Pharmacy Compounding 5 — Questions and Answers
Question 1: Which emulsifying agent is an example of a cationic surfactant used in compounding?
- Sodium lauryl sulfate
- Benzalkonium chloride (Correct answer)
- Polysorbate 80 (Tween 80)
- Lecithin
Correct answer: Benzalkonium chloride
Benzalkonium chloride is a cationic (positively charged) quaternary ammonium surfactant also used for its antimicrobial properties.
Question 2: A compounded preparation is described as a 'W/O emulsion.' This means:
- Water is the dispersed phase and oil is the continuous phase (Correct answer)
- Oil is the dispersed phase and water is the continuous phase
- Water and oil are mixed without an emulsifier
- Water is supersaturated with an oil-soluble drug
Correct answer: Water is the dispersed phase and oil is the continuous phase
In a W/O (water-in-oil) emulsion, water droplets are dispersed within the oil continuous phase.
Question 3: Which pH range is generally considered most appropriate for a compounded ophthalmic preparation to minimize irritation?
- 3.0–5.0
- 5.0–6.5
- 6.5–7.5 (Correct answer)
- 8.0–9.5
Correct answer: 6.5–7.5
The tear film pH is approximately 7.4, so ophthalmic preparations are buffered to a pH of 6.5–7.5 to minimize irritation.
Question 4: A 503B outsourcing facility differs from a 503A compounding pharmacy primarily because 503B facilities:
- Only compound for veterinary use
- May compound without patient-specific prescriptions in larger quantities for office stock (Correct answer)
- Are exempt from all FDA inspections
- Cannot compound sterile preparations
Correct answer: May compound without patient-specific prescriptions in larger quantities for office stock
503B outsourcing facilities may produce larger batches for office stock without patient-specific prescriptions but must register with the FDA and follow CGMP standards.
Question 5: When compounding a transdermal gel using PLO (Pluronic Lecithin Organogel), the lecithin component serves primarily as:
- A preservative
- A penetration enhancer that increases skin permeation (Correct answer)
- A thickening agent
- An antioxidant
Correct answer: A penetration enhancer that increases skin permeation
Lecithin in PLO gels acts as a penetration enhancer by interacting with skin lipids to facilitate transdermal drug delivery.
Question 6: Which type of balance is required when weighing quantities less than 120 mg in a pharmacy compounding setting?
- Class A prescription balance
- Torsion balance
- Triple beam balance
- Electronic analytical balance (Correct answer)
Correct answer: Electronic analytical balance
An electronic analytical balance capable of measuring below 120 mg with appropriate sensitivity is required when quantities fall below the minimum weighable quantity of a Class A balance.
Question 7: Stability testing during compounding quality assurance most commonly evaluates which parameters? (Select the best answer)
- Color, odor, pH, and drug concentration over time (Correct answer)
- Only the appearance and smell
- Sterility and endotoxin levels only
- Container closure integrity only
Correct answer: Color, odor, pH, and drug concentration over time
Comprehensive stability testing evaluates physical (color, odor, appearance), chemical (pH, drug concentration), and microbiological parameters over the assigned BUD period.
Which emulsifying agent is an example of a cationic surfactant used in compounding?