Pharmaceutics>Delivery System Selection Practice Test

Mr. R is a 48-year-old man ready to quit smoking (1.5 packs/day for 20 years). He works 12-hour shifts as a surgical tech and frequently cannot step away for dosing every 1-2 hours. He wears full dentures and reports jaw pain with chewing; past attempts with nicotine gum caused sore mouth and were inconvenient. He also tried lozenges but found constant sucking interfered with speaking at work. He has seasonal allergies with intermittent rhinitis but no chronic nasal disease. He prefers a simple, low-maintenance option that provides steady nicotine to minimize cravings and withdrawal. He denies dermatologic conditions and is comfortable with skin-based therapies.

A 30-year-old teacher with peanut allergy and prior anaphylaxis carries albuterol for asthma and cetirizine, but worries about accidental exposures at school and dining out. Her last reaction started with hives, lip swelling, and throat tightness within minutes. She lives 45 minutes from the nearest emergency department and wants a system she and her spouse can use quickly under stress. She dislikes needles and worries she might shake or faint during a reaction. She asks the pharmacist which product should be kept on hand and taught to school staff for immediate use if a severe allergic reaction occurs.