What this quiz covers
This quiz focuses on Compounding Ingredient Quantities, giving you a quick way to practice the rules, question types, and explanations that matter most for NAPLEX.
A 30-year-old female is prescribed a compounded oral solution of potassium chloride at 10 mEq/15 mL. Prepare a total of 480 mL using purified water and a suitable sweetener q.s. ad 480 mL; the prescriber requests dye-free. If potassium chloride provides 1 mEq per 74.5 mg, using a balance and graduated cylinder, how many grams of potassium chloride are needed for the total batch?
NAPLEX Quiz
Practice Compounding Ingredient Quantities in NAPLEX with focused quiz questions that help you check what you know, review explanations, and build confidence with test-style prompts.
This quiz focuses on Compounding Ingredient Quantities, giving you a quick way to practice the rules, question types, and explanations that matter most for NAPLEX.
Try each quiz question before looking at the correct answer. Use the explanations to review missed ideas, then come back to similar questions until the pattern feels familiar.
A 30-year-old female is prescribed a compounded oral solution of potassium chloride at 10 mEq/15 mL. Prepare a total of 480 mL using purified water and a suitable sweetener q.s. ad 480 mL; the prescriber requests dye-free. If potassium chloride provides 1 mEq per 74.5 mg, using a balance and graduated cylinder, how many grams of potassium chloride are needed for the total batch?
Explanation: This question tests calculation involving milliequivalents (mEq) and unit conversions for electrolyte solutions. First, determine total mEq needed: (10 mEq/15 mL) × 480 mL = 320 mEq. Then convert to mass using the given conversion factor: 320 mEq × 74.5 mg/mEq = 23,840 mg = 23.84 g. The correct answer C (23.84 g) accurately represents this calculation. Option A (1.19 g) appears to calculate for 16 mEq instead of 320, option B (11.92 g) uses half the required amount, and option D (0.119 g) divides by 200. When working with mEq calculations, first determine total mEq needed, then use the substance-specific conversion factor. Always verify unit conversions and decimal placement in multi-step calculations.
A 45-year-old male requires a compounded topical menthol cream at 0.5% w/w for pruritus. Prepare 200 g total using a hypoallergenic cream base q.s. ad 200 g; avoid added fragrances. Using an electronic balance and ointment slab/spatula, what quantity of menthol (in grams) is needed for this formulation?
Explanation: This question assesses calculation of API for a low-concentration weight/weight (w/w) topical preparation. For 0.5% w/w in 200 g total: (0.5 g/100 g) × 200 g = 1 g. The correct answer B (1 g) represents this accurate calculation. Option A (0.1 g) divides by 10 suggesting 0.05% strength, option C (10 g) multiplies by 10 indicating 5% strength, and option D (5 g) suggests 2.5% strength. When working with fractional percentages, convert to decimal form (0.5% = 0.005) and multiply by total weight, or use the proportion method. Always double-check calculations for low-percentage preparations as small errors can significantly impact therapeutic effect.
A 7-year-old female (25 kg) needs an oral suspension of fluconazole 10 mg/mL, total volume 90 mL, to be dispensed in an amber bottle. You have fluconazole powder available and will QS with a vehicle. How many milligrams of fluconazole are required?
Explanation: This question assesses suspension totals. The key factor is 10 mg/mL × 90 mL = 900 mg of fluconazole. The correct answer, 900 mg, fits amber bottle. Choice A (90 mg) under by 10; choice C (9,000 mg) over by 10; choice D (450 mg) halves. Total mg = concentration × volume. Amber protects from light.
A 38-year-old female requires a compounded mouthwash: diphenhydramine 0.5% (w/v), total volume 300 mL, sugar-free. You will prepare from diphenhydramine HCl powder and purified water using a balance and graduated cylinder. How many grams of diphenhydramine HCl are needed?
Explanation: This question tests w/v for mouthwashes. The key factor is 0.5% w/v for 300 mL: (0.5/100) × 300 = 1.5 g of diphenhydramine HCl. The correct answer, 1.5 g, is sugar-free. Choice A (0.15 g) under by 10; choice C (15 g) over by 10; choice D (0.5 g) ignores volume. Grams = (percentage/100) × mL. Sugar-free aids diabetics.
A 70-year-old female needs a non-sterile oral suspension of gabapentin 50 mg/mL, total volume 180 mL, to be stored refrigerated in an amber bottle. You have gabapentin 300 mg capsules and will QS with a suitable vehicle. Using a mortar/pestle and graduated cylinder, how many grams of gabapentin are needed for the entire batch?
Explanation: This question assesses total active ingredient needs for oral suspensions from capsule contents. The key calculation is 50 mg/mL × 180 mL = 9,000 mg = 9 g of gabapentin. The correct answer, 9 g, accounts for the full batch volume accurately. Choice A (0.9 g) underestimates by a factor of 10; choice C (90 g) overestimates similarly; choice D (18 g) doubles the amount. Formula: concentration in mg/mL × volume in mL = total mg, then convert to grams if needed. Refrigerated storage enhances suspension stability.
A pediatric patient (4-year-old male, 16 kg) needs an oral suspension of amoxicillin at 50 mg/mL. You have amoxicillin powder and will compound a total volume of 150 mL using a suitable vehicle (e.g., Ora-Plus/Ora-Sweet) q.s. ad 150 mL; label to refrigerate. Using a graduated cylinder and mortar/pestle, how many grams of amoxicillin are needed to achieve the desired concentration?
Explanation: This question evaluates the calculation of API quantity for a weight/volume (mg/mL) oral suspension preparation. The calculation requires converting the desired concentration to total drug amount: 50 mg/mL × 150 mL = 7,500 mg = 7.5 g. The correct answer B (7.5 g) represents this accurate calculation. Option A (3.75 g) incorrectly uses half the volume (75 mL), option C (0.75 g) appears to be a decimal error dividing by 10, and option D (15 g) doubles the correct amount suggesting 100 mg/mL concentration. When preparing suspensions with specific mg/mL concentrations, multiply the concentration by the total volume and convert units appropriately. Always double-check unit conversions between mg and g (1 g = 1,000 mg) to avoid medication errors.
A 58-year-old male is prescribed compounded gabapentin capsules, 225 mg per capsule, because this strength is not commercially available. The prescription is for 90 capsules; each capsule will be filled with gabapentin powder and lactose monohydrate as the diluent. Using a capsule-filling machine and balance, how many grams of gabapentin are required for the batch (do not include any overage)?
Explanation: This question tests batch calculation for solid dosage form compounding, specifically capsules with a non-standard strength. The calculation involves multiplying the per-capsule dose by the total number of capsules: 225 mg × 90 capsules = 20,250 mg = 20.25 g. The correct answer B (20.25 g) accurately reflects this calculation. Option A (2.025 g) represents a decimal placement error (divided by 10), option C (202.5 g) multiplies by 10 suggesting a unit conversion error, and option D (0.2025 g) divides by 100. When compounding batches of capsules, calculate the total API needed by multiplying individual dose by quantity, then convert to appropriate weighing units. Always verify decimal placement when converting between mg and g to ensure accurate compounding.
A 3-year-old male (14 kg) requires an oral suspension of propranolol 4 mg/mL, total volume 75 mL. You have propranolol HCl powder available and will QS with a vehicle. Using a balance and graduated cylinder, how many milligrams of propranolol HCl are needed?
Explanation: This question assesses pediatric suspension calculations. The key factor is 4 mg/mL × 75 mL = 300 mg of propranolol HCl. The correct answer, 300 mg, matches the vehicle QS. Choice A (30 mg) under by 10; choice C (3,000 mg) over by 10; choice D (75 mg) quarters. Total mg = concentration × mL. Accurate measuring prevents dosing errors.
A dermatologist prescribes a topical cream for a 16-year-old female: clindamycin phosphate 1% (w/w) cream, total 45 g, in an oil-in-water base. You will weigh ingredients on an electronic balance. How many grams of clindamycin phosphate are required?
Explanation: This question tests w/w concentration for topical creams. The key factor is 1% w/w of 45 g: (1/100) × 45 g = 0.45 g of clindamycin phosphate. The correct answer, 0.45 g, ensures precise formulation in the oil-in-water base. Choice A (0.045 g) is too low by a factor of 10; choice C (4.5 g) too high by 10; choice D (45 g) assumes 100%. Use: (percentage/100) × total weight = grams active. Uniform mixing is key for topical efficacy.
A 6-year-old male (22 kg) is prescribed an oral suspension of amitriptyline 2 mg/mL, total volume 150 mL. You have amitriptyline 25 mg tablets available and will QS with a suspending vehicle. Using a mortar/pestle and graduated cylinder, how many milligrams of amitriptyline are needed for the batch?
Explanation: This question tests suspension calculations from tablets. The key factor is 2 mg/mL × 150 mL = 300 mg of amitriptyline. The correct answer, 300 mg, accounts for the full volume. Choice A (30 mg) under by 10; choice C (3,000 mg) over by 10; choice D (75 mg) quarters it. Formula: total mg = concentration × volume. Flavored vehicles mask taste for pediatrics.
A 62-year-old male needs compounded capsules because the required dose is not commercially available: levothyroxine 37.5 mcg per capsule, quantity 90 capsules. You will compound using levothyroxine powder and lactose as filler using a capsule machine. How many milligrams of levothyroxine are required to prepare the batch (ignore overage)?
Explanation: This question evaluates the total active ingredient calculation for compounded capsules with a specific dose per unit and batch quantity. The key calculation is 37.5 mcg/capsule × 90 capsules = 3,375 mcg, then 3,375 mcg ÷ 1,000 = 3.375 mg of levothyroxine. The correct answer, 3.375 mg, precisely accounts for the batch size without overage, maintaining dose accuracy. Choice A (0.3375 mg) underestimates by a factor of 10, likely a decimal error; choice C (33.75 mg) overestimates similarly; choice D (337.5 mg) multiplies by an extra factor of 10. A useful tip is to convert all units to milligrams early: total = (dose in mg) × quantity, where 37.5 mcg = 0.0375 mg, so 0.0375 × 90 = 3.375 mg. In capsule compounding, uniform filling prevents dose variability.
A 65-year-old male with lactose intolerance needs compounded capsules: omeprazole 10 mg per capsule, quantity 100, using a lactose-free filler. Using a capsule machine and omeprazole powder, how many grams of omeprazole are required (ignore overage)?
Explanation: This question assesses capsule batch totals with fillers. The key calculation is 10 mg/capsule × 100 = 1,000 mg = 1 g of omeprazole. The correct answer, 1 g, uses lactose-free filler. Choice A (0.1 g) under by 10; choice C (10 g) over by 10; choice D (100 g) by 100. Total = dose × quantity. Allergen-free fillers prevent reactions.
A 40-year-old male requires a compounded oral rinse: lidocaine 2% (w/v) solution, total volume 200 mL, alcohol-free. You will prepare from lidocaine HCl powder and purified water using a balance and graduated cylinder. How many grams of lidocaine HCl are needed?
Explanation: This question examines w/v calculations for oral rinses. The key factor is 2% w/v for 200 mL: (2/100) × 200 = 4 g of lidocaine HCl. The correct answer, 4 g, provides the alcohol-free solution accurately. Choice A (0.4 g) undercalculates by 10; choice B (2 g) halves the volume; choice D (20 g) overestimates by 5. Formula: grams = (percentage/100) × volume in mL. Alcohol-free bases improve patient tolerance.
A pediatric patient (2-year-old female, 12 kg) needs an oral suspension of metronidazole 25 mg/mL, total volume 100 mL. You have metronidazole benzoate powder available and will QS with a flavored vehicle. Using a balance and graduated cylinder, how many grams of metronidazole are needed?
Explanation: This question evaluates concentration calculations for pediatric oral suspensions. The key calculation is 25 mg/mL × 100 mL = 2,500 mg = 2.5 g of metronidazole. The correct answer, 2.5 g, matches the direct computation for the flavored vehicle. Choice A (0.25 g) underestimates by 10; choice C (25 g) overestimates by 10; choice D (250 g) by 100. Formula: total active = concentration × volume. Note potential need for equivalent adjustments if using salts like benzoate.
A 47-year-old male needs compounded capsules: baclofen 7.5 mg per capsule, quantity 120 capsules, because 7.5 mg strength is unavailable. You will use baclofen powder with a capsule-filling machine. How many grams of baclofen are required for the batch (ignore overage)?
Explanation: This question evaluates capsule batch for unavailable doses. The key calculation is 7.5 mg/capsule × 120 = 900 mg = 0.9 g of baclofen. The correct answer, 0.9 g, ignores overage. Choice A (0.09 g) under by 10; choice C (9 g) over by 10; choice D (90 g) by 100. Total = dose × quantity. Machines ensure uniformity.
A 28-year-old male with a peanut allergy needs a compounded topical ointment: salicylic acid 5% (w/w) in a peanut-free petrolatum base. Prepare 30 g total using an electronic balance and ointment slab. How many grams of salicylic acid are required?
Explanation: This question examines w/w percentage calculations for topical ointments with allergen considerations. The key calculation is 5% w/w of 30 g total: (5/100) × 30 g = 1.5 g of salicylic acid. The correct answer, 1.5 g, provides the exact amount for the peanut-free base, ensuring therapeutic concentration. Choice A (0.15 g) is a decimal error underestimation; choice C (3.0 g) doubles it incorrectly; choice D (15 g) treats it as 50% erroneously. Always apply: grams active = (percentage/100) × total weight. Selecting appropriate bases avoids sensitivities in compounding.
A pediatrician prescribes an oral suspension for a 4-year-old male (18 kg): clonidine 20 mcg/mL, total volume 120 mL. You have clonidine 0.1 mg tablets available; you will triturate tablets and QS with Ora-Plus/Ora-Sweet (1:1). Using a mortar/pestle and graduated cylinder, how many milligrams of clonidine are needed for this formulation?
Explanation: This question assesses the calculation of active ingredient quantity for an oral suspension based on concentration and total volume. The key factor is converting 20 mcg/mL to mg for the total 120 mL volume, requiring 20 mcg/mL × 120 mL = 2,400 mcg, then 2,400 mcg ÷ 1,000 = 2.4 mg. The correct answer, 2.4 mg, accurately reflects this conversion and multiplication, ensuring the pediatric dose is properly formulated. Choice A (0.24 mg) results from omitting the volume multiplication or incorrect unit conversion; choice C (24 mg) overestimates by a factor of 10, possibly confusing mcg with mg; choice D (12 mg) might halve the volume incorrectly. Always use the formula: concentration × total volume for total active amount, followed by unit conversion. Compounding suspensions requires careful trituration to ensure uniform distribution and stability.
A 45-year-old female requests a compounded topical cream: ketoconazole 2% (w/w) in a fragrance-free cream base. Prepare a total of 60 g and avoid propylene glycol due to sensitivity. Using an electronic balance and ointment slab, how many grams of ketoconazole are required to achieve the desired concentration?
Explanation: This question tests the concept of weight-in-weight (w/w) concentration in pharmaceutical compounding for topical creams. The key calculation involves determining the amount of active ingredient needed for a 2% w/w ketoconazole cream in a total of 60 g. The correct answer, 1.2 g, is calculated using the formula: (percentage/100) × total weight = (2/100) × 60 g = 1.2 g, ensuring the desired concentration is achieved accurately. Choice A (0.6 g) underestimates by using half the percentage or miscalculating the proportion, while choice C (12 g) overestimates by treating it as 20% instead of 2%; choice D (2.4 g) likely doubles the correct amount erroneously. A transferable tip is to always confirm units: percentage w/w means grams of solute per 100 grams of total mixture. In compounding, precise weighing on an electronic balance is crucial to maintain therapeutic efficacy and patient safety.
A 42-year-old male needs a compounded topical cream: metronidazole 0.75% (w/w), total 90 g, in a fragrance-free base. Using an electronic balance and ointment slab, how many grams of metronidazole are required?
Explanation: This question evaluates w/w for creams. The key calculation is 0.75% of 90 g: (0.75/100) × 90 = 0.675 g of metronidazole. The correct answer, 0.675 g, is fragrance-free. Choice B (6.75 g) over by 10; choice C (0.75 g) ignores total; choice D (67.5 g) by 100. Active = (percentage/100) × total weight. Slabs promote homogeneity.
A 50-year-old female requires compounded suppositories: hydrocortisone 25 mg per suppository, quantity 12. You will use hydrocortisone powder and a suppository mold; each suppository will have a final weight of 2 g. How many grams of hydrocortisone are needed for the entire batch (ignore overage)?
Explanation: This question evaluates suppository batch calculations. The key calculation is 25 mg/suppository × 12 = 300 mg = 0.3 g of hydrocortisone. The correct answer, 0.3 g, ignores overage as specified. Choice A (0.03 g) under by 10; choice C (3 g) over by 10; choice D (0.25 g) miscalculates dose. Total = dose × quantity, convert units. Molds ensure uniform suppositories.