NPC B.Pharm case studies

NPC B.Pharm · Put your knowledge to work in context.

The Nepal Pharmacy Council (NPC) name registration examination is the gateway by which a pharmacy graduate in Nepal is entered on the Council's register as a pharmacist. The page you are reading prepares you for the 32nd Name Registration Examination cycle, whose application form was opened from 16th Kartik 2083 to 15th Mangsir 2083, with an exam fee of Rs. The NPC B.Pharm case studies are 5 cases and about 5,016 words.

Retail pharmacy inspection: expired stock, broken cold chain and a request to backdate the narcotic register

Sunrise Medical Hall is a retail pharmacy on Lakeside Road, Pokhara. The retail licence is held by the proprietor, a businessman who is not a pharmacist and who visits twice a month.

1,032 words, about 5 min 2

Out-of-specification paracetamol batch: two assays disagree and the warehouse wants release

A DDA-licensed manufacturer in Birgunj has produced 200,000 uncoated paracetamol 500 mg tablets. The batch record shows the API came from a newly approved supplier with a mean particle size (d50) of 85 micrometres, against 30 micrometres for the previous supplier; nothing else in the formula changed.

936 words, about 5 min 3

Extemporaneous spironolactone suspension for a 14 kg child: dose, formula and beyond-use date

A teaching hospital in Kathmandu has no spironolactone oral liquid. The only DDA-registered product is a 25 mg immediate-release tablet, and the pharmacy holds no stability data for an extemporaneous liquid.

1,000 words, about 5 min 4

The triple whammy: an older man with heart failure, CKD and a self-purchased NSAID

A 74-year-old man, 60 kg, presents to the emergency department of a zonal hospital with three days of vomiting, drowsiness and reduced urine output. Background: type 2 diabetes for 15 years, heart failure with reduced ejection fraction (35%), and bilateral knee osteoarthritis.

1,034 words, about 5 min 5

Nystagmus and ataxia on phenytoin: interpreting a level in the presence of hypoalbuminaemia

A 26-year-old man, 62 kg, has been taking phenytoin 300 mg at bedtime for six weeks after a post-traumatic seizure. Two weeks ago a locum doctor added 100 mg because of a single breakthrough seizure, and the man admits he sometimes forgets a dose and doubles the next one.

1,014 words, about 5 min