Certified Ophthalmic Medical Technologist (COMT) Practice Exam

Which factors are crucial in transforming topical preparations into useful clinical products?

1. Cost and availability

2. Patient compliance and labeling

3. pH, tonicity, stability, sterility, viscosity

4. Color and packaging design

The correct answer is: pH, tonicity, stability, sterility, viscosity

The correct choice highlights essential physical and chemical properties that directly impact the efficacy and safety of topical preparations. Factors such as pH, tonicity, stability, sterility, and viscosity are critical for ensuring that the product performs as intended when applied to the skin. For instance, pH affects the solubility and absorption of the drug; a formulation that is too acidic or too alkaline can irritate the skin or alter the drug's efficacy. Tonicity is also important, particularly for products applied to mucosal surfaces, as it influences comfort and absorption. Stability ensures that the active ingredients retain their potency over time, while sterility is crucial for preventing infections, particularly in products like ointments or creams intended for broken skin. Lastly, viscosity is important for the product's spreadability and how well it adheres to the skin, which can enhance both effectiveness and usability. Other options touch on important aspects but do not encompass the core scientific factors that fundamentally transform a topical preparation into a clinically useful product. Cost and availability are logistical considerations; patient compliance and labeling address usability and understanding but do not alter the formulation; while color and packaging design may improve marketability, they do not influence the actual clinical effectiveness of the product.