Monophasic liquids – Elixirs MCQs With Answer introduces B. Pharm students to clear, sweetened, hydroalcoholic oral solutions used to enhance solubility, stability, and palatability of drugs. This concise overview covers elixir definition, composition (alcohol, water, sweeteners, cosolvents), formulation principles, preparation steps, and quality evaluation. Key concepts include hydroalcoholic solvent systems, cosolvents like propylene glycol and glycerin, flavoring agents, preservatives, pH control, clarity testing, and packaging. Students will explore differences between elixirs and syrups, pediatric considerations, dilution-induced precipitation, and storage requirements. Emphasis is placed on solubility enhancement, taste masking, stability optimization, and regulatory aspects relevant to pharmaceutics and dispensing. Now let’s test your knowledge with 30 MCQs on this topic.
Q1. An elixir is best defined as a:
- Suspension of insoluble drug particles in a sweetened aqueous vehicle
- Clear, sweetened hydroalcoholic solution intended for oral use
- Oil-in-water emulsion stabilized by surfactants
- Topical alcoholic tincture for external application
Correct Answer: Clear, sweetened hydroalcoholic solution intended for oral use
Q2. Which statement best differentiates elixirs from syrups?
- Elixirs have higher viscosity and no alcohol
- Elixirs contain significant alcohol and are less viscous than syrups
- Syrups are hydroalcoholic and less sweet than elixirs
- Both have identical solvent systems
Correct Answer: Elixirs contain significant alcohol and are less viscous than syrups
Q3. The typical alcohol content range found in elixirs is:
- 0–2% v/v
- 5–40% v/v
- 50–80% v/v
- 90–95% v/v
Correct Answer: 5–40% v/v
Q4. The primary function of alcohol in elixirs is to:
- Increase viscosity for better mouthfeel
- Act as a cosolvent to dissolve alcohol-soluble drugs and flavor oils and aid preservation
- Serve only as a preservative
- Neutralize bitter taste via chemical reaction
Correct Answer: Act as a cosolvent to dissolve alcohol-soluble drugs and flavor oils and aid preservation
Q5. To minimize precipitation during elixir preparation, the correct mixing order is to:
- Add alcoholic solution to aqueous solution rapidly
- Add aqueous solution slowly to alcoholic solution with constant stirring
- Heat both phases to boiling, then mix
- Add all components directly to the final container and shake
Correct Answer: Add aqueous solution slowly to alcoholic solution with constant stirring
Q6. Which pair is commonly used as cosolvents in elixirs?
- Liquid paraffin and polysorbate 20
- Propylene glycol and glycerin
- Mineral oil and sorbitan monooleate
- Starch paste and gelatin
Correct Answer: Propylene glycol and glycerin
Q7. Regarding preservation in elixirs, which is most accurate?
- Preservatives are always mandatory regardless of alcohol level
- Alcohol has no antimicrobial effect
- Preservatives are often unnecessary when alcohol ≥12–15% v/v
- Only natural preservatives are effective in elixirs
Correct Answer: Preservatives are often unnecessary when alcohol ≥12–15% v/v
Q8. Which parameter best indicates the clarity of an elixir during evaluation?
- Absence of turbidity on visual inspection
- High viscosity
- Strong color intensity
- Low pH
Correct Answer: Absence of turbidity on visual inspection
Q9. A key consideration for pediatric elixirs is:
- Alcohol content typically below 10% v/v with suitable flavors/sweeteners
- Use of maximum alcohol for solubility regardless of age
- Complete avoidance of sweeteners
- Use of strong bitter flavors to discourage overdose
Correct Answer: Alcohol content typically below 10% v/v with suitable flavors/sweeteners
Q10. Which statement about simple and aromatic elixirs is correct?
- Simple elixir is an emulsion; aromatic elixir is a suspension
- Aromatic elixir contains aromatic flavoring agents and serves as a vehicle
- Simple elixir contains no alcohol
- Both are intended only for external use
Correct Answer: Aromatic elixir contains aromatic flavoring agents and serves as a vehicle
Q11. Elixirs are preferred over syrups for poorly water-soluble APIs because:
- They eliminate the need for any sweetener
- Hydroalcoholic solvent enhances solubility of lipophilic drugs
- They are always alcohol-free
- They require no filtration
Correct Answer: Hydroalcoholic solvent enhances solubility of lipophilic drugs
Q12. For sugar-restricted patients, a suitable sweetening approach in elixirs is:
- High-sucrose only
- Use sorbitol or non-nutritive sweeteners like saccharin sodium
- Use lactose monohydrate alone
- No sweetener under any circumstance
Correct Answer: Use sorbitol or non-nutritive sweeteners like saccharin sodium
Q13. When an elixir is diluted with water, cloudiness may occur due to:
- Increase in buffer capacity
- Decrease in alcohol concentration causing precipitation of alcohol-soluble components
- Formation of micelles
- Evaporation of water only
Correct Answer: Decrease in alcohol concentration causing precipitation of alcohol-soluble components
Q14. In elixir manufacture, talc may be used to:
- Increase sweetness
- Act as an adsorbent to clarify by entrapping oils during filtration
- Reduce alcohol content
- Adjust pH
Correct Answer: Act as an adsorbent to clarify by entrapping oils during filtration
Q15. Appropriate packaging for elixirs typically includes:
- Wide-mouthed plastic jars without closures
- Tight, light-resistant containers with child-resistant closures
- Open beakers for ventilation
- Metal tins with screw caps
Correct Answer: Tight, light-resistant containers with child-resistant closures
Q16. Which auxiliary labeling is most appropriate for elixirs?
- Shake well before use
- For oral use; store tightly closed; protect from light as applicable
- For external use only
- Store in freezer
Correct Answer: For oral use; store tightly closed; protect from light as applicable
Q17. The usual pH range for many elixirs to maintain stability and palatability is:
- 1–2
- 3–5
- 4–7
- 8–10
Correct Answer: 4–7
Q18. The most suitable technique to quantify alcohol content in elixirs is:
- UV–Visible spectrophotometry
- Karl Fischer titration
- Gas chromatography
- Polarimetry
Correct Answer: Gas chromatography
Q19. A commonly referenced nonmedicated vehicle used for compounding elixirs is:
- Simple syrup
- Aromatic elixir
- Compound tragacanth mucilage
- Wheat starch solution
Correct Answer: Aromatic elixir
Q20. Elixirs can improve stability of hydrolysis-prone drugs primarily by:
- Increasing water activity
- Decreasing water activity via alcohol, reducing hydrolysis rate
- Raising pH to strongly alkaline
- Adding suspended solids
Correct Answer: Decreasing water activity via alcohol, reducing hydrolysis rate
Q21. Compared to syrups, elixirs generally contain less sucrose because:
- Sucrose cannot dissolve in alcohol
- Lower viscosity improves pourability and reduces precipitation risk
- Sucrose degrades all APIs
- Sweetness is unnecessary in elixirs
Correct Answer: Lower viscosity improves pourability and reduces precipitation risk
Q22. An appropriate antioxidant for elixirs containing flavor oils is:
- Butylated hydroxytoluene (BHT)
- Calcium carbonate
- Sodium chloride
- Acacia
Correct Answer: Butylated hydroxytoluene (BHT)
Q23. During compounding, precipitation occurs after mixing phases. The best corrective approach is to:
- Add more water to dissolve the precipitate
- Increase alcohol content or add a suitable cosolvent like propylene glycol, then refilter
- Heat to boiling for 10 minutes
- Add a suspending agent to keep particles dispersed
Correct Answer: Increase alcohol content or add a suitable cosolvent like propylene glycol, then refilter
Q24. The preferred device for accurate dosing of pediatric elixirs is a:
- Tablespoon
- Oral syringe with calibration
- Teacup
- Dropper without markings
Correct Answer: Oral syringe with calibration
Q25. Which statement about elixir stability during storage is true?
- High temperatures can increase alcohol evaporation and cause precipitation
- Light has no effect on flavor oils
- Elixirs cannot support microbial growth at any alcohol level
- Refrigeration always increases clarity
Correct Answer: High temperatures can increase alcohol evaporation and cause precipitation
Q26. Which excipient is generally unsuitable in elixirs due to poor solubility?
- Starch
- Propylene glycol
- Glycerin
- Sucrose
Correct Answer: Starch
Q27. Elixirs primarily enhance which organoleptic property of formulations?
- Colorfastness
- Palatability by masking bitterness with sweeteners and flavors
- Carbonation
- Opacity
Correct Answer: Palatability by masking bitterness with sweeteners and flavors
Q28. For high-potency APIs in elixirs, the best method to ensure content uniformity is to:
- Add the API directly to the final bulk and stir briefly
- Prepare a concentrated alcoholic solution of the API, then dilute to volume with vehicle
- Mix the API with starch before addition
- Heat the API dry before dissolving
Correct Answer: Prepare a concentrated alcoholic solution of the API, then dilute to volume with vehicle
Q29. The most suitable preservative for acidic elixirs around pH 4–5 is:
- Sodium benzoate
- Benzalkonium chloride at alkaline pH
- Chlorhexidine at neutral pH
- Calcium propionate
Correct Answer: Sodium benzoate
Q30. A notable disadvantage of elixirs is that they:
- Cannot dissolve lipophilic drugs
- Are unsuitable for patients avoiding alcohol and may have drug–alcohol interactions
- Always require refrigeration
- Are opaque and require shaking
Correct Answer: Are unsuitable for patients avoiding alcohol and may have drug–alcohol interactions

I am a Registered Pharmacist under the Pharmacy Act, 1948, and the founder of PharmacyFreak.com. I hold a Bachelor of Pharmacy degree from Rungta College of Pharmaceutical Science and Research. With a strong academic foundation and practical knowledge, I am committed to providing accurate, easy-to-understand content to support pharmacy students and professionals. My aim is to make complex pharmaceutical concepts accessible and useful for real-world application.
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