ExCPT Test ExCPT Dosage Forms and Routes of Administration 2

Question 1

Extended-release (ER) tablets should NEVER be crushed or chewed because:

Accepted Answer

Crushing destroys the release mechanism and can cause dose dumping

Answer

They taste bitter and will cause nausea

Answer

They must be refrigerated to remain effective

Answer

Crushing makes them harder to swallow

Question 2

A metered-dose inhaler (MDI) delivers medication via which route?

Accepted Answer

Inhalation (pulmonary)

Answer

Nasal

Answer

Sublingual

Answer

Transdermal

Question 3

Ophthalmic solutions are formulated to be isotonic primarily to:

Accepted Answer

Prevent irritation and discomfort to the eye

Answer

Increase the drug's shelf life

Answer

Enhance drug absorption into the cornea

Answer

Allow the solution to be sterilized

Question 4

The Z-track technique is used during which type of injection?

Accepted Answer

Intramuscular

Answer

Intravenous

Answer

Subcutaneous

Answer

Intradermal

Question 5

Which route of administration is used for tuberculin skin tests (TST)?

Accepted Answer

Intradermal

Answer

Subcutaneous

Answer

Intramuscular

Answer

Intravenous

Question 6

Suspensions must always be shaken before use because:

Accepted Answer

Drug particles settle to the bottom between doses

Answer

Shaking warms the product to body temperature

Answer

Shaking activates the preservatives in the formula

Answer

The drug degrades unless agitated regularly

Question 7

Which of the following is an example of a drug that bypasses first-pass hepatic metabolism?

Accepted Answer

A sublingual nitroglycerin tablet

Answer

An oral immediate-release tablet

Answer

An enteric-coated aspirin

Answer

An oral sustained-release capsule