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2131 matches for “Ghana” — showing 31–60
Airway Management · Airway adjunct selection OPA vs NPA ★ HY difficulty 3/5

A 54-year-old man, Kwame, is brought to a regional hospital ED after a witnessed seizure. He is postictal, unresponsive to voice but responds purposefully to pain, and is breathing spontaneously with …

Airway Management · Intubation confirmation with capnography ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the Korle Bu emergency centre following a high-speed road traffic crash. He is unresponsive with a GCS of 6. The ED team performs rapid sequence intubation with…

Airway Management · Gastric insufflation prevention ★ HY difficulty 3/5

A nurse at a district hospital in Brong-Ahafo is ventilating a 72-year-old woman, Yaa, who has been intubated with an endotracheal tube and is awaiting transfer to a regional centre. The nurse is sque…

Airway Management · Scalpel-bougie-tube cricothyroidotomy technique ★ HY difficulty 4/5

Kofi, a 48-year-old man with a large goitre causing tracheal deviation to the right, presents to a district hospital in the Brong-Ahafo Region with acute stridor following a fall. He is obtunded (GCS …

Airway Management · RSI — Paralytic Agent Selection ★ HY difficulty 3/5

Abena, a 45-year-old woman with known chronic renal failure on haemodialysis, is brought to a regional hospital in the Northern Region following a generalised seizure. She is now post-ictal with a GCS…

Airway Management · LEMON criteria ★ HY difficulty 3/5

A 52-year-old man, Mohammed, is brought to the Komfo Anokye ED by family after a road traffic accident. He is GCS 10 (E2V3M5), with noisy stridor and blood around his mouth. Vitals: BP 98/60 mmHg, HR …

Allergic Reactions · Paediatric adrenaline dosing ★ HY difficulty 3/5

A 14-year-old girl, Afia, weighing 35 kg, is brought to the Tamale Teaching Hospital ED by her father after developing facial swelling, diffuse urticaria, and audible wheeze 20 minutes after eating a …

Allergic Reactions · Biphasic anaphylaxis and observation period ★ HY difficulty 3/5

Adwoa, a 35-year-old primary school teacher, was treated in the Komfo Anokye ED two hours ago for anaphylaxis following a bee sting. She received two doses of IM adrenaline 0.5 mg, IV chlorphenamine 1…

Allergic Reactions · Anaphylaxis first-line management ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the emergency centre at Komfo Anokye Teaching Hospital by her husband 15 minutes after receiving amoxicillin for a dental procedure. She has generalised urti…

Allergic Reactions · Anaphylaxis — first-line vasoactive agent ★ HY difficulty 2/5

Aisha, a 34-year-old market trader, is brought to a regional hospital ED after collapsing within minutes of receiving an intramuscular diclofenac injection at a pharmacy. She has a known penicillin al…

Allergic Reactions · HAE acute treatment — resource-limited setting ★ HY difficulty 3/5

Kofi, a 38-year-old man with confirmed HAE type I, presents to the Korle Bu emergency centre with an acute attack involving swelling of the right forearm and left cheek that has been worsening over si…

Allergic Reactions · Adrenaline IM dose in anaphylaxis ★ HY difficulty 2/5

A 28-year-old woman named Akosua is brought to the Komfo Anokye ED by relatives after eating groundnuts at a social gathering. She has urticaria over her trunk, audible stridor, and is visibly distres…

Allergic Reactions · Anaphylaxis diagnostic criteria ★ HY difficulty 3/5

A 28-year-old woman, Afia, is brought to the Korle Bu emergency centre 10 minutes after receiving an intramuscular injection of benzathine penicillin at a nearby clinic for rheumatic fever prophylaxis…

Allergic Reactions · Paediatric adrenaline dosing ★ HY difficulty 3/5

A 6-year-old boy, Kofi, weighing 20 kg, is brought to a regional hospital ED in the Northern Region by his mother 10 minutes after being stung by a bee near the school compound. He has periorbital oed…

Allergic Reactions · Observation and disposition after anaphylaxis ★ HY difficulty 2/5

A 24-year-old man named Kwesi presents to a district hospital A&E in Brong-Ahafo after eating shellfish. He has urticaria, lip swelling, and mild wheeze. He received adrenaline 500 micrograms IM and s…

Allergic Reactions · Refractory anaphylaxis ★ HY difficulty 4/5

A 22-year-old student, Abena, is brought to the Korle Bu emergency centre after eating groundnut stew at a campus canteen. She develops acute urticaria, vomiting, and dizziness. On examination: blood …

Allergic Reactions · ACE inhibitor angioedema mechanism ★ HY difficulty 3/5

Mohammed, a 55-year-old hypertensive man, was started on lisinopril 5 mg daily three weeks ago at a district hospital in Brong-Ahafo. He now presents with sudden-onset swelling of the tongue and floor…

Allergic Reactions · HAE short-term prophylaxis ★ HY difficulty 3/5

Adwoa, a 31-year-old woman with known HAE type I, presents to Korle Bu emergency centre with an acute attack of right hand and forearm swelling that began four hours ago after a minor surgical procedu…

Allergy and Immunology · Refractory anaphylaxis management ★ HY difficulty 4/5

Yaw, a 45-year-old man, is in the resus bay at Korle Bu emergency centre with anaphylaxis following IV ampicillin. He has received three doses of IM adrenaline 500 micrograms at 5-minute intervals, 2 …

Allergy and Immunology · Adrenaline IM dose in anaphylaxis ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to the regional hospital A&E after eating groundnut stew at a function. She develops generalised urticaria, lip swelling, stridor, and wheeze within 15 minutes.…

Bites and Stings · Loxosceles spider bite with systemic envenomation ★ HY difficulty 4/5

A 52-year-old woman named Adwoa is referred from a district hospital in the Brong-Ahafo Region to the regional hospital ED. She was bitten on the right forearm by a spider 48 hours ago. Initially ther…

Burns · Paediatric burns resuscitation - urine output target ★ HY difficulty 3/5

A 4-year-old boy, Kofi, is brought to the Tamale Teaching Hospital A&E after scalding from boiling water. He has 20% TBSA burns to the trunk and right upper limb. He weighs 16 kg. Resuscitation is com…

Burns · TBSA Wallace Rule of Nines ★ HY difficulty 2/5

A 35-year-old man, Kwame, is brought to the Komfo Anokye ED after a house fire. He has burns to his entire right arm, the anterior surface of his trunk, and the anterior surface of his right lower lim…

Burns · Paediatric Lund-Browder ★ HY difficulty 4/5

A 6-year-old boy, Kofi, is brought to the Komfo Anokye ED by his parents after sustaining scald burns from boiling water. He is crying and alert. Burns involve the entire head and neck, the anterior c…

Burns · Inhalation injury ★ HY difficulty 3/5

A 42-year-old man, Yaw, was rescued from a building fire after being trapped for approximately 20 minutes. He is brought to the regional hospital ED. He has a hoarse voice and is coughing persistently…

Burns · Urine-output guided titration - adult target ★ HY difficulty 2/5

A 28-year-old woman, Ama, is admitted to a regional hospital A&E with 30% TBSA flame burns sustained 2 hours ago. She weighs 60 kg. Resuscitation with lactated Ringer's was commenced using the Parklan…

Burns · Parkland formula - volume calculation and distribution ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED after a house fire. He has sustained flame burns to both upper limbs, the anterior trunk, and both anterior thighs. Using the rule of nines,…

Burns · Carboxyhaemoglobin and cyanide co-toxicity - mechanism and antidote ★ HY difficulty 4/5

A 38-year-old woman, Akua, is rescued from a house fire in Accra and brought to the Korle Bu Emergency Centre. She is confused (GCS 12), has a cherry-red skin colouration, and her SpO2 reads 99% on pu…

Burns · Parkland formula calculation ★ HY difficulty 2/5

Ama, a 28-year-old woman weighing 60 kg, presents to the Korle Bu emergency centre 30 minutes after sustaining flame burns to both lower limbs (entire circumference) and the anterior trunk. TBSA is es…

Burns · Inhalation injury - clinical markers and airway management ★ HY difficulty 2/5

A 45-year-old man, Yaw, is brought to the Korle Bu Emergency Centre from a building fire. He is hoarse, has singed nasal hairs, and carbonaceous (sooty) sputum is visible around his mouth and on oroph…