Canadian Entry To Practice Canadian Entry To Practice Sterile Products 1 — Questions and Answers
Question 1: Which ISO class cleanroom is required for the preparation of sterile hazardous drugs in Canada?
- ISO Class 3
- ISO Class 5 (Correct answer)
- ISO Class 7
- ISO Class 8
Correct answer: ISO Class 5
ISO Class 5 (formerly Class 100) is required for the primary engineering control used to prepare sterile hazardous drugs.
Question 2: What is the primary purpose of a biological safety cabinet (BSC) when preparing hazardous sterile products?
- To maintain product sterility only
- To protect the product, operator, and environment (Correct answer)
- To speed up preparation time
- To reduce medication errors
Correct answer: To protect the product, operator, and environment
A BSC protects the product from contamination while also protecting the operator and the environment from hazardous drug exposure.
Question 3: According to NAPRA Model Standards, what is the beyond-use date (BUD) for a compounded sterile preparation stored at room temperature without sterility testing?
- 12 hours
- 24 hours (Correct answer)
- 48 hours
- 72 hours
Correct answer: 24 hours
Without sterility testing, compounded sterile preparations stored at room temperature have a maximum BUD of 24 hours under NAPRA standards.
Question 4: Which technique is used to check for particulate matter in a finished sterile preparation?
- Endotoxin testing
- Visual inspection under light (Correct answer)
- Osmolality testing
- pH measurement
Correct answer: Visual inspection under light
Visual inspection under adequate light against a contrasting background is the standard method for detecting particulate matter in sterile preparations.
Question 5: What type of filter is used to sterilize a solution that cannot withstand heat sterilization?
- HEPA filter
- 0.22-micron membrane filter (Correct answer)
- 0.45-micron depth filter
- Activated carbon filter
Correct answer: 0.22-micron membrane filter
A 0.22-micron (or smaller) membrane filter is used for terminal sterilization of heat-sensitive solutions through filtration.
Question 6: When performing hand hygiene before aseptic compounding, how long must the surgical scrub technique last?
- 30 seconds
- 1 minute
- 2–3 minutes (Correct answer)
- 5–6 minutes
Correct answer: 2–3 minutes
A 2–3 minute surgical scrub technique, including cleaning under fingernails, is required before garbing and entering the cleanroom.
Which ISO class cleanroom is required for the preparation of sterile hazardous drugs in Canada?