician find a list of ingredients, preparation methods, safety requirements, BUD information, and references for compounding a product?
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GMP means:
GMP means:
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The proper and accurate way to read a graduated cylinder is:
The proper and accurate way to read a graduated cylinder is:
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What should be done with pill trays that are used for guiding tablets into unit-dose containers after each use?
What should be done with pill trays that are used for guiding tablets into unit-dose containers after each use?
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Where does a technician log information concerning the contents of a particular product that has been compounded?
Where does a technician log information concerning the contents of a particular product that has been compounded?
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USP sets the standards for all of the following dosage forms except:
USP sets the standards for all of the following dosage forms except:
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Which of the following compounding additives maintains the dispersion of finely divided liquid droplets in a liquid vehicle made from two or more immiscible liquids?
Which of the following compounding additives maintains the dispersion of finely divided liquid droplets in a liquid vehicle made from two or more immiscible liquids?
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When combining two or more ingredients that have different melting points, the ingredients are:
When combining two or more ingredients that have different melting points, the ingredients are:
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Which one of the following is not necessary when manually repackaging?
Which one of the following is not necessary when manually repackaging?
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The water portion of saline solution is called the:
The water portion of saline solution is called the:
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The minimum weighable quantity for a class A balance is __ mg.
The minimum weighable quantity for a class A balance is __ mg.
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What type of compounding may be performed away from the specified compounding area?
What type of compounding may be performed away from the specified compounding area?
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Which of the following statements is(are) true regarding a class A balance?
Which of the following statements is(are) true regarding a class A balance?
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Which of the following is not an advantage of blister packing in long-term care facilities?
Which of the following is not an advantage of blister packing in long-term care facilities?
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What is the smallest volume that can be accurately measured with a 50-mL graduated cylinder?
What is the smallest volume that can be accurately measured with a 50-mL graduated cylinder?
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Which organization sets the standards for a nonsterile compounding area?
Which organization sets the standards for a nonsterile compounding area?
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Which of the following statements is(are) true concerning beyond-use dating of compounded nonsterile products?
Which of the following statements is(are) true concerning beyond-use dating of compounded nonsterile products?
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The punch method is:
The punch method is:
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Compounded gummy lozenges may include:
Compounded gummy lozenges may include:
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Which of the following ingredients is considered hydrophobic?
Which of the following ingredients is considered hydrophobic?
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Which of the following capsules is the largest?
Which of the following capsules is the largest?
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All of the following are GMPs for repackaging bulk medication except:
All of the following are GMPs for repackaging bulk medication except:
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All of the following are reasons to compound medications except:
All of the following are reasons to compound medications except:
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Compounding includes:
Compounding includes:
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Which of the following is not a reason the pharmacy repackages a bulk drug into unit dose?
Which of the following is not a reason the pharmacy repackages a bulk drug into unit dose?
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The dosage form normally repackaged in a pharmacy is the:
The dosage form normally repackaged in a pharmacy is the:
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The expiration date on a drug is 2/12: the drug expires on:
The expiration date on a drug is 2/12: the drug expires on:
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A factor that can affect the stability of a drug is:
A factor that can affect the stability of a drug is:
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The punch method is used to prepare:
The punch method is used to prepare:
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Good manufacturing practices do not include which of the following?
Good manufacturing practices do not include which of the following?
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Which of the following could be used as a base when preparing a compounding ointment?
Which of the following could be used as a base when preparing a compounding ointment?
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Which of the following is commonly used as an additive when compounding tablets?
Which of the following is commonly used as an additive when compounding tablets?
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Simple syrup is made on March 15, 2014, from the following products: Sucrose 85g Expires: November 2016, Purified water qs 100mL. What would be the expiration date?
Simple syrup is made on March 15, 2014, from the following products: Sucrose 85g Expires: November 2016, Purified water qs 100mL. What would be the expiration date?
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Using the punch method, you prepare 100 acetaminophen 500 mg capsules on May 30, 2014, from the following products: Acetaminophen 500 mg tablets (Expires 10/14), Size 0 gelatin capsules (Expires 11/2015). What beyond-use date would you assign this compounded product?
Using the punch method, you prepare 100 acetaminophen 500 mg capsules on May 30, 2014, from the following products: Acetaminophen 500 mg tablets (Expires 10/14), Size 0 gelatin capsules (Expires 11/2015). What beyond-use date would you assign this compounded product?
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If a reconstitution is unavailable, what other compounding equipment would be appropriate to use for measuring the diluent?
If a reconstitution is unavailable, what other compounding equipment would be appropriate to use for measuring the diluent?
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The act of trituration is?
The act of trituration is?
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The tare button on the scale ____________ the weight of the item on the weighing pan.
The tare button on the scale ____________ the weight of the item on the weighing pan.
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The most appropriate way to mix a powder ingredient with a gel ingredient is to mix________
The most appropriate way to mix a powder ingredient with a gel ingredient is to mix________
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Why is it important to 'zero' or 'tare' the scale while the boat is on it, before weighing anything?
Why is it important to 'zero' or 'tare' the scale while the boat is on it, before weighing anything?
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Why is it important to be sure that all of your supplies are clean prior to performing compounding?
Why is it important to be sure that all of your supplies are clean prior to performing compounding?
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A lozenge is known as a ________
A lozenge is known as a ________
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A sugar substitute is best used for patients with what condition?
A sugar substitute is best used for patients with what condition?
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The concave surface of a liquid in a graduated cylinder is called the
The concave surface of a liquid in a graduated cylinder is called the
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Clear liquids in which drugs are completely dissolved are called:
Clear liquids in which drugs are completely dissolved are called:
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The hazards of using organic solvents are:
The hazards of using organic solvents are:
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A packet of external nutrition supplement diluted to what strength would yield the greatest volume?
A packet of external nutrition supplement diluted to what strength would yield the greatest volume?
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A master formula record should contain:
A master formula record should contain:
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What type of balance can weigh large quantities?
What type of balance can weigh large quantities?
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A thickening agent that gives some structure to a suspension is called
A thickening agent that gives some structure to a suspension is called
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The punch method is used to compound
The punch method is used to compound
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What piece of equipment is used to transfer solid ingredients to weighing pans?
What piece of equipment is used to transfer solid ingredients to weighing pans?
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The device used to reduce the particle size of active ingredients is
The device used to reduce the particle size of active ingredients is
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Compounding rules are enforced by which agency within the state?
Compounding rules are enforced by which agency within the state?
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Study Notes
Handling of Weights
- Weights for a Class A balance should be handled with tweezers to ensure accuracy and prevent contamination.
Pharmacy Repackaging
- Repackaging is not primarily for technicians to learn drug names; it serves cost-efficiency, availability, and expedited patient care.
Class A Balance Usage
- Continuity in measurement on a Class A balance requires weights to be placed on both the right side and the weighing boat or paper.
Dosage Forms
- Pastes contain the highest percentage of solid ingredients compared to creams, ointments, and suspensions.
Beyond-Use Date (BUD)
- A final compounded product’s BUD must not exceed the manufacturer’s expiration date; for 81 mg aspirin made on April 14, 2015, the assigned BUD is April 14, 2016.
Taste Masking
- Sweetness does not typically require masking in pharmaceuticals, whereas bitter, salty, and sour tastes often do.
Suppository Preparation
- The punch method is not used to prepare suppositories; methods include hand-rolling, compression, and fusion-molding.
Mixing Compounds
- Cylindrical graduated cylinders are not used for mixing compounds; mortars and pestles, spatulas, and ointment slabs serve this purpose.
Compounding Resources
- A formulation record contains essential information for compounding, including ingredients, preparation methods, and safety data.
Good Manufacturing Practice (GMP)
- GMP stands for Good Manufacturing Practice, ensuring quality standards in drug manufacturing.
Reading Graduated Cylinders
- Measurements in a graduated cylinder should be taken at eye level for accuracy, focusing on the bottom of the meniscus.
Cleaning Procedures
- Pill trays used for unit-dose tablets must be cleaned with alcohol after each use to maintain hygiene.
Compounding Records
- Details about compounded products are logged in a compounding record, ensuring accountability and traceability.
USP Standards
- The United States Pharmacopeia (USP) sets standards for a variety of dosage forms, except popsicles.
Emulsifying Agents
- In compounding, emulsifying agents maintain dispersion in mixtures with immiscible liquids.
Melting Procedures
- When melting ingredients, start with the highest melting point to avoid degradation of lower melting components.
Personal Protection in Repackaging
- Laboratory coats and hand washing are necessary during repackaging; shoe covers are not essential.
Components of Saline Solution
- The water portion of saline solution is classified as the solvent.
Class A Balance Operations
- The minimum weighable quantity on a Class A balance is set at 120 mg.
Reconstitution Procedures
- The reconstitution of antibiotics should be performed away from specified compounding areas.
Class A Balance Characteristics
- Class A balances are required by state boards of pharmacy, utilizing special milligram and gram weights for precision.
Blister Packing Advantage
- Blister packing allows easier identification of missed doses, enhancing patient compliance; however, it's not necessarily more cost-effective.
Measurement Accuracy
- The smallest volume accurately measured by a 50-mL graduated cylinder is 10 mL.
Non-sterile Compounding Standards
- Standards for non-sterile compounding are set by the United States Pharmacopeia (USP).
Guidelines for Compounded Products
- Beyond-use dating mandates that the BUD cannot exceed the shortest expiration date of any component and typically does not exceed 6 months for non-sterile compounds.
Capsule Filling Methods
- The punch method is specifically designed for filling capsules with powdered medication.
Compounding Ingredients
- Compounded gummy lozenges can include a range of ingredients, such as glycerinated gelatin, fruit flavors, and medicinal drugs.
Hydrophobic Ingredients
- Petroleum jelly is classified as hydrophobic, commonly used in ointment bases.
Capsule Sizes
- The largest capsule size available is 000.
GMP Compliance
- Good Manufacturing Practices (GMP) for repackaging require equipment cleanliness and appropriate assignment of BUDs; technician checks are not mandatory.
Compounding Necessities
- Medications might be compounded for reasons such as the unavailability of commercial products, specialized dosing needs, or patient allergies.
Compounding Processes
- Compounding involves a range of actions including mixing, reconstituting, and packaging of medications.
Reasons Against Repackaging
- Easier counting is not a reason for repackaging; it serves logistical, economic, and pharmaceutical needs instead.
Common Repackaged Dosage Forms
- All forms, including tablets, capsules, and liquids, may be repackaged within pharmacies.
Drug Expiration Dates
- A drug labeled as expiring on 2/12 actually expires at the end of February 2012.
Stability Factors for Drugs
- Factors such as light, air, and temperature can significantly affect drug stability.
Measuring Diluents
- A graduated cylinder is appropriate for measuring diluents when a reconstitution tool is unavailable.
Triuration Process
- Triuration refers to grinding medication into a fine powder as part of the compounding process.
Tare Functionality
- Utilizing the tare button on a scale zeros out the weight of the container, allowing for accurate ingredient measurement.
Mixing Techniques
- Powder and gel ingredients should be mixed in small amounts to ensure uniformity.
Importance of Clean Supplies
- Clean supplies are essential for ensuring the safety and efficacy of compounded products.
Lozenge Definition
- A lozenge is also termed a "trouche" or "cough drop."
Sugar Substitutes
- Sugar substitutes are particularly useful for patients managing diabetes.
Meniscus Reading
- The meniscus is the curved surface of a liquid in a graduated cylinder, important for accurate volume measurement.
Clear Liquids in Medications
- Solvent refers to clear liquids in which drugs are fully dissolved.
Organic Solvent Hazards
- Organic solvents carry hazards mainly due to their flammability.
Nutritional Supplement Dilution
- Diluting a nutritional supplement to two-thirds strength yields the greatest volume.
Master Formula Record Components
- A master formula record must contain directions for compounding, lot number records, and preparer's initials.
Large Quantity Weighing
- A counterbalance is designed for weighing large quantities in a pharmacy setting.
Thickening Agents
- Suspending agents are thickening agents that provide structure within a suspension.
Equipment for Solid Ingredients
- A spatula is necessary for transferring solid ingredients to weighing pans.
Particle Size Reduction Device
- A homogenizer is used to reduce the particle size of active ingredients in pharmaceutical preparations.
Enforcing Compounding Rules
- Compounding rules are enforced by the state board of pharmacy to ensure compliance with legal and safety standards.
Studying That Suits You
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Test your knowledge with these flashcards focused on key concepts from Unit 4 of the Pharmacy Technician 2 course. Identify the correct handling of weights and reasons for repackaging medications. Perfect for review before your upcoming test!