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Naplex compounding exam questions and answers
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Naplex compoundingex of insoluble filelrs - ANS STARCH
CELLULOSE
MCC
calcium phosphate
magnesium stearate -most commonly used
Compounded preparations are - ANS Compounded preparations are not FDA-approved.
Compounding pharmacies are licensed or registered with which of the following? - ANS Compounding
pharmacies are licensed or registered by state boards of pharmacy, and states primarily oversee the
practice of compounding.
PCAB (Pharmacy Compounding Accreditation Board): This accreditation is voluntary.
What does a STERILE product refer to? Select ALL that apply. - ANS STERILE means that the product is
free from microbial contamination and other contaminants such as particles, crystals, and other foreign
matter.
Which of the following preparations MUST be sterile? Select ALL that apply. - ANS Injections (IV/ IM),
ophthalmic drops/ointments and bronchial/ nasal inhalations are required to be sterile. Oral
suspension/ solution, or topical creams /ointments and Otic preparations do not need to be sterile.
Ophthalmic (eye) needs to be sterile but otic products (ear) do not need to.
Answer: A, B, E
C is incorrect - Compounding is regulated by the state authorities.
,D is incorrect - Manufacturing is regulated by the FDA.
Compounding is the creation of a pharmaceutical preparation - a drug - by a licensed pharmacist to
meet the unique needs of an individual patient when commercially available drugs do not meet those
needs. A patient may not be able to take the commercially available drug, or a patient may require a
drug that is currently in shortage or discontinued.
These are a few examples of the ways a compounding pharmacist can customize medications:
- Adjust strength or dosage
- Flavor a medication, for example to make it more palatable for a child
- Reformulate the drug to exclude an unwanted, nonessential ingredient, such as gluten or a dye that a
patient is allergic to
- Change the form of the medication for patients who, for example, have difficulty swallowing or
experience stomach - ANS
Which of the following is the national standard for processing, testing and verification of compounded
STERILE preparations? - ANS USP standard is the national standard for the processing, testing and
verification of any compounded STEile preparations. It provides guidance on preventing microbial
contamination and other variances in compounded sterile products regardless of setting.
795
Which of the following is the national standard for the process of compounded NON-STERILE
preparations? - ANS USP provides similar guidance for NON-STERILE preparations that are compounded
in health care settings. It describes categories of compounding (simple, moderate, complex); defines
,terms such as beyond-use date and stability and provides criteria for compounding pharmacists to
follow in preparing various drug preparations.
795
ISO (International Organization for Standardization) indicates the number of particles per cubic meter by
a number. Which of the following classes is considered to have the cleanest air? - ANS ISO (International
Organization for Standardization) has different classes which indicate the number of particles allowed
per cubic meter; the lower the ISO class, the cleaner the air.
STERILE compounding is required to be done under a hood with a HEPA filter providing ISO class 5 air or
cleaner.
Which of the following Laminar Flow Hoods should be used when compounding Cisplatin? Select ALL
that apply. - ANS Biological safety class II cabinets use vertical flow and therefore are used for`
hazardous drugs like chemo agents. They are equipped with a special airflow that moves air VERTICALLY
and a glass shield on the front. Vertical flow is to protect the person preparing the medication. Any
chemo agent or any medication that causes bone marrow suppression should be compounded in a
vertical (class II cabinet).
Which of the following can be prepared under a horizontal laminar airflow workbench? Select ALL that
apply. - ANS Non-hazardous preparation such as antibiotics, TPN and IV electrolytes can be prepared
under a horizontal laminar airflow.
Chemo agents must be prepared under a vertical flow, biological safety class II cabinet.
What is an Ante room? - ANS Ante room is the room between the common pharmacy area and the
room where the hoods are placed (clean room). ISO Class 8 is required for an ante room.
If using iodine while making your compound, which of the following spatulas would you NOT use? - ANS
Stainless steel spatulas are NOT to be used when working with Iodine (chemical reaction).
, Which of the following is a "Cream"? - ANS Cream is opaque and usually non-greasy; however, because
it is an oil in water preparation, it can be slightly greasy. When rubbed into the skin, creams are mostly
absorbed.
- ANS Which of the following preparations are opaque? Select ALL that apply.
Answer: A, B
Creams and lotions are oil in water preparations. Gel is translucent and non-greasy (not an oil-in water
preparation). - ANS
- ANS
What is the difference between a solution and a suspension? Select ALL that apply - ANS A solution is
formed when two or more solids or liquids are combined together in a homogenous mixture: meaning
that the particles of the different solids or liquids are so small that you cannot tell them apart. The
particles in a suspension are larger or repel each other so that over time the solids and liquids separate
or settle out. This is why it is very important to shake most suspensions before using.
What is another name for a troche? - ANS Soft lozenges are easily compounded and can be colored and
flavored. They can be chewed or allowed to slowly dissolve in the mouth. They are typically made of
ingredients such as polyethylene glycol (PEG) 1000 or 1450, chocolate, or a sugar-acacia base. Because
of their soft texture, these lozenges can be hand rolled and then cut into pieces which contain the
correct amount of active ingredient.
What are some commonly compounded NON-STERILE compound forms? Select ALL that apply.
-otic dropa
lozenges
sus
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