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1466 matches for “Mahadevan” — showing 361–390
Emergency medical services and pre-hospital care · START triage — BLACK category assignment ★ HY difficulty 1/5

A 28-year-old woman named Ama is found at the scene of a building collapse in Kumasi. She is unconscious, not breathing, and has no palpable pulse. Bystanders report she was trapped under debris for a…

Emergency medical services and pre-hospital care · Pre-hospital airway intervention — failed BVM, supraglottic airway ★ HY difficulty 2/5

A paramedic crew responds to a 6-year-old girl named Akua who was found unresponsive after a road traffic crash in the Brong-Ahafo region. She has a GCS of 6, her airway is obstructed with blood and s…

Emergency medical services and pre-hospital care · START triage — RED vs BLACK decision point ★ HY difficulty 2/5

A motor vehicle collision on the Accra-Kumasi highway involves 15 casualties. A first-responding ambulance crew from the Ghana National Ambulance Service begins triage. They encounter a 34-year-old ma…

Emergency medical services and pre-hospital care · Pre-hospital airway – inhalation injury ★ HY difficulty 3/5

A 7-year-old child, Abena, is found unconscious following a house fire in a district in the Northern Region. She has soot around her mouth and nostrils, a hoarse voice, and stridor. The pre-hospital c…

Emergency medical services and pre-hospital care · START triage – Black category ★ HY difficulty 2/5

A road traffic collision on the Accra–Kumasi highway involves a minibus and a truck, resulting in 18 casualties. The district hospital ambulance crew arrives on scene. They must rapidly sort casualtie…

Emergency medical services and pre-hospital care · START triage — Black (Expectant) category recognition ★ HY difficulty 2/5

A road traffic collision on the Accra-Kumasi highway involves a minibus and a lorry. Twelve casualties are found at the scene. A 34-year-old male, Kwame, is unresponsive and not breathing. The ambulan…

Emergency medical services and pre-hospital care · Pre-hospital airway – BVM technique correction ★ HY difficulty 2/5

Paramedics respond to a 55-year-old woman, Akua, found collapsed at home in Accra. She is unresponsive, apnoeic, and pulseless. CPR is commenced. The crew attempts bag-valve-mask (BVM) ventilation but…

Emergency medical services and pre-hospital care · Scoop-and-run vs stay-and-play — penetrating abdominal trauma ★ HY difficulty 2/5

Paramedics respond to a road traffic crash near Tamale and find a 40-year-old man named Yaw with penetrating abdominal trauma and haemodynamic instability (BP 80/50 mmHg, HR 118 bpm). The scene is saf…

Emergency medical services and pre-hospital care · Primary survey on scene ★ HY difficulty 2/5

A 28-year-old woman, Akosua, is brought to a district hospital A&E in the Brong-Ahafo region by relatives after collapsing at home. She is unresponsive. No ambulance service was involved; she was tran…

Emergency medical services and pre-hospital care · Scoop-and-run vs stay-and-play ★ HY difficulty 2/5

A 28-year-old man, Kwame, is involved in a high-speed road traffic collision on the outskirts of Tamale. On scene, he is unconscious with a Glasgow Coma Scale (GCS) of 6, has a distended abdomen, and …

Endocrine emergencies · Myxoedema coma: passive rewarming, levothyroxine, hydrocortisone sequence ★ HY difficulty 3/5

A 65-year-old man, Yaw, is referred from a district hospital in the Northern Region to the regional A&E. He was found confused and cold at home. His GCS is 9/15, temperature is 34.1°C, heart rate 42 b…

Endocrine emergencies · Thyroid storm — immediate beta-blockade ★ HY difficulty 2/5

A 38-year-old woman, Akosua, is brought to the regional hospital A&E by relatives after three days of worsening agitation, profuse sweating, and palpitations. She has a known history of Graves' diseas…

Endocrine emergencies · Myxoedema coma — passive rewarming and combined hormone replacement ★ HY difficulty 3/5

A 62-year-old woman, Adwoa, is brought to a district hospital A&E in January after being found unresponsive at home. She is hypothermic (temperature 33.1°C), bradycardic (HR 42 bpm), BP 88/60 mmHg, an…

Endocrine emergencies · Myxoedema coma — levothyroxine, hydrocortisone, passive rewarming ★ HY difficulty 2/5

A 55-year-old man is seen in the A&E of a district hospital in the Northern Region. He has a known goitre and presents with progressive confusion, generalised swelling, and cold intolerance over two w…

Endocrine emergencies · Thyroid storm: beta-blocker and PTU sequence ★ HY difficulty 2/5

A 38-year-old woman, Akosua, is brought to the regional hospital A&E by her husband after three days of worsening agitation and fever. On examination she is sweating profusely, has a heart rate of 148…

Endocrine emergencies · Myxoedema coma: passive rewarming, levothyroxine, hydrocortisone ★ HY difficulty 3/5

A 67-year-old man, Yaw, is brought to a district hospital A&E in the Northern Region by his family after being found confused and barely rousable at home. He has a known history of hypothyroidism and …

Endocrine emergencies · Thyroid storm: beta-blocker and PTU priority ★ HY difficulty 2/5

A 38-year-old woman, Akosua, is brought to the Korle Bu emergency centre by relatives after three days of worsening agitation, profuse sweating, and palpitations. She is known to have Graves' disease …

Endocrine emergencies · Adrenal crisis: empirical hydrocortisone ★ HY difficulty 2/5

A 29-year-old woman, Fatima, is brought to the district hospital A&E after collapsing at home. She has known systemic lupus erythematosus and has been on prednisolone 10 mg daily for two years. She st…

Endocrine emergencies · Phaeochromocytoma — beta-blocker contraindication as monotherapy ★ HY difficulty 3/5

Mohammed, a 40-year-old man, is admitted to the regional hospital A&E with a hypertensive crisis in the context of a known adrenal mass. His BP is 240/140 mmHg and he is experiencing severe occipital …

Endocrine emergencies · Thyroid storm — PTU and beta-blocker sequence ★ HY difficulty 2/5

A 38-year-old woman, Akosua, is brought to the regional hospital A&E by relatives after three days of worsening agitation, profuse sweating, and palpitations. She has a known history of Graves' diseas…

Endocrine emergencies · Adrenal crisis: empirical hydrocortisone ★ HY difficulty 2/5

A 29-year-old woman, Fatima, is referred from a peripheral clinic to the Tamale Teaching Hospital A&E with a two-day history of severe generalised weakness, vomiting, and abdominal pain. She has a kno…

Endocrine emergencies · Adrenal crisis — empirical hydrocortisone ★ HY difficulty 2/5

A 29-year-old man, Kwame, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E. He was on long-term prednisolone for nephrotic syndrome and abruptly stopped the drug four d…

Endocrine emergencies · Adrenal crisis — empirical hydrocortisone and resuscitation ★ HY difficulty 2/5

A 34-year-old woman, Fatima, is brought to the Korle Bu emergency centre after collapsing at home. She has known Addison's disease and has been vomiting for two days. On examination: BP 74/40 mmHg, HR…

Endocrine emergencies · Phaeochromocytoma — alpha-blockade before beta-blockade ★ HY difficulty 3/5

A 45-year-old woman, Aisha, is admitted to the Komfo Anokye ED with a BP of 240/140 mmHg, severe headache, and diaphoresis. Phaeochromocytoma is suspected. The registrar asks the house officer to prep…

Environmental emergencies · Snake bite — antivenom indications and 20WBCT ★ HY difficulty 2/5

A 7-year-old boy is brought to Komfo Anokye ED after being bitten on the right ankle by a snake described as green with a triangular head, in a cocoa farm near Kumasi. The ankle is swollen to the mid-…

Environmental emergencies · Heatstroke recognition ★ HY difficulty 1/5

A 34-year-old farmer, Kwame, is brought to a district hospital A&E in Brong-Ahafo after collapsing in the fields during a hot afternoon. He is confused and agitated, unable to give a history. On exami…

Environmental emergencies · Heatstroke immediate management ★ HY difficulty 2/5

A 28-year-old woman, Akua, is brought to the Komfo Anokye ED after collapsing during a road race in the midday heat. She is unconscious and not responding to voice. Her rectal temperature is 41.8°C, h…

Environmental emergencies · Drowning - early oxygenation and observation for ARDS ★ HY difficulty 2/5

A 19-year-old student, Yaw, is brought to a regional hospital A&E after being rescued from a flooded irrigation canal near Tamale. Bystanders report he was submerged for approximately 3 minutes. He is…

Environmental emergencies · Electrical injury - ECG monitoring and rhabdomyolysis screening ★ HY difficulty 2/5

A 22-year-old electrician, Kofi, is brought to a district hospital A&E in the Ashanti Region after sustaining a high-voltage electrical shock at a construction site. He was briefly unconscious at the …

Environmental emergencies · Drowning immediate management ★ HY difficulty 2/5

A 6-year-old boy, Kofi, is pulled from a swimming pool at a hotel in Accra after being submerged for approximately 3 minutes. He is brought to the Korle Bu emergency centre coughing and distressed, wi…