MCQ Quiz: Session 2 Compounding

This compounding session builds on foundational skills by focusing on the preparation of solid and specialized non-sterile dosage forms. Mastering the techniques for creating capsules, powders, troches, and lollipops is essential for pharmacists to meet diverse patient needs. For PharmD students, this knowledge is critical for providing personalized care to patients who require alternative delivery systems, such as children or those with difficulty swallowing.

1. A primary objective of a lab session on compounding is the hands-on preparation of which of the following solid dosage forms?

  • Tablets
  • Capsules and Powder Packets
  • Suppositories
  • Transdermal patches


Answer: Capsules and Powder Packets


2. What is the most important counseling point for a patient prescribed a compounded troche for a sore throat?

  • Swallow the troche immediately with a full glass of water
  • Crush the troche and mix it with food before eating
  • Allow the troche to dissolve slowly in the mouth; do not chew or swallow it whole
  • Dissolve the troche in water and use it as a mouth rinse


Answer: Allow the troche to dissolve slowly in the mouth; do not chew or swallow it whole


3. When filling hard gelatin capsules by hand, the method of repeatedly pressing the open end of the capsule body into a powder bed is known as the:

  • Fusion method
  • Punch method
  • Wet granulation method
  • Levigation method


Answer: The punch method


4. A compounded lollipop is a unique dosage form particularly useful for delivering medication, such as a local anesthetic, to what patient population?

  • Geriatric patients with dementia
  • Veterinary patients
  • Pediatric patients
  • Athletes requiring systemic drugs


Answer: Pediatric patients


5. What is the primary purpose of packaging a drug as a divided powder in a powder packet?

  • To provide a single, large bulk dose of medication
  • To provide an individual, pre-measured dose of a powdered medication
  • To make the medication more difficult to take
  • To ensure the powder is sterile


Answer: To provide an individual, pre-measured dose of a powdered medication


6. In regard to hard gelatin capsule sizes, which statement is correct?

  • A size 5 capsule is larger than a size 0 capsule
  • A size 000 capsule is the smallest available size
  • A size 0 capsule is larger than a size 1 capsule
  • All capsule sizes hold the same amount of powder


Answer: A size 0 capsule is larger than a size 1 capsule


7. A gelling agent like a carbomer is used to provide the structure for which of these dosage forms prepared in a compounding lab?

  • Capsules
  • Gels
  • Powder packets
  • Hard troches


Answer: Gels


8. The preparation of a hard troche or lollipop involves which of the following techniques?

  • Heating a base (like sugar) to a high temperature and pouring it into a mold
  • Compressing a dry powder under high pressure
  • Using the punch method to fill a shell
  • Dispersing a solid in a non-melting fatty base


Answer: Heating a base (like sugar) and pouring it into a mold


9. What is a key quality control step after compounding a batch of capsules?

  • Verifying the final color against a chart
  • Performing weight variation analysis to ensure dose uniformity
  • Checking the pH of the powder
  • Ensuring all capsules have fingerprints on them


Answer: Performing weight variation analysis to ensure dose uniformity


10. A diluent, such as lactose, is often added to a capsule formulation when:

  • The dose of the active ingredient is too large to fit in the capsule
  • The dose of the active ingredient is very small and a bulking agent is needed
  • The active ingredient is a liquid
  • The patient is lactose intolerant


Answer: The dose of the active ingredient is very small and a bulking agent is needed


11. The “body” and “cap” are the two parts of which compounded dosage form?

  • A troche
  • A lollipop
  • A hard gelatin capsule
  • A powder packet


Answer: A hard gelatin capsule


12. A compounded troche provides a therapeutic advantage for drugs intended for:

  • Rapid passage into the stomach
  • Local action in the oral cavity or sublingual/buccal absorption
  • Reconstitution into a liquid
  • Application to the skin


Answer: Local action in the oral cavity or sublingual/buccal absorption


13. A PLO gel is a specialized dosage form often used for transdermal delivery. PLO stands for:

  • Polyethylene Lecithin Ointment
  • Poloxamer Lanolin Oil
  • Pluronic Lecithin Organogel
  • Powdered Liquid Ointment


Answer: Pluronic Lecithin Organogel


14. When compounding powder packets, the technique of __________ is critical for ensuring the active drug is evenly distributed.

  • levigation
  • trituration
  • geometric dilution
  • fusion


Answer: geometric dilution


15. A soft, chewable troche is often prepared using a base such as:

  • Sucrose and syrup
  • Polyethylene glycol (PEG)
  • Gelatin or a gummy-like substance
  • Hard wax


Answer: Gelatin or a gummy-like substance


16. One of the learning objectives of a compounding lab is to prepare various dosage forms. A troche is an example of what?

  • A parenteral product
  • A non-sterile solid dosage form
  • A sterile ophthalmic solution
  • An inhaled aerosol


Answer: A non-sterile solid dosage form


17. The primary reason for compounding different dosage forms like capsules and lollipops is to:

  • Meet the unique needs of individual patients
  • Make the most profitable products
  • Use up expired ingredients from the pharmacy
  • Avoid having to counsel the patient


Answer: Meet the unique needs of individual patients


18. What is a key counseling point for a patient using powder packets?

  • The proper way to open the packet and mix the powder with a suitable liquid or food
  • That the paper packet itself should be swallowed
  • That the powder should be inhaled
  • To store the packets in the bathroom medicine cabinet


Answer: The proper way to open the packet and mix the powder with a suitable liquid or food


19. A major source of error in capsule compounding that can lead to dose inaccuracy is:

  • Inconsistent packing when using the punch method
  • Using a capsule-filling machine
  • Choosing the correct capsule size
  • Cleaning the equipment before use


Answer: Inconsistent packing when using the punch method


20. A compounded gel for topical application offers the advantage of being:

  • Greasy and occlusive
  • Non-greasy and often having a cooling sensation
  • Difficult to spread
  • A solid dosage form


Answer: Non-greasy and often having a cooling sensation


21. Polyethylene glycol (PEG) is a common base used for making what type of troche?

  • Hard troches
  • Soft, melt-in-the-mouth troches
  • Chewable troches
  • Effervescent troches


Answer: Soft, melt-in-the-mouth troches


22. A pharmacist checks a newly compounded batch of capsules and notices they are sticky and have powder on the outside. This is a sign of:

  • Excellent compounding technique
  • Poor technique; the capsules should be clean and smooth
  • A properly formulated product
  • A desirable product characteristic


Answer: Poor technique; the capsules should be clean and smooth


23. Which of these dosage forms requires a mold for preparation?

  • Powder packets
  • Capsules filled by the punch method
  • Troches and lollipops
  • Topical gels


Answer: Troches and lollipops


24. The reading “Preparing for Compounding, Powders, Capsules, Others” is designed to provide what?

  • Foundational knowledge for a hands-on lab session
  • Information on sterile compounding exclusively
  • A history of pharmaceutical manufacturing
  • Legal advice on opening a pharmacy


Answer: Foundational knowledge for a hands-on lab session


25. A key difference between a troche and a lollipop is the:

  • Presence of a stick for handling
  • Use of a sugar base
  • Route of administration
  • Need for a prescription


Answer: Presence of a stick for handling


26. A quality control failure in compounded powder packets would be:

  • Significant weight variation among the packets
  • Uniform color and texture
  • Each packet being correctly folded and labeled
  • Use of an appropriate diluent


Answer: Significant weight variation among the packets


27. What is the primary route of absorption for a drug in a buccal troche?

  • Gastric
  • Transdermal
  • Through the oral mucosa
  • Small intestine


Answer: Through the oral mucosa


28. The final step before dispensing any compounded capsule or powder packet is:

  • Performing accurate calculations
  • Selecting the correct ingredients
  • Visually inspecting and verifying the final product and its label
  • Heating the product in an oven


Answer: Visually inspecting and verifying the final product and its label


29. A gelling agent like HPMC (hydroxypropyl methylcellulose) is used to increase the ________ of a liquid to form a gel.

  • acidity
  • volume
  • viscosity
  • flavor


Answer: viscosity


30. Why is it important to know the “void space” or “dead space” in a capsule-filling machine?

  • To ensure the capsules are not completely filled
  • It is not an important factor
  • To account for it in calculations to ensure accurate dosing
  • To determine the color of the capsules


Answer: To account for it in calculations to ensure accurate dosing


31. The primary learning objective of a compounding lab session is to:

  • Develop proficiency in the manipulative skills required to prepare dosage forms
  • Memorize brand and generic drug names
  • Learn how to manage pharmacy finances
  • Practice patient counseling for commercial products


Answer: Develop proficiency in the manipulative skills required to prepare dosage forms


32. Which dosage form prepared in this session would be most suitable for a patient who needs a drug to act locally in the mouth?

  • Capsules
  • Powder packets
  • Troches or Lollipops
  • Gels for topical skin application


Answer: Troches or Lollipops


33. The use of a sieve in powder compounding is to:

  • Ensure a uniform particle size distribution
  • Weigh the powder accurately
  • Mix the powder with a liquid
  • Package the powder into papers


Answer: Ensure a uniform particle size distribution


34. A “glidant” or “lubricant” might be added to a powder mix before encapsulation to:

  • Improve the flowability of the powder
  • Add a specific flavor
  • Act as the primary active ingredient
  • Make the powder stick together


Answer: Improve the flowability of the powder


35. A prescription calls for “undivided” bulk powder. How would this be dispensed?

  • In individually wrapped powder packets
  • In a single container, from which the patient measures each dose
  • As a series of filled capsules
  • As a troche


Answer: In a single container, from which the patient measures each dose


36. The preparation of a lollipop requires heating a sugar base to the “hard crack” stage. This requires careful control of:

  • Time
  • Temperature
  • Pressure
  • Color


Answer: Temperature


37. When counseling on a compounded capsule, the pharmacist should inform the patient of its:

  • Specific ingredients, purpose, and beyond-use date
  • Commercial brand name equivalent
  • Universal availability at all pharmacies
  • Estimated street value


Answer: Specific ingredients, purpose, and beyond-use date


38. The hands-on preparation of dosage forms is a cornerstone of which course?

  • A Professional Practice Skills Lab
  • A pharmacy law course
  • A pharmacokinetics course
  • A literature evaluation course


Answer: A Professional Practice Skills Lab


39. A key reason for using a PEG (polyethylene glycol) base for a troche is that it:

  • Is hard and brittle like a hard candy
  • Is chewable and soft
  • Dissolves slowly and has a pleasant, non-bitter taste
  • Must be stored in the freezer


Answer: Dissolves slowly and has a pleasant, non-bitter taste


40. The main purpose of the “Preparing for Compounding” reading is to ensure that students:

  • Can pass a history exam
  • Understand the safety, documentation, and calculation steps necessary before starting a compound
  • Know how to bill insurance for compounded products
  • Can market their compounding services effectively


Answer: Understand the safety, documentation, and calculation steps necessary before starting a compound


41. Which of the following is NOT a solid dosage form?

  • Capsule
  • Powder Packet
  • Troche
  • Gel


Answer: Gel


42. The “punch” method is a manual technique used for filling:

  • Vials with liquids
  • Jars with creams
  • Capsules with powder
  • Molds with lollipops


Answer: Capsules with powder


43. A pharmacist is compounding a progesterone troche. The primary absorption route intended is likely:

  • Gastric
  • Transdermal
  • Buccal or sublingual
  • Small intestine


Answer: Buccal or sublingual


44. A compounding lab session that includes making capsules and powder packets focuses on the manipulation of what type of ingredient?

  • Sterile liquids
  • Dry powders
  • Melted waxes
  • Gaseous anesthetics


Answer: Dry powders


45. Before pouring a melted troche base into a mold, the mold should be:

  • Heated to the same temperature as the base
  • Cooled in a freezer to promote rapid solidification
  • Properly calibrated and may require light lubrication
  • Washed with a strong acid


Answer: Properly calibrated and may require light lubrication


46. Which factor is most critical for ensuring content uniformity in compounded capsules?

  • The color of the gelatin shell
  • Thorough and uniform mixing of the powder blend
  • The pharmacist’s handwriting on the label
  • The time of day the capsules are made


Answer: Thorough and uniform mixing of the powder blend


47. A “divided powder” is synonymous with a:

  • Bulk powder
  • Powder packet or powder paper
  • Tablet triturate
  • Effervescent powder


Answer: Powder packet or powder paper


48. Why is it important to wear a mask when compounding with fine powders?

  • To prevent accidental inhalation of the powder
  • To keep the pharmacist’s face warm
  • To muffle the sound of the equipment
  • It is not necessary if the powder is non-toxic


Answer: To prevent accidental inhalation of the powder


49. The skills learned in preparing various non-sterile dosage forms like troches and capsules are directly applicable to compounding for:

  • Intravenous therapy
  • Nuclear pharmacy
  • Pediatric and geriatric patients who have trouble swallowing pills
  • Commercial manufacturing


Answer: Pediatric and geriatric patients who have trouble swallowing pills


50. The successful completion of the Session 2 compounding lab demonstrates a student’s ability to:

  • Manage a pharmacy budget
  • Prepare and document a variety of solid and specialized non-sterile dosage forms according to standards
  • Counsel patients on injectable medications
  • Perform sterile aseptic technique


Answer: Prepare and document a variety of solid and specialized non-sterile dosage forms according to standards

Leave a Comment