Sterile compounding procedures

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20 questions

Pharmacy Sterile and Nonsterile Compounding

# Sterile Compounding Procedures

Question 1 (5 points)

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Which chapters of the USP are applicable to nutritional supplements?

Question 1 options:

A) 

Chapters 2000 and later

B) 

Chapters 50 through 250

C) 

Chapters 1000 and later

D) 

Chapters 1500 through 1999


Question 2 (5 points)

 

When administering a TPN, the bag should be discarded how often?

Question 2 options:

A) 

After it finishes running

B) 

Within 12 hours

C) 

As ordered by the physician

D) 

Within 24 hours



Question 3 (5 points)

 

In which locations should sterile supplies be removed from their outer wrappings?

Question 3 options:

A) 

In the ante area

B) 

At the edge of the hood

C) 

In the buffer area

D) 

Six inches inside the hood



Question 4 (5 points)

 

Which of the following is responsible for creating the compounding record (CR) for each CSP?

Question 4 options:

A) 

Physician

B) 

Pharmacy Technician

C) 

Pharmacist

D) 

Compounder



Question 5 (5 points)

 

Which of the following microbial growth mediums would be used to sample for fungi bacterial growth in the sterile environment?

Question 5 options:

A) 

Bacteriological agar

B) 

Trypticase soy agar

C) 

Tryptone glucose extract agar

D) 

MacConkey agar



Question 6 (5 points)

 

When a nonsterile product is used in the preparation of a Category 2 CSP

Question 6 options:

A) 

the assigned BUD is 10 days when refrigerated.

B) 

the assigned BUD is 4 days at room temperature.

C) 

endotoxin testing must be performed.

D) 

sterility testing must be performed.



Question 7 (5 points)

 

500 mL of 20% Liposyn provides

Question 7 options:

A) 

1000 calories per day.

B) 

2000 calories per day.

C) 

1500 calories per day.

D) 

500 calories per day.



Question 8 (5 points)

 

This critical site must always be exposed to first air and swabbed with a sterile IPA pad.

Question 8 options:

A) 

Syringe tip

B) 

Bag port

C) 

Needle hub

D) 

Syringe plunger



Question 9 (5 points)

 

A ___ should be placed on a CSP to ensure it hasn’t been compromised during transport.

Question 9 options:

A) 

sterile cap

B) 

IV port seal

C) 

IV port cover

D) 

tamper-proof seal



Question 10 (5 points)

 

The temperature of the refrigerator used to store CSP must be checked ___ to ensure the stability of the CSP.

Question 10 options:

A) 

monthly

B) 

daily

C) 

hourly

D) 

weekly



Question 11 (5 points)

 

Growth media used for surface sampling must be inverted and placed in an incubator for ___ at 20° to 25° C followed by an additional 2 to 3 days at 30° to 35° C.

Question 11 options:

A) 

5 days

B) 

7 days

C) 

14 days

D) 

3 days



Question 12 (5 points)

 

Calculations a technician performs for the CSP should be located on the

Question 12 options:

A) 

master formulation record (MFR).

B) 

quality assurance (QA).

C) 

compounding record (CR).

D) 

standard operating procedure (SOP).



Question 13 (5 points)

 

In an ISO Class 8 environment, the air contains no more than ___ particles of 0.5 microns per cubic meter.

Question 13 options:

A) 

100,000

B) 

150,000

C) 

200,000

D) 

125,000



Question 14 (5 points)

 

In which environment should documentation of CSPs be performed?

Question 14 options:

A) 

ISO Class 5

B) 

ISO Class 9

C) 

ISO Class 7

D) 

ISO Class 8



Question 15 (5 points)

 

Surface sampling of the interior of a PEC in a SCA is required ___

Question 15 options:

A) 

quarterly.

B) 

annually.

C) 

every six months.

D) 

monthly.



Question 16 (5 points)

 

Certification of an ISO Class 5, 7, or 8 compounding environment includes

Question 16 options:

A) 

airflow testing, HEPA filter integrity testing, total particle counts, and smoke studies.

B) 

HEPA filter integrity testing, total particle counts, and smoke studies.

C) 

airflow testing, HEPA filter integrity testing, technician inspection, and smoke studies.

D) 

evacuation testing, HEPA filter integrity testing, total particle counts, and technician inspection.



Question 17 (5 points)

 

Before withdrawing fluid from a vial using a standard non-vented needle, which of the following should be done to prevent creating a vacuum in the vial?

Question 17 options:

A) 

Inject a volume of air that’s half of the amount of liquid withdrawn.

B) 

Nothing needs to be done beforehand; the fluid can be withdrawn without adding air.

C) 

Inject a volume of air equal to the amount of liquid being withdrawn.

D) 

Inject a volume of air greater than the amount of liquid being withdrawn.



Question 18 (5 points)

 

A technician is staging the final IV preparation. This is done for the pharmacist to _____ the admixture.

Question 18 options:

A) 

deliver

B) 

administer

C) 

dispose of

D) 

check



Question 19 (5 points)

 

___ is an example of a fat source used in parenteral solutions.

Question 19 options:

A) 

Normal saline

B) 

Liposyn

C) 

Dextrose

D) 

Aminosyn



Question 20 (5 points)

 

Visual inspection of the CSP should be performed ___ the final pharmacist check.

Question 20 options:

A) 

during

B) 

before

C) 

after

D) 

while

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