APC Intern Written Exam case studies
APC Intern Written Exam · Put your knowledge to work in context.
The APC Intern Written Exam is an assessment associated with the Australian Pharmacy Council (APC), the body whose website hosts the exam information pages and a candidate portal. This page is an independent study resource built for pharmacy interns and other candidates preparing for a written examination of this kind. The APC Intern Written Exam case studies are 5 cases and about 2,700 words.
1Warfarin and a New Antibiotic in an Elderly Patient
A 78-year-old woman (weight 52 kg, eGFR 48 mL/min/1.73 m2) has been stable on warfarin 4 mg daily for two years, with INRs between 2.2 and 2.9. She presents to her GP with a productive cough and fever.
540 words, about 3 min2Missed Insulin Doses and a Sick Day in Type 1 Diabetes
A 19-year-old man with type 1 diabetes on basal-bolus insulin (glargine 22 units at night, aspart 8 units with meals) is brought to the pharmacy by his mother. He has had vomiting and diarrhoea for 24 hours, has not eaten, and has skipped his last two aspart doses because he 'didn't eat anything'.
543 words, about 3 min3Paediatric Dose Calculation for a Compounded Oral Suspension
A 4-year-old child (weight 16 kg) is prescribed oral spironolactone 1.5 mg/kg/day in two divided doses for a cardiac condition. The hospital pharmacy has spironolactone 25 mg tablets and can compound an oral suspension.
507 words, about 3 min4Dispensing a Controlled Medicine Without a Valid Prescription
A regular customer brings in a prescription for oxycodone 10 mg modified-release tablets, 60 tablets, with one repeat. The prescription is handwritten by a locum GP the pharmacy has not seen before.
580 words, about 3 min5Renal Dose Adjustment and a Potential Interaction in an Older Patient
An 82-year-old woman (weight 58 kg, serum creatinine 130 micromol/L) is admitted with a urinary tract infection and dehydration. Her regular medicines are ramipril 5 mg, furosemide 40 mg, metformin 1 g twice daily, and ibuprofen 400 mg three times daily as needed for knee pain, which she has taken regularly for the past two weeks.
530 words, about 3 min