MCQ Quiz: Suppositories

Suppositories are a specialized solid dosage form designed for drug delivery via various body orifices, providing either local or systemic effects. For B.Pharm students, understanding their formulation is key, as they offer a valuable alternative when the oral route is not feasible. This quiz covers the types of suppositories, the characteristics of different bases, methods of preparation, and essential calculations like displacement value, all vital for compounding and dispensing these unique preparations.


  1. Suppositories are solid dosage forms intended for insertion into:
    • The oral cavity
    • Body orifices
    • The bloodstream
    • Intramuscular tissue
    Answer: Body orifices
  2. The most common type of suppository base, Theobroma oil, is also known as:
    • Polyethylene Glycol
    • Glycerinated Gelatin
    • Cocoa Butter
    • Lanolin
    Answer: Cocoa Butter
  3. The “Displacement Value” of a drug is used to calculate the amount of:
    • Drug needed for the formulation
    • Suppository base that is displaced by the active drug
    • Water required for dissolution
    • Excipient needed for lubrication
    Answer: Suppository base that is displaced by the active drug
  4. Suppositories intended for vaginal administration are called:
    • Bougies
    • Pessaries
    • Inserts
    • Douches
    Answer: Pessaries
  5. Which of the following is an advantage of suppositories?
    • They can be used for patients who are unconscious or vomiting.
    • Absorption is always uniform and predictable.
    • They are preferred by most patients.
    • They are easy to self-administer.
    Answer: They can be used for patients who are unconscious or vomiting.
  6. Theobroma oil is an oleaginous base that exhibits polymorphism. What is polymorphism?
    • The ability to dissolve in both water and oil
    • The ability to exist in multiple crystalline forms with different melting points
    • The ability to absorb large amounts of water
    • The ability to resist microbial growth
    Answer: The ability to exist in multiple crystalline forms with different melting points
  7. The most common method for preparing suppositories on a large scale is:
    • Hand rolling and shaping
    • Compression
    • Fusion or molding
    • Solvent evaporation
    Answer: Fusion or molding
  8. Polyethylene Glycols (PEGs) are an example of which type of suppository base?
    • Oleaginous (fatty)
    • Water-soluble
    • Emulsifying
    • Natural gum
    Answer: Water-soluble
  9. Suppositories intended for insertion into the male urethra are called:
    • Pessaries
    • Inserts
    • Bougies
    • Enemas
    Answer: Bougies
  10. A major disadvantage of suppositories is:
    • Erratic and unpredictable absorption
    • A slow onset of action
    • They cannot provide a systemic effect
    • They are only for local effects
    Answer: Erratic and unpredictable absorption
  11. Glycerinated gelatin bases are most suitable for which type of suppository?
    • Rectal
    • Vaginal
    • Urethral
    • Nasal
    Answer: Vaginal
  12. If the displacement value of a drug is 2.0, it means that 2.0 g of the drug displaces:
    • 2.0 g of the suppository base
    • 0.5 g of the suppository base
    • 1.0 g of the suppository base
    • 4.0 g of the suppository base
    Answer: 1.0 g of the suppository base
  13. Why should Theobroma oil not be overheated during the fusion method?
    • It will lose its color.
    • It can convert to a metastable, lower-melting point form.
    • It will become too viscous.
    • It will decompose completely.
    Answer: It can convert to a a metastable, lower-melting point form.
  14. Which of the following is a water-soluble suppository base?
    • Cocoa butter
    • Witepsol
    • Fattibase
    • Polyethylene Glycol (PEG)
    Answer: Polyethylene Glycol (PEG)
  15. The test used to evaluate the mechanical strength of a suppository is the:
    • Melting range test
    • Disintegration test
    • Breaking test (Hardness test)
    • Dissolution test
    Answer: Breaking test (Hardness test)
  16. Which of the following is an advantage of using PEG bases over fatty bases?
    • They have a lower melting point.
    • They do not leak from the body orifice.
    • They are less irritating to mucous membranes.
    • They do not require a lubricant for the mold.
    Answer: They do not leak from the body orifice.
  17. The oldest method of suppository preparation, suitable for small-scale compounding, is:
    • Fusion molding
    • Compression
    • Hand rolling
    • Automatic molding
    Answer: Hand rolling
  18. A suppository is a type of ______ dosage form.
    • liquid
    • gaseous
    • semi-solid
    • solid
    Answer: solid
  19. If 12 suppositories containing 500mg of a drug each are to be made in a 2g mold, and the drug’s DV is 4, how much base is required?
    • 24 g
    • 18 g
    • 22.5 g
    • 20 g
    Answer: 22.5 g
  20. Which is a disadvantage of the glycerinated gelatin base?
    • It is hygroscopic, which can cause irritation.
    • It melts too quickly at room temperature.
    • It does not dissolve in body fluids.
    • It is an oily base.
    Answer: It is hygroscopic, which can cause irritation.
  21. Suppositories are evaluated for which of the following parameters?
    • Weight variation
    • Disintegration time
    • Melting point
    • All of the above
    Answer: All of the above
  22. The shape of a rectal suppository is typically:
    • Globular or oviform
    • Pencil-like
    • Torpedo or bullet-shaped
    • Flat and circular
    Answer: Torpedo or bullet-shaped
  23. The compression method of making suppositories is suitable for:
    • Thermolabile drugs
    • Water-soluble drugs
    • Drugs that are liquid at room temperature
    • All types of drugs
    Answer: Thermolabile drugs
  24. When using a fatty base like cocoa butter, the suppository releases the drug by:
    • Dissolving in body fluids
    • Melting at body temperature
    • Disintegrating
    • Evaporating
    Answer: Melting at body temperature
  25. The term “pessary” is another name for a ______ suppository.
    • rectal
    • vaginal
    • urethral
    • nasal
    Answer: vaginal
  26. Which of the following is a synthetic fatty base?
    • Theobroma oil
    • Witepsol
    • Glycerinated gelatin
    • PEG 1000
    Answer: Witepsol
  27. What is the primary reason for using suppositories?
    • To provide a pleasant taste
    • To achieve a rapid systemic effect
    • To deliver drugs when the oral route is unsuitable
    • For cosmetic purposes
    Answer: To deliver drugs when the oral route is unsuitable
  28. Lubrication of the suppository mold is necessary when using which type of base?
    • Theobroma oil
    • Witepsol
    • PEG
    • Glycerinated gelatin
    Answer: Glycerinated gelatin
  29. Displacement value calculations are NOT required for which preparation method?
    • Fusion with a calibrated mold
    • Hand rolling
    • Compression
    • Double casting
    Answer: Double casting
  30. A drug intended for a local effect when given as a suppository is:
    • A local anesthetic for hemorrhoids
    • An anti-pyretic for fever
    • An analgesic for pain
    • An anti-emetic for nausea
    Answer: A local anesthetic for hemorrhoids
  31. The ‘melting range test’ is a critical quality control parameter for suppositories made with:
    • Oleaginous bases
    • Water-soluble bases
    • Emulsifying bases
    • PEG bases
    Answer: Oleaginous bases
  32. The weight of an adult rectal suppository is typically:
    • 1 g
    • 2 g
    • 5 g
    • 10 g
    Answer: 2 g
  33. A disadvantage of hand rolling is that it:
    • Requires expensive equipment.
    • Is not elegant and requires considerable skill.
    • Can only be used for water-soluble drugs.
    • Overheats the drug.
    Answer: Is not elegant and requires considerable skill.
  34. When a water-soluble base like PEG is used, the drug is released by:
    • Melting at body temperature
    • Slowly dissolving in the body fluids
    • Being pushed out by gas formation
    • Flaking off the suppository surface
    Answer: Slowly dissolving in the body fluids
  35. The shape of a vaginal suppository is typically:
    • Torpedo
    • Bullet
    • Pencil-like
    • Globular or oviform
    Answer: Globular or oviform
  36. An ideal suppository base should:
    • Melt or dissolve at body temperature
    • Be non-toxic and non-irritating
    • Be stable on storage
    • All of the above
    Answer: All of the above
  37. The ‘double casting’ technique is used to:
    • Prepare suppositories without a mold.
    • Calibrate the suppository mold when the displacement value is unknown.
    • Prepare only urethral suppositories.
    • Make suppositories by hand.
    Answer: Calibrate the suppository mold when the displacement value is unknown.
  38. The ‘disintegration test’ for suppositories measures the time required for the suppository to:
    • Melt completely
    • Dissolve or disperse in the test medium
    • Release 50% of the drug
    • Break under pressure
    Answer: Dissolve or disperse in the test medium
  39. Which base is known for its incompatibility with many drugs, including aspirin and penicillin?
    • Cocoa butter
    • Polyethylene glycol (PEG)
    • Witepsol
    • Glycerinated gelatin
    Answer: Polyethylene glycol (PEG)
  40. Which is an advantage of bypassing the ‘first-pass effect’ with rectal suppositories?
    • The drug does not need to be absorbed.
    • A greater proportion of the drug reaches the systemic circulation unchanged.
    • The onset of action is always faster.
    • It allows for local action only.
    Answer: A greater proportion of the drug reaches the systemic circulation unchanged.
  41. The main ingredients of a glycerinated gelatin base are:
    • Glycerin, gelatin, and water
    • Glycerin, PEG, and cocoa butter
    • Gelatin, oil, and water
    • PEG, oil, and glycerin
    Answer: Glycerin, gelatin, and water
  42. The “liquefaction time” test is an evaluation parameter specifically for:
    • Rectal suppositories
    • Vaginal pessaries
    • Urethral bougies
    • All types of suppositories
    Answer: Rectal suppositories
  43. Which statement about suppositories is FALSE?
    • They can be used to deliver drugs for systemic effects.
    • They are a convenient route for all patients.
    • They can be used for drugs that are irritating to the stomach.
    • They avoid the harsh pH and enzymatic activity of the GI tract.
    Answer: They are a convenient route for all patients.
  44. The final step in the fusion method, after the melt has been poured into the molds, is:
    • Weighing
    • Wrapping
    • Cooling and congealing
    • Labeling
    Answer: Cooling and congealing
  45. Which is NOT a type of suppository base classification?
    • Oleaginous
    • Water-soluble
    • Emulsifying
    • Effervescent
    Answer: Effervescent
  46. What is the purpose of adding suspending agents to suppositories?
    • To help the suppository melt
    • To prevent the settling of insoluble drugs in the molten base
    • To make the base water-soluble
    • To lubricate the mold
    Answer: To prevent the settling of insoluble drugs in the molten base
  47. The weight of a urethral bougie is typically around:
    • 1-2 g
    • 2-4 g
    • 4-8 g
    • 8-10 g
    Answer: 2-4 g
  48. If a drug has a displacement value of 1.0, it means:
    • The drug occupies the same volume as an equal weight of the base.
    • The drug is twice as dense as the base.
    • The drug is half as dense as the base.
    • The drug does not displace any base.
    Answer: The drug occupies the same volume as an equal weight of the base.
  49. Which base is a mixture of different molecular weight polymers of ethylene oxide and water?
    • Cocoa butter
    • Witepsol
    • Glycero-gelatin
    • Polyethylene glycol
    Answer: Polyethylene glycol
  50. An important counseling point for a patient using a suppository with a glycerinated gelatin base is to:
    • Keep it refrigerated.
    • Moisten it with water before insertion.
    • Use it only at bedtime.
    • Cut it in half before use.
    Answer: Moisten it with water before insertion.

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