CMCC External Pharmacist Exam case studies
CMCC External Pharmacist Exam · Put your knowledge to work in context.
The CMCC External Pharmacist Exam is the route by which candidates who did not train through the council's own listed programme seek registration as a Chinese medicine pharmacist (Chinese herbalist dispensing credential) under the Chinese Medicine Council of Hong Kong. It is intended for external candidates - those holding qualifications obtained elsewhere or through non-listed pathways - who must demonstrate that their knowledge and practice meet the local standard before they may dispense Chinese herbal medicines and take professional responsibility for that dispensing. The CMCC External Pharmacist Exam case studies are 5 cases and about 3,503 words.
1Methotrexate Prescribed Daily: Catching a Potentially Fatal Dosing Error
A 74-year-old woman with rheumatoid arthritis presents to a community pharmacy with a new prescription: methotrexate 2.5 mg tablets, 'Take 1 tablet by mouth every day for joint pain.' The prescriber is an urgent care physician who saw her for a flare. Her rheumatologist usually prescribes methotrexate 15 mg once weekly plus folic acid 1 mg daily.
681 words, about 3 min2Apixaban in an Older Adult With a GI Bleed and Strong CYP3A4 Inhibition
An 82-year-old man with atrial fibrillation, heart failure, and chronic kidney disease comes to the pharmacy for a refill of apixaban. His cardiologist started apixaban 5 mg twice daily two weeks ago.
637 words, about 3 min3Vancomycin AUC Estimation When the Trough Looks High
A 58-year-old man weighing 110 kg and 170 cm tall is admitted with MRSA bacteremia. His serum creatinine is 1.8 mg/dL, and his estimated creatinine clearance is about 70 mL/min.
714 words, about 4 min4Early Refill of a Schedule II Stimulant With Unverifiable Prescription Details
A 34-year-old man with attention-deficit/hyperactivity disorder brings a handwritten prescription to a community pharmacy for methylphenidate extended-release 54 mg, quantity 30, dated yesterday. He last filled methylphenidate extended-release 36 mg, quantity 30, 21 days ago at the same pharmacy; that supply should last until day 30.
753 words, about 4 min5Warfarin and St John's Wort: A Subtherapeutic INR in a Mechanical Valve Patient
A 55-year-old woman with a mechanical mitral valve replacement takes warfarin 5 mg daily. Her INR today is 1.5; her target range is 2.5 to 3.5.
718 words, about 4 min