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3996 matches for “Ghana” — showing 1081–1110
Infectious Disease / Surgical Emergencies · Antibiotic management of typhoid perforation ★ HY difficulty 3/5

Afia, a 26-year-old woman, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 3-day history of worsening abdominal pain following two weeks of untreated fev…

Infectious Disease / Toxicology · Rabies immunoglobulin administration technique ★ HY difficulty 3/5

Abena, a 34-year-old farmer from Kintampo district, presents to the district hospital having been bitten on the right hand by a stray dog 30 minutes ago. The bite is a deep, jagged wound over the dors…

Infectious Disease / Toxicology · WHO bite classification and PEP initiation ★ HY difficulty 2/5

A 9-year-old boy named Kofi is brought to a district hospital in the Bono East Region by his mother after a dog bite that occurred 2 hours ago. The dog, which belongs to a neighbour, is alive and heal…

Infectious Disease / Toxicology · Timing of PEP initiation — delayed presentation ★ HY difficulty 2/5

A 52-year-old woman, Afia, is referred from a peripheral clinic to the Korle Bu emergency centre with a dog bite to the right forearm sustained 72 hours ago. The wound was initially cleaned at the cli…

Infectious Disease / Tropical Medicine · Bundibugyo virus disease: vaccine status in 2026 ★ HY difficulty 2/5

During a departmental briefing on the Bundibugyo virus disease outbreak, a resident asks whether ED staff at UGMC should be vaccinated with Ervebo (rVSV-ZEBOV) before the first case arrives in Ghana.

Infectious Disease / Tropical Medicine · Bladder schistosomiasis — acute obstruction ★ HY difficulty 3/5

A 52-year-old farmer, Mohammed, presents to a district hospital in Northern Region with progressive difficulty in urination over 4 months, terminal haematuria for 2 years, and now complete urinary ret…

Infectious Disease / Tropical Medicine · Animal bites and rabies post-exposure prophylaxis — Category III exposure ★ HY difficulty 3/5

A 7-year-old girl, Akosua, is brought to the district hospital A&E in the Brong-Ahafo Region after being bitten on the right hand by a stray dog while playing outside. The wound is a deep puncture wit…

Infectious Disease / Tropical Medicine · Healthcare worker post-exposure prophylaxis ★ HY difficulty 4/5

A nursing aide, Abena, aged 22, cared for a patient at a district hospital in the Savannah Region who is subsequently confirmed to have Lassa fever. She reports that three days ago she helped clean th…

Infectious Disease / Tropical Medicine · Urinary schistosomiasis — timing of the urine specimen ★ HY difficulty 3/5

Kwesi, a 14-year-old boy from a fishing community on the Volta Lake, is brought to the Ho Teaching Hospital emergency department with 2 months of painless blood at the end of his urine stream and dysu…

Infectious Disease / Tropical Medicine · Praziquantel dosing for schistosomiasis ★ HY difficulty 2/5

A 35-year-old woman, Afia, is referred to Komfo Anokye ED from a district hospital in Ashanti Region. She has been treated for Katayama fever (confirmed on serology) and is now being started on defini…

Infectious Disease / Tropical Medicine · Cholera — aggressive IV fluid resuscitation in shock ★ HY difficulty 3/5

During a rainy season flood, a district hospital in the Northern Region receives 12 patients over 48 hours with profuse watery diarrhoea described as 'rice-water' stools. The first patient is Alhassan…

Infectious Disease / Tropical Medicine · Isolation precautions for suspected VHF ★ HY difficulty 3/5

A 31-year-old woman, Aisha, presents to a regional hospital ED in the Volta Region with 5 days of fever, myalgia, and pharyngitis. She returned from a humanitarian mission in Sierra Leone 8 days ago. …

Infectious Disease / Tropical Medicine · Ribavirin indications in Lassa fever ★ HY difficulty 3/5

A 28-year-old man, Kwesi, is admitted to the Komfo Anokye Teaching Hospital ED from Brong-Ahafo with a 7-day febrile illness. He has severe headache, myalgia, vomiting, and now has bleeding gums and h…

Infectious Disease / Tropical Medicine · Yellow fever clinical features vs malaria ★ HY difficulty 3/5

A 34-year-old farmer, Kofi, is brought to a district hospital in the Northern Region with a 4-day history of sudden-onset fever, severe headache, myalgia, and backache. On examination: temperature 39.…

Infectious Disease / Tropical Medicine · Cholera — antibiotic selection and timing ★ HY difficulty 3/5

A 42-year-old market trader named Yaa presents to a regional hospital emergency department with a one-day history of profuse watery diarrhoea, described by her family as resembling water used to wash …

Infectious Disease / Tropical Medicine · Spinal cord schistosomiasis — management ★ HY difficulty 4/5

A 32-year-old man, Kofi, presents to Korle Bu Emergency Centre with acute-onset severe low back pain radiating to both legs, lower limb weakness, urinary retention, and faecal incontinence over 36 hou…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease stricture management ★ HY difficulty 3/5

Akua, a 28-year-old woman, is reviewed in the colorectal outpatient clinic at Korle Bu Teaching Hospital. She has a 5-year history of Crohn's disease affecting the terminal ileum, managed with azathio…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease — free perforation and operative strategy ★ HY difficulty 4/5

Kofi, a 42-year-old civil servant, presents to the regional hospital surgical unit in Kumasi with a 6-month history of right iliac fossa pain, weight loss of 8 kg, and intermittent low-grade fever. He…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease fibrotic stricture — operative choice ★ HY difficulty 3/5

Kwame, a 34-year-old teacher, is reviewed in the colorectal outpatient clinic at Korle Bu Teaching Hospital. He has a 7-year history of Crohn's disease predominantly affecting the terminal ileum, conf…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease — fibrostenotic ileocaecal stricture, operative strategy ★ HY difficulty 4/5

Kofi, a 29-year-old man, is reviewed in the UGMC colorectal outpatient clinic. He has a 6-year history of Crohn's disease affecting the terminal ileum, managed with azathioprine and intermittent cours…

Inflammatory Bowel Disease - Surgical Management · Steroid-refractory ulcerative colitis — surgical indications ★ HY difficulty 3/5

Kwame, a 34-year-old teacher at the Korle Bu Teaching Hospital surgical outpatient clinic, presents with an 18-month history of bloody diarrhoea, passing up to 10 loose stools per day with mucus and c…

Inflammatory Bowel Disease - Surgical Management · Strictureplasty for Crohn's disease ★ HY difficulty 4/5

Kofi, a 34-year-old man, is reviewed in the general surgical outpatient clinic at Korle Bu Teaching Hospital. He has a 7-year history of Crohn's disease predominantly affecting the terminal ileum and …

Inflammatory Bowel Disease - Surgical Management · Crohn's disease — ileocolic resection and bowel conservation ★ HY difficulty 4/5

Kofi, a 28-year-old civil servant, is reviewed in the UGMC colorectal surgical outpatient clinic. He has a 6-year history of Crohn's disease predominantly affecting the terminal ileum, managed with az…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease — right iliac fossa abscess management ★ HY difficulty 3/5

Ama, a 26-year-old nurse, presents to the regional hospital surgical ward in Brong-Ahafo with a 10-day history of increasing right iliac fossa pain, fever, and a palpable tender mass. She has no prior…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease — ileocolic resection vs strictureplasty ★ HY difficulty 3/5

Ama, a 26-year-old student, is referred from a regional hospital in the Eastern Region to the Korle Bu colorectal unit with a 3-year history of intermittent right iliac fossa pain, weight loss, and no…

Inflammatory Bowel Disease - Surgical Management · Ulcerative colitis — dysplasia and surgical indication ★ HY difficulty 3/5

Ama, a 42-year-old woman with a 10-year history of pancolitis due to ulcerative colitis, is referred to the Komfo Anokye colorectal surgical unit after her gastroenterologist detected a dysplastic les…

Inflammatory Bowel Disease - Surgical Management · Crohn's disease — complex perianal fistula management ★ HY difficulty 4/5

Kofi, a 29-year-old man, is referred to the regional hospital surgical unit in Brong-Ahafo with a 5-month history of perianal pain, persistent discharge, and multiple perianal sinuses. He has a backgr…

Inflammatory Bowel Disease - Surgical Management · Dysplasia surveillance and colectomy in ulcerative colitis ★ HY difficulty 3/5

Yaa, a 42-year-old teacher, is seen in the colorectal surgical clinic at the University of Ghana Medical Centre (UGMC). She has a 12-year history of pancolonic ulcerative colitis and has been managed …

Inflammatory Bowel Disease - Surgical Management · Toxic megacolon and emergency colectomy in UC ★ HY difficulty 4/5

Akua, a 28-year-old woman, is admitted to the Komfo Anokye emergency theatre with a 6-hour history of sudden-onset generalised abdominal pain. She has a 4-year history of ulcerative colitis managed wi…

Inflammatory Bowel Disease - Surgical Management · Crohn's intra-abdominal abscess management ★ HY difficulty 3/5

Kwabena, a 38-year-old man with known Crohn's disease, is admitted to the regional hospital surgical ward in Ashanti Region with a 3-week history of right iliac fossa pain, fever, and a palpable tende…