Find any question

A 28-year-old man, Kwame, is brought to the Korle Bu emergency centre in anaphylactic shock after a bee sting. He has generalised urticaria, stridor, and a blood pressure of 72/40 mmHg. The resus team…

A 55-year-old man, Kofi, is scheduled for an elective open cholecystectomy at a regional hospital in Ghana. The theatre team is preparing the antibiotic prophylaxis protocol. The surgical registrar as…

A 28-year-old motorcyclist, Kwabena, is brought to the A&E of a district hospital in the Northern Region following a road traffic accident. He has an estimated blood loss of 1.2 litres from a pelvic f…

A 35-year-old man, Yaw, is brought to the A&E of a district hospital in Ghana following a house fire. He sustained 40% total body surface area burns 36 hours ago and has been resuscitated with intrave…

Adwoa, a 45-year-old woman, requires emergency laparotomy for a perforated peptic ulcer at the regional hospital. She is known to have a mechanical mitral valve prosthesis and has been on warfarin 5 m…

A 58-year-old man, Kwame, is listed for an inguinal hernia repair under local anaesthesia at a district hospital in Ghana. He weighs 70 kg. The surgeon plans to infiltrate the inguinal region with pla…

Ama, a 34-year-old woman with no known adrenal disease, requires rapid sequence intubation in the Korle Bu emergency centre for refractory status epilepticus. Etomidate is selected as the induction ag…

Kwame, a 68-kg man, is brought to the district hospital theatre in Brong-Ahafo for incision and drainage of a large gluteal abscess. The anaesthetist is unavailable, and the surgical officer plans to …

A 45-year-old man, Kofi, weighing 70 kg undergoes elective inguinal hernia repair under spinal anaesthesia at a regional hospital in Ghana. The anaesthetist plans to supplement with bupivacaine 0.5% i…

Yaa, a 38-year-old woman with a mechanical mitral valve replacement, is on long-term warfarin with a target INR of 2.5–3.5. She requires an emergency laparotomy at the regional hospital for acute inte…

A 28-year-old woman, Akua, is brought to the Korle Bu emergency centre in severe anaphylactic shock following a bee sting. She has profound hypotension, generalised urticaria, and audible wheeze. The …

A 42-year-old man, Kofi, is scheduled for an elective open cholecystectomy at a regional hospital in Ghana. The surgical team plans antibiotic prophylaxis to reduce the risk of surgical site infection…

A 45-year-old woman, Akua, undergoes an emergency laparotomy for a perforated typhoid ileal perforation at a regional hospital in Ghana. Twelve hours post-operatively on the surgical ward, her urine o…

Ama, a 38-year-old woman, is brought to theatre at a district hospital in Ghana with a gunshot wound to the abdomen causing haemoperitoneum. Her systolic blood pressure on arrival is 75 mmHg. The surg…

Yaa, a 52-year-old woman with known hypertension, is brought to the UGMC after three days of profuse vomiting and diarrhoea. She is clinically dehydrated with a blood pressure of 90/60 mmHg and urine …

A 52-year-old man, Kofi, is in the resus bay at a regional hospital A&E in the Ashanti region. He has a large anterior neck haematoma following a stab wound and cannot be intubated despite two attempt…

A 29-year-old woman, Akua, is brought to a district hospital in Brong-Ahafo by relatives following a severe asthma attack. She is unresponsive, GCS 4, and SpO2 is unrecordable. Bag-mask ventilation is…

A 38-year-old man, Kwame, is brought to the resus bay at Komfo Anokye ED following a high-speed road traffic collision. He has severe maxillofacial trauma with active oropharyngeal haemorrhage and a G…

Yaa, a 29-year-old woman, is in the resus bay of a district hospital in Brong-Ahafo following anaphylaxis to a wasp sting. Despite two doses of intramuscular adrenaline 0.5 mg and 10 mg IV chlorphenam…

Ama, a 7-year-old girl weighing 22 kg, is brought to a district hospital A&E in the Volta Region by her parents after ingesting a large button battery that has lodged at the cricopharyngeus, causing c…

Kofi, a 38-year-old man, is brought to Komfo Anokye Emergency Department following a high-speed road traffic collision. He has a GCS of 6 and massive oropharyngeal bleeding from a mid-face fracture. R…

Kwabena, a 45-year-old man with a known difficult airway from previous neck surgery, is brought to Tamale Teaching Hospital ED after a road traffic collision. He is unconscious with a GCS of 5 and apn…

A 55-year-old man referred from a district hospital in the Upper East Region arrives at Tamale Teaching Hospital A&E with a history of blunt right orbital trauma sustained 100 minutes ago. He has no p…

Kwame, a 34-year-old man, is brought to the A&E of a regional hospital in Ashanti by relatives following a road traffic accident. He sustained a direct blow to the right orbit from the steering wheel.…

Kwame, a 34-year-old man, is brought to the A&E of a regional hospital in Brong-Ahafo by relatives after sustaining a direct blow to the right orbit with a wooden club during a community altercation. …

Kwame, a 34-year-old man, is brought to the A&E of Komfo Anokye Teaching Hospital by relatives following a road traffic collision in which he sustained a direct blow to the right orbit from the steeri…

Kofi, a 52-year-old man with a known bleeding disorder, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED after a fall caused a retrobulbar haematoma. He has right proptosis, IOP …

Kofi, a 22-year-old construction worker, is brought to a district hospital in the Northern Region after a concrete block fell on his right lower leg. He was trapped for six hours before rescue. On arr…

Yaw, a 40-year-old farmer, undergoes a two-incision four-compartment lower leg fasciotomy at Tamale Teaching Hospital following a tibial fracture with compartment syndrome. The lateral incision is mad…

Ama, a 35-year-old woman, is in theatre at a regional hospital in Brong-Ahafo following surgical repair of a brachial artery injury sustained during a machete attack. The vascular surgeon has complete…