Kuwait MOH Pharmacist Exam case studies
Kuwait MOH Pharmacist Exam · Put your knowledge to work in context.
The Kuwait Ministry of Health pharmacist licensure examination is the assessment step pharmacy graduates must clear before they can be registered to practise as a pharmacist in Kuwait. It applies both to Kuwaiti graduates and to pharmacists trained abroad who are seeking a licence to work in community pharmacies, hospitals, government health centres and the private sector. The Kuwait MOH Pharmacist Exam case studies are 5 cases and about 4,067 words.
1Collapse in advanced CKD: the triple whammy
A 74-year-old woman with type 2 diabetes, heart failure with reduced ejection fraction and stage 4 chronic kidney disease (baseline creatinine 180 micromol/L, eGFR 26 mL/min/1.73 m2) is brought to the emergency department with 3 days of vomiting and diarrhoea. Her regular medicines are metformin 1 g twice daily, ramipril 10 mg daily, furosemide 40 mg daily, spironolactone 25 mg daily and atorvastatin 20 mg at night.
929 words, about 5 min2A narcotic prescription that does not add up
At 8 pm in a community pharmacy, a man presents a prescription for oral morphine solution for his elderly father with cancer pain. The prescription is on a prescriber's pad from a clinic in another governorate, is dated 12 days earlier, carries no patient name - only the words 'for my father' - and the quantity appears to have been altered, with a '1' added in front of '00 mL' in a different pen.
709 words, about 4 min3Neonatal TPN order that may not survive mixing
A 1.2 kg preterm neonate on day 3 of life needs total parenteral nutrition through a central line. Fluid allowance is 120 mL/kg/day.
856 words, about 4 min4A nasogastric tube and four tablets that cannot be crushed
A 78-year-old man is transferred to a rehabilitation ward 2 weeks after a stroke, with a fine-bore nasogastric tube in situ and dysphagia expected to last months. His regular medicines are aspirin 75 mg enteric-coated tablets, omeprazole 20 mg gastro-resistant capsules, nifedipine gastrointestinal therapeutic system (GITS) 30 mg once daily, sodium valproate 500 mg modified-release tablets twice daily and ferrous sulfate 200 mg once daily.
684 words, about 3 min5A rising INR after a 'natural' joint remedy
A 58-year-old woman on warfarin for atrial fibrillation, stable at an INR of 2.5 for 8 months, attends the anticoagulation clinic with bleeding gums after brushing her teeth. Her INR today is 4.9.
889 words, about 4 min