P1 OSCE Calculations Exam at Chicago State University School of Pharmacy

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Free P1 OSCE Calculations Exam at Chicago State University School of Pharmacy Questions

1.

Syrup is an 85% w/v solution of sucrose in water. It has a density of 1.313 g/mL.
How many milliliters of water should be used to make 300 mL of syrup?
Round to the nearest tenth. Do not include units.

  • A 120.5
  • B 138.9
  • C 150.0
  • D 165.2

Explanation

Explanation
To find the amount of water needed, first determine the total mass of 300 mL of syrup:
300 mL × 1.313 g/mL = 393.9 g.
An 85% w/v syrup contains 85 g sucrose per 100 mL, so for 300 mL:
85 g × 3 = 255 g sucrose.
Subtract sucrose mass from total mass to find water mass:
393.9 g − 255 g = 138.9 g water.
Because water has a density of 1 g/mL, this equals 138.9 mL.
Correct Answer Is:
B. 138.9
2.

A patient has a 200 g tube of topical lidocaine with a concentration of 2%. If the patient is applying 2 g three times daily, what is the total daily dose of lidocaine in milligrams? Round to the nearest whole number. Do not include units.

  • A 80
  • B 100
  • C 120
  • D 150

Explanation

Explanation
A 2% w/w lidocaine preparation contains 2 g of lidocaine per 100 g of product, which equals 0.02 g per gram.
The patient applies 2 g per dose, and 2 g × 0.02 = 0.04 g lidocaine per dose.
Convert to milligrams: 0.04 g = 40 mg per dose.
Since the patient applies this three times daily:
40 mg × 3 = 120 mg per day.
Correct Answer Is:
C. 120
3.

A manufacturer wishes to prepare 3 L of sodium acetrizoate solution, 25.0% w/v. The specific gravity of this solution is 1.1.
How many milliliters of water will be required?
Round to the nearest whole number. Do not include units.

  • A 2200
  • B 2400
  • C 2550
  • D 2700

Explanation

Explanation
To prepare 3 liters (3000 mL) of a 25% w/v solution, calculate the amount of solute first:
25 g per 100 mL × 3000 mL = 750 g of solute.
Next determine the total mass of the final solution using specific gravity:
3000 mL × 1.1 g/mL = 3300 g total.
Subtract the solute mass from the total mass to determine required water:
3300 g − 750 g = 2550 g, which equals 2550 mL of water.
Correct Answer Is:
C. 2550
4. Three 100 mL vials of calcium chloride 10% are added to normal saline to prepare an IV solution. How many milliequivalents of calcium are contained in this solution? Round answer to the nearest tenth. (MW of CaCl2 = 111)

Explanation

Explanation
Correct Answer: 270.3
Step 1: Total volume of CaCl2 solution: 3 vials × 100 mL = 300 mL
Step 2: Grams of CaCl2 in 300 mL of 10% solution: 300 mL × 0.10 = 30 g = 30,000 mg
Step 3: CaCl2 dissociates providing Ca²⁺ (valence = 2): mEq = (mg × valence) ÷ MW mEq = (30,000 × 2) ÷ 111 = 540.5 mEq
Note: If asking specifically for calcium ion only (valence 2, atomic weight 40): 30,000 mg ÷ 111 × 2 = 540.5 mEq of calcium ✓
5. A patient weighing 165 lb is prescribed daptomycin 6 mg/kg IV once daily. The pharmacy has daptomycin 500 mg as a sterile powder, and the reconstitution instructions on the label say to add 10 mL of 0.9% sodium chloride (NS) to the vial to create a reconstituted solution containing daptomycin 50 mg/mL. How many milliliters of reconstituted drug need to be withdrawn from the vial to create the prescribed dose? Round answer to the nearest whole number. Do not include units.

Explanation

Explanation
Correct Answer: 9
Step 1: Convert weight: 165 ÷ 2.2 = 75 kg
Step 2: Calculate dose: 75 kg × 6 mg/kg = 450 mg
Step 3: Calculate volume: 450 mg ÷ 50 mg/mL = 9 mL
6. What is the concentration, in ratio strength, of a trituration made by combining 100 mg of ibuprofen and 2.5 grams of talcum powder? Use the format 1:XX

Explanation

Explanation
Correct Answer: 1:26
Total mixture = 100 mg + 2,500 mg = 2,600 mg 100 mg / 2,600 mg = 1/26 Ratio strength = 1:26
7. How many grams of hydrocortisone should be added to 2500 g of a 1% hydrocortisone cream to prepare a product containing 2.5% of hydrocortisone. Round answer to the nearest TENTH. Do not include units.

Explanation

Explanation
Correct Answer: 38.5
Step 1: Grams of hydrocortisone in original 2500 g of 1% cream: 2500 × 0.01 = 25 g
Step 2: Let x = grams of hydrocortisone to add. Final weight = 2500 + x Final concentration must be 2.5%: (25 + x) ÷ (2500 + x) = 0.025
Step 3: Solve for x: 25 + x = 0.025(2500 + x) 25 + x = 62.5 + 0.025x 0.975x = 37.5 x = 37.5 ÷ 0.975 = 38.5 g
8.

A solution contains 0.4% w/v of active ingredient.
How many kilograms of active ingredient are needed to prepare 800 L of solution?
Round answer to the nearest tenth. Do not include units.

  • A 1.6
  • B 2.4
  • C 3.2
  • D 4.0

Explanation

Explanation
A 0.4% w/v solution contains 0.4 g per 100 mL.
Convert 800 L to milliliters: 800 L = 800,000 mL.
Determine grams per milliliter: 0.4 g / 100 mL = 0.004 g/mL.
Multiply by total volume:
0.004 g/mL × 800,000 mL = 3200 g.
Convert to kilograms: 3200 g ÷ 1000 = 3.2 kg.
Correct Answer Is:
C. 3.2
9. How many milliosmoles of Na₂SO₄ (M.W. = 142) are represented in 200 mL of a 5% (w/v) sodium sulfate solution? Round to the nearest TENTH. Do not include units.

Explanation

Explanation
Correct Answer: 211.3
Step 1: Grams in 200 mL of 5% solution: 5 g/100 mL × 200 mL = 10 g
Step 2: Convert to millimoles: 10,000 mg ÷ 142 mg/mmol = 70.4 mmol
Step 3: Na₂SO₄ dissociates into 3 particles (2 Na⁺ + 1 SO₄²⁻): 70.4 mmol × 3 = 211.3 mOsmol
10. How many milliliters of a 5% solution of boric acid should be used in compounding the prescription?

Rx: Oxymetazoline Hydrochloride (E=0.20) — 0.5% Boric Acid Solution (E=0.52) — q.s. Purified Water ad — 15 mL Make isoton. Sol. Sig: For the nose, as decongestant. Round to the nearest hundredth. Do not include units.

Explanation

Explanation
Correct Answer: 4.33
Step 1: Calculate NaCl equivalents already contributed by oxymetazoline: 0.5% in 15 mL = 0.075 g × E(0.20) = 0.015 g NaCl equivalent
Step 2: NaCl needed for isotonicity in 15 mL: 15 mL × 0.9% = 0.135 g NaCl
Step 3: Remaining NaCl needed from boric acid: 0.135 − 0.015 = 0.12 g NaCl equivalent
Step 4: Grams of boric acid needed: 0.12 ÷ 0.52 = 0.2308 g boric acid
Step 5: Volume of 5% boric acid solution needed: 0.2308 g ÷ 0.05 g/mL = 4.62 mL

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