MCQ Quiz: Session 1 Compounding

Welcome to the foundational session of compounding, where theory meets practice. This first session focuses on the essential skills required to prepare non-sterile semisolid dosage forms, including creams, ointments, gels, and pastes. For PharmD students, mastering the proper techniques for creating these common dermatological preparations is a critical step. This quiz will test your understanding of the principles, procedures, and quality standards involved in compounding semisolids.

1. A key characteristic of a topical paste, as would be prepared in a compounding lab session, is what?

  • A completely liquid formulation
  • A high percentage of solids, making it stiff and protective
  • A clear, transparent appearance
  • A very low viscosity


Answer: A high percentage of solids, making it stiff and protective


2. Before beginning any compounding activity, what is the first critical step a pharmacist must take?

  • Begin mixing the ingredients immediately
  • Put on sterile gloves for a non-sterile compound
  • Prepare the prescription label
  • Review the Master Formulation Record and prepare a Compounding Record


Answer: Review the Master Formulation Record and prepare a Compounding Record


3. The compounding technique of “levigation” is used primarily to do what?

  • Reduce the particle size of a powder by triturating it with a small amount of liquid
  • Dissolve a solid completely into a solvent
  • Ensure a powder is evenly distributed in a capsule
  • Measure the volume of a liquid accurately


Answer: Reduce the particle size of a powder by triturating it with a small amount of liquid


4. A compounded topical preparation that is a semisolid emulsion and is generally opaque is likely a(n):

  • Topical solution
  • Paste
  • Gel
  • Cream


Answer: Cream


5. Which of the following is an example of a semisolid dosage form?

  • An oral tablet
  • A hard-shell capsule
  • A topical gel
  • An intravenous solution


Answer: A topical gel


6. Geometric dilution is a technique essential for:

  • Ensuring a small quantity of a potent drug is uniformly mixed into a large amount of diluent
  • Melting waxes and other stiffening agents
  • Determining the beyond-use date of a cream
  • Filtering particles out of a topical solution


Answer: Ensuring a small quantity of a potent drug is uniformly mixed into a large amount of diluent


7. A preparation described as a “semisolid system consisting of dispersions of small or large molecules in an aqueous liquid rendered jellylike” is a:

  • Paste
  • Gel
  • Cream
  • Topical Solution


Answer: Gel


8. What is the primary purpose of an ointment slab and spatula in compounding semisolids?

  • To heat the ingredients to a high temperature
  • To provide a smooth, non-absorbent surface for mixing and levigation
  • To measure the final weight of the preparation
  • To store the finished product for dispensing


Answer: To provide a smooth, non-absorbent surface for mixing and levigation


9. When preparing for a compounding session, what must be done with all equipment, such as a mortar and pestle?

  • It should be thoroughly cleaned and dried before use
  • It can be used if it appears visibly clean from the previous session
  • It should be rinsed with tap water only
  • It should be sterilized in an autoclave for non-sterile compounding


Answer: It should be thoroughly cleaned and dried before use


10. A compounded topical solution is a liquid preparation. What is a primary advantage of this dosage form?

  • It is highly occlusive and protective
  • It is easy to apply over large or hairy areas of the body
  • It has a very thick consistency
  • It remains on the skin for a very long time


Answer: It is easy to apply over large or hairy areas of the body


11. A “gritty” or “lumpy” texture in a final cream or ointment product is a sign of what?

  • Excellent compounding technique
  • Improper or incomplete mixing and levigation
  • The use of a high-quality base
  • The product has been correctly formulated


Answer: Improper or incomplete mixing and levigation


12. The first step in the technique of geometric dilution involves:

  • Mixing the ingredient present in the largest quantity with the ingredient in the smallest quantity
  • Combining all ingredients at once
  • Mixing the ingredient present in the smallest quantity with an approximately equal amount of the diluent
  • Adding the active ingredient last


Answer: Mixing the ingredient present in the smallest quantity with an approximately equal amount of the diluent


13. Which of the following is a key component of “preparing for compounding”?

  • Performing all necessary calculations and having them double-checked
  • Estimating the amount of ingredients needed
  • Using the first available container for dispensing
  • Writing the label after the product has been given to the patient


Answer: Performing all necessary calculations and having them double-checked


14. A topical preparation that is translucent, non-greasy, and dries to a thin film is most likely a:

  • Hydrocarbon-based ointment
  • Paste
  • Gel
  • W/O emulsion cream


Answer: Gel


15. A levigating agent should be __________ in the base into which the solid will be incorporated.

  • insoluble or immiscible
  • physically and chemically compatible
  • highly volatile
  • brightly colored


Answer: physically and chemically compatible


16. The laboratory session for compounding semisolids includes preparing creams. A cream is a type of:

  • Suspension
  • Solution
  • Emulsion
  • Powder


Answer: Emulsion


17. Mineral oil would be an appropriate levigating agent for incorporating a powder into which type of base?

  • A hydrocarbon base like petrolatum
  • A water-soluble base like PEG ointment
  • An aqueous gel
  • An oral syrup


Answer: A hydrocarbon base like petrolatum


18. What is the purpose of “spatulation” on an ointment slab?

  • To measure the ingredients
  • To mix and reduce the particle size of ingredients for a smooth preparation
  • To transfer the final product into a jar
  • To heat the ointment base


Answer: To mix and reduce the particle size of ingredients for a smooth preparation


19. Before dispensing any compounded preparation, the pharmacist must perform a final check. This includes verifying the:

  • Compounding Record against the Master Formulation Record
  • Appearance and quality of the final product
  • Accuracy of the label and calculations
  • All of the above


Answer: All of the above


**20. A key instructional component of a compounding lab is hands-on preparation of dosage forms like pastes and creams. This practical experience helps develop: **

  • A pharmacist’s patient counseling skills
  • A pharmacist’s skills in medication therapy management
  • A pharmacist’s manipulative skills and attention to detail
  • A pharmacist’s knowledge of sterile compounding


Answer: A pharmacist’s manipulative skills and attention to detail


21. A topical gel is formed using a polymer that swells in the presence of a liquid. This polymer is called a(n):

  • Emulsifying agent
  • Levigating agent
  • Gelling agent
  • Preservative


Answer: Gelling agent


22. Which dosage form is the most occlusive, generally inhibiting the loss of water from the skin?

  • Topical solution
  • Gel
  • Cream
  • Ointment


Answer: Ointment


23. The “Compounding Record” for a topical solution must document which of the following?

  • The specific lot numbers of the ingredients used
  • The temperature of the room during compounding
  • The name of the pharmacist who performed the final check
  • All of the above


Answer: All of the above


**24. In the lab session on semisolids, one of the goals is to produce a pharmaceutically elegant cream. This means the final product should be: **

  • Gritty and separated
  • Smooth, uniform, and free of contamination
  • The wrong color
  • In a poorly labeled container


Answer: Smooth, uniform, and free of contamination


25. A key difference between a topical solution and a topical cream is the:

  • Viscosity and vehicle type
  • Need for sterility
  • Route of administration
  • Presence of an active ingredient


Answer: Viscosity and vehicle type


26. Why is it important to wear gloves during a non-sterile compounding session?

  • To keep the compounder’s hands warm
  • To prevent contamination of the product and protect the compounder from drug exposure
  • To make it easier to handle glassware
  • It is not important for non-sterile compounding


Answer: To prevent contamination of the product and protect the compounder from drug exposure


27. An O/W (oil-in-water) cream is a semisolid dosage form where:

  • Water droplets are dispersed in a continuous oil phase
  • Oil droplets are dispersed in a continuous aqueous phase
  • The preparation contains no water
  • The preparation contains no oil


Answer: Oil droplets are dispersed in a continuous aqueous phase


28. What is an appropriate container for dispensing a compounded topical cream?

  • An amber prescription vial meant for tablets
  • An ointment jar or a tube
  • A paper envelope
  • A plastic ziplock bag


Answer: An ointment jar or a tube


29. The “fusion method” for preparing an ointment involves which of the following steps?

  • Gently heating the components to melt and mix them
  • Mixing all components at room temperature on an ointment slab
  • Using a mortar and pestle to grind powders
  • Dissolving the ingredients in a volatile solvent


Answer: Gently heating the components to melt and mix them


30. Which of the following is a critical part of preparing for a compounding lab session?

  • Arriving with no knowledge of the day’s procedures
  • Completing as much of the written compound record as possible before entering the lab
  • Bringing food and drink into the compounding area
  • Wearing open-toed shoes for comfort


Answer: Completing as much of the written compound record as possible before entering the lab


31. The primary purpose of an emulsifier in a cream is to:

  • Provide a therapeutic effect
  • Preserve the cream against microbial growth
  • Stabilize the oil and water phases and prevent them from separating
  • Thicken the cream into a paste


Answer: Stabilize the oil and water phases and prevent them from separating


32. A topical solution is a dosage form where the drug is completely ________ in the solvent.

  • suspended
  • emulsified
  • dissolved
  • precipitated


Answer: dissolved


33. An incomplete compounding record is considered a significant deviation from standards because it:

  • Saves time for the pharmacist
  • Prevents traceability and verification of the preparation process
  • Is preferred by state boards of pharmacy
  • Makes the final label look cleaner


Answer: Prevents traceability and verification of the preparation process


34. Which of these semisolids would be most appropriate for a weeping, oozing skin lesion?

  • A hydrocarbon-based ointment
  • A stiff, protective paste
  • A greasy W/O cream
  • A topical solution


Answer: A stiff, protective paste


35. A quality assurance deduction for a “preparation on lid, grooves, or outside of container” relates to the concept of:

  • Pharmaceutical elegance and accuracy of the dispensed quantity
  • The chemical stability of the drug
  • The beyond-use date
  • The therapeutic effect of the drug


Answer: Pharmaceutical elegance and accuracy of the dispensed quantity


36. A carbomer gel is an example of a(n):

  • Hydrocarbon base
  • Absorption base
  • Aqueous gel system
  • Anhydrous paste


Answer: Aqueous gel system


37. The reading assignment “Compounding Semisolids” is designed to prepare students for what?

  • A lecture on sterile compounding
  • A lab session focused on preparing dosage forms like creams and ointments
  • An exam on pharmacy law
  • A discussion about drug delivery systems for oral use


Answer: A lab session focused on preparing dosage forms like creams and ointments


38. The main difference between a paste and an ointment is the amount of ________ in the formulation.

  • water
  • oil
  • powder (solids)
  • preservative


Answer: powder (solids)


39. Leaving the workspace and equipment dirty after a compounding session can result in:

  • A bonus on your lab grade
  • Cross-contamination of future preparations
  • Praise from the lab instructor
  • No significant consequences


Answer: Cross-contamination of future preparations


40. A W/O (water-in-oil) cream would feel ________ on the skin compared to an O/W (oil-in-water) cream.

  • less greasy
  • more greasy and occlusive
  • lighter and faster drying
  • completely non-oily


Answer: more greasy and occlusive


41. The video lecture on “Preparing for Compounding, Session 1 Compounds” likely covers which topic?

  • Advanced sterile techniques for chemotherapy
  • The specific procedures for making pastes, creams, and gels
  • The history of compounding
  • The regulatory framework for outsourcing facilities


Answer: The specific procedures for making pastes, creams, and gels


42. A crucial counseling point for any topical compound is:

  • How to properly apply the preparation
  • The importance of not sharing the medication
  • The correct storage conditions and beyond-use date
  • All of the above


Answer: All of the above


43. A spatula is used in compounding semisolids for:

  • Transferring ingredients
  • Mixing on an ointment slab
  • Loading the final product into a jar or tube
  • All of the above


Answer: All of the above


44. Which of the following is a critical safety practice when preparing for any compounding activity?

  • Verifying the identity and purity of all ingredients
  • Using ingredients from unlabeled containers
  • Estimating weights instead of measuring them
  • Rushing through the calculation steps


Answer: Verifying the identity and purity of all ingredients


45. The lab session focuses on non-sterile dosage forms. Which of the following is an example of a non-sterile semisolid?

  • An intravenous bag of saline
  • An ophthalmic drop
  • A topical cream for a rash
  • A solution for injection


Answer: A topical cream for a rash


46. If a powder is soluble in the ointment base, what technique is not necessary?

  • Geometric dilution
  • Weighing the powder
  • Levigation
  • Stirring or mixing


Answer: Levigation


47. A primary reason to compound a topical solution instead of an ointment is for:

  • A patient who needs an occlusive barrier
  • Application to a very dry, scaly lesion
  • Application to the scalp where an ointment would be too greasy
  • A drug that is only stable in an oily vehicle


Answer: Application to the scalp where an ointment would be too greasy


48. The term “semisolid” implies that the dosage form:

  • Is a liquid with low viscosity
  • Is a dry powder
  • Has properties of both a solid and a liquid, allowing it to hold its shape but be easily spreadable
  • Is intended for injection


Answer: Has properties of both a solid and a liquid, allowing it to hold its shape but be easily spreadable


49. An important part of preparing for the compounding of semisolids is understanding the properties of:

  • Different ointment bases (hydrocarbon, absorption, etc.)
  • Sterile airflow patterns
  • The mechanism of action of antibiotics
  • The laws governing controlled substances


Answer: Different ointment bases (hydrocarbon, absorption, etc.)


50. The successful completion of a compounding lab session on semisolids demonstrates competence in:

  • Financial management of a pharmacy
  • Both the manipulative techniques and the documentation required by compounding standards
  • Prescribing medications for dermatological conditions
  • Administering intravenous medications


Answer: Both the manipulative techniques and the documentation required by compounding standards

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