Chapter 3 Drug Forms

A film is a thin drug form about the size of a postage stamp that is given by the ________ route of administration. A) transbuccal B) topical C) sublingual D) A and C

A and C

Which of the following drug forms are inhaled? A) an anesthetic gas B) a transbuccal film C) amyl nitrite powder for cardiac pain D) A and C

A and C

What trade name drug used to treat severe pain comes in the drug form of a lozenge? A) Actiq lollipop B) Cepacol lozenge C) Alka-Seltzer D) MetroGel

Actiq lollipop

Briefly explain how a transdermal patch delivers a drug dose to the patient.

It's applied to the skin where it releases a small amount over a period of time. It exerts a systemic effect, not topical.

Which of the following drug trade names is NOT in the form of a bead, wafer, or device? A) Septopal B) Nexium C) Gliadel D) Mirena

Nexium

Your friend asks you if you can identify the name of the drug he is taking. He shows you a purple capsule with 3 gold bands around the end. You tell him that this is the drug ________. A) Fosamax B) Zantac C) Cialis D) Nexium

Nexium

Which of the following statements is NOT a description of one of the forms of solutions? A) The drug is in fat globules dispersed uniformly throughout a water base. B) The drug is in a thickened water base with added sugar and flavoring. C) The drug is fine, undissolved particles that settle to the bottom upon standing. D) The drug is in a water and alcohol base.

The drug is fine, undissolved particles that settle to the bottom upon standing.

Many over-the-counter drugs for pain are no longer manufactured in capsule form. Explain why.

Tylenol capsules were purposely contaminated with cyanide in the early 1980s, and people over the counter can pull apart the capsules and put it back together

Foams are ________. A) solutions that contain a drug in a water base B) expanded by tiny aerosol bubbles C) expelled from a container when they are used D) all of the above

all of the above

An _______ is a small, slender glass container with a main body and a narrow, indented neck, and an extended top.

ampule

The powdered form of a drug can be found in all of these, EXCEPT ________. A) a canister B) an ampule C) a capsule D) a vial

an ampule

Solutions in which the drug is dissolved in sterile water or saline ________. A) are effervescent tablets B) are injected into the blood or body tissues C) need to be shaken before using D) are inhaled

are injected into the blood or body tissues

Enteric-coated tablets ________. A) provide a slow release of the drug B) are made to dissolve in the stomach C) are made to dissolve in the small intestine D) are coated so they are easy to swallow

are made to dissolve in the small intestine

All of the following are drug forms, EXCEPT ________. A) pellets and beads B) wafers and films C) gases and T-shaped devices D) binders and fillers

binders and fillers

in written prescriptions, the world capsule is sometimes abbreviated as _______ or __________.

cap; caps

A _________ is a coated tablet in the form of an elongated capsule

capsule

Which drug form comes in two different varieties: a soft gelatin shell and a two-piece hard shell? A) capsule B) cream C) ointment D) tablet

capsule

cap

capsule

nexium

capsule

hydrocortisone

cream

A/an ______ tablet is one that is dissolved in a glass of water before being swallowed (e.g., Alka-Seltzer for a head cold).

effervescent

An ___________ is a solution that contains the drug in a water and alcohol base with added sugar and flavoring. It is commonly used for pediatric and elderly patients who cannot swallow tablets or capsules.

elixir

Which of the following is NOT a specialized type of tablet? A) caplet B) effervescent C) lozenge D) elixir

elixir

ecotrin

enteric-coated tablet

XL

extended length

ER

extended release

A lotion is a suspension of a drug in an oil base.

false

A vial can be used only once, and the unused drug must be discarded, because it contains no preservative.

false

An enteric-coated tablet is covered with a special coating that resists the alkaline environment of the stomach acid but dissolves in the acid environment of the small intestine.

false

Both ointments and creams are semisolid emulsions of oil and water. In ointments, the main ingredient is water; in creams, the main ingredient is oil.

false

Lotions are absorbed into the skin and exert a system effect on the body, and not just a localized effect

false

Regardless of what drug company manufactures a drug in tablet form, all tablets must be either round or oval shaped.

false

Specially formulated ointments and creams can both be applied topically to either the skin or the eyes

false

The drugs in transdermal patches are designed to have only a topical, local effect on the skin in that area.

false

The main purpose of a scored tablet is so that the tablet can be easily broken into pieces to produce an accurate, increased dose.

false

rogaine

foam

metrogel

gel

An emulsifying agent is added to the drug form of a cream ________. A) in order to keep the oil and water mixed together B) in order to create an new drug form of an ointment C) so that the cream can be used topically in the eye D) so that it will exert a systemic effect

in order to keep the oil and water mixed together

The powdered form of a drug can be administered in several different ways. Which of the following is NOT one of the routes of administration used for a powdered drug form? A) inhaled into the lungs B) inserted into a body cavity C) sprayed on skin D) sprinkled topically

inserted into a body cavity

LA

long acting

calamine

lotion

Some over-the-counter drugs come as a ________, a drug form that is never swallowed, but is allowed to slowly disintegrate into a liquid form that releases the drug topically in the mouth and throat.

lozenge

Solutions never need to be ________ because the drug concentration is the same in every part of the solution, even after prolonged standing. A) refrigerated B) injected C) mixed D) prescribed

mixed

kenalog

ointment

This drug form, a ______________, is a French word that means little lump of bread, and is another name for a troche.

pastille

muse

pellet, bead, or wafer

What type of tablet has an indented line running across it so that it can be easily broken into equal pieces? A) caplet B) enteric C) scored D) troche

scored

SR

slow release

A drug's trade name will often include abbreviations such as CR, LA, SR, or XL. These abbreviations indicate which type of tablet? A) caplets B) enteric C) slow-release D) troche

slow-release

Valproic acid (Depakote), a drug used to treat seizures, comes in a capsule form that is ________. A) swallowed B) crushed and the vapors inhaled C) placed under the tongue and allowed to dissolve D) sprinkled on applesauce and swallowed

sprinkled on applesauce and swallowed

A ____________ is composed of a solid base of glycerin or cocoa butter containing the drug. They are usually used rectally and vaginally, but they can be administered orally.

suppository

A solution containing fine, undissolved particles of a drug that settle to the bottom of the container is called a/an ________. A) suspension B) elixir C) spray D) liquid

suspension

Monica Thompson's antacid drug bottle has this printed on the label: "Shake Well Before Using." That is because this drug is a/an ________. A) suspension B) emulsion C) syrup D) troche

suspension

Which of the following is NOT a type of solution? A) mousse B) elixir C) foam D) suspension

suspension

maalox

suspension

Syrups are ________. A) sour and more viscous than elixirs B) sour and thinner than elixirs C) sweeter and more viscous than elixirs D) sweeter and thinner than elixirs

sweeter and more viscous than elixirs

Some over-the-counter drugs used to treat coughs are in the drug form of a/an ________ that coats the mucous membranes. A) elixir B) ampule C) syrup D) tincture

syrup

robitussin

syrup

All of the following relate to a drug being placed by mouth, EXCEPT ________. A) oral B) systemic C) transbuccal D) sublingual

systemic

in written prescriptions, the word tablet is sometimes abbreviated as ______ or ________.

tab; tabs

A solid drug form that contains the active drug (as a dried powder) plus inert ingredients to provide bulk is known as a/an ________. A) capsule B) ointment C) tablet D) emulsion

tablet

tab

tablet

When a tablet is scored across its top surface, that indicates ________. A) that it contains a narcotic drug B) the mark of a particular drug company C) that it contains a double-strength dose D) that it can be broken into two or more doses

that it can be broken into two or more doses

The word viscous is used to describe a liquid drug. The word viscous means ________. A) clear or transparent B) thick or nonwatery C) powdered D) watery or thin

thick or nonwatery

the viscosity of a drug form refers to its _________.

thickness

A __________ is a solution that contains the drug in a water and alcohol base but is never taken internally.

tincture

Transdermal patches are used for all of the following, EXCEPT ________. A) treat a vaginal yeast infection B) treat severe, chronic pain C) relieve the urge to smoke D) prevent angina attacks in patients with heart disease

treat a vaginal yeast infection

A _______________ is an oblong tablet that has a base of sugar and disintegrates into a paste to release the drug topically in the mouth.

troche/pastille

A dose of the ointment form of nitroglycerin is measured between ruler lines on a paper.

true

A powder is a finely ground form of a drug that can be found within capsules.

true

A scored tablet can be easily and accurately divided into equal doses, depending on the number of score marks on the tablet.

true

A transdermal patch consists of a drug reservoir, a porous membrane through which the drug can pass, and an adhesive layer to hold it to the skin.

true

Because it is easy to confuse different drugs, the Food and Drug Administration (FDA) advises patients who take more than one drug to be able to tell them apart by size, shape, color, imprint, or drug form.

true

Before a drug can receive final approval by the FDA, the drug company must clearly state in what form or forms the drug will be manufactured.

true

Both a foam and a mousse are expanded by tiny aerosol bubbles when they are expelled from the container.

true

Creams are absorbed into the skin and exert a local, not systemic, drug effect.

true

Gels are solutions that contain fine, undissolved particles dispersed uniformly throughout a thickened water base.

true

Intralipid intravenous fat solution is an example of an emulsion.

true

Ointments used in the eye must be specially formulated so that they do not cause irritation when applied to the eye.

true

Patients often take a drug out of its original packaging and then have to ask the pharmacist to identify the tablets or capsules for them.

true

Solutions don't ever need to be mixed or shaken, as the drug concentration is always the same in every part of the solution, even after prolonged standing.

true

Some drugs are ineffective if they are given in a particular drug form or they can seriously injure the patient if administered in the wrong drug form.

true

Suppositories can be given by the oral, vaginal, or rectal route.

true

Syrups are solutions that contain the drug in a thickened water base with added sugar and flavorings, but do not contain alcohol.

true

The drug form pastille is also known as a troche.

true

Suppositories are used to treat patients with ________. A) diarrhea B) eye infections C) heart disease D) vomiting

vomiting

The word aqueous means ________, while the word viscous means ________. A) topical; skin B) liquid; solid C) intravenous; oral D) watery; thick

watery; thick