A 12-year-old boy, Yaw, stepped on a nail three days ago. He now presents to the district hospital A&E with a swollen, erythematous, and exquisitely tender right ankle. He is febrile at 38.8°C. There …
Primaries bank · search
Find any question
Type a keyword, drug name, syndrome, or chapter reference. Searches across topic, stem, teaching point, and source citation. Showing results only from the Primaries bank.
A 7-year-old boy, Kwame, is brought to the district hospital A&E in Ashanti Region after falling from a mango tree onto an outstretched hand. He is crying and holding his right elbow in slight flexion…
A 28-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo after a motorcycle accident. He has a 4 cm laceration over the mid-shaft of his right tibia with visible bone ends. His…
Abena, a 19-year-old woman, is brought to the regional hospital A&E after a motorbike accident. She has a closed fracture of the right tibia and fibula treated with a full circumferential plaster cast…
A 7-year-old boy, Kwame, is brought to Komfo Anokye ED after falling from a mango tree and landing on his outstretched left arm. He is crying and holding his elbow in slight flexion. Examination revea…
Yaw, a 35-year-old motorcyclist, is brought to Korle Bu Emergency Centre after a road traffic crash. He has a large wound over his right tibia through which bone is visibly protruding. The limb is neu…
A 72-year-old woman, Adwoa, is brought to the district hospital A&E in Ashanti Region after falling onto her outstretched right hand. She complains of wrist pain and there is visible dorsal displaceme…
Adwoa, a 72-year-old woman, is brought to Komfo Anokye ED after slipping on a wet floor at home. She complains of severe pain in her right hip and is unable to weight-bear. On examination, the right l…
A 62-year-old man presents to a district hospital A&E with a two-hour history of severe right-sided headache, nausea, and blurred vision. On examination his right eye is red, the cornea appears steamy…
A 45-year-old man, Kofi, is brought to the Komfo Anokye ED after splashing a chemical cleaning agent into both eyes at work 20 minutes ago. Both eyes are intensely red and painful, with profuse tearin…
A 45-year-old man, Kofi, is brought to the Komfo Anokye ED after a splash of industrial cleaning fluid into both eyes at work. He is in significant distress with severe bilateral eye pain, tearing, an…
A 35-year-old woman, Afia, is brought to a regional hospital A&E after a splash of industrial caustic soda (sodium hydroxide) into both eyes while working at a soap factory 20 minutes ago. She is in s…
A 50-year-old woman, Yaa, is brought to the district hospital A&E in Volta Region with acute angle-closure glaucoma. The diagnosis has been confirmed and the intraocular pressure is markedly elevated.…
A 28-year-old man, Kofi, is brought to the Komfo Anokye ED after being struck in the right eye with a metal fragment during welding. He has reduced visual acuity, severe pain, and the eye appears soft…
A 60-year-old man, Mensah, is brought to the Komfo Anokye ED with a 2-hour history of severe right eye pain, headache, and vomiting. His right eye is red with a hazy cornea and the pupil is fixed and …
A 62-year-old man, Yaw, presents to a district hospital in the Northern Region with sudden painless loss of vision in his right eye that he describes as a 'curtain coming down'. Visual acuity in the r…
A 58-year-old woman, Akua, presents to the regional hospital A&E in Kumasi with sudden onset of severe right eye pain, headache, nausea, and vomiting. She reports seeing coloured halos around lights e…
Mohammed, a 62-year-old man with no prior ocular history, is brought by relatives to the district hospital A&E in Brong-Ahafo complaining of sudden onset severe right eye pain, headache, nausea, and b…
A 58-year-old man, Kwame, presents to the Korle Bu emergency centre with sudden painless loss of vision in his right eye that began 90 minutes ago. He has a history of atrial fibrillation and hyperten…
A 38-year-old woman, Akosua, presents to the A&E of a regional hospital in Ashanti after splashing a caustic drain-cleaning solution into her right eye at home 20 minutes ago. She is in severe pain, h…
A 62-year-old hypertensive man, Mensah, presents to a district hospital in Brong-Ahafo with sudden, complete, painless loss of vision in his left eye that began one hour ago. Visual acuity in the left…
Akua, a 28-year-old woman, is brought to the Komfo Anokye ED unconscious. Her family reports 5 days of fever and she was found unrousable at home. Temperature is 40.1°C, GCS is 8/15, blood glucose is …
Mohammed, a 40-year-old trader, presents to a district hospital A&E in the Northern Region with a 3-day history of fever, rigors, and confusion. On examination, temperature is 40.3°C, blood pressure i…
Fatima, a 34-year-old woman, is brought to the A&E of a regional hospital in the Northern Region by her relatives. She has had fever for three days and today became confused. On assessment: temperatur…
Akua, a 28-year-old woman, is brought to the Komfo Anokye ED in Kumasi with a 2-day history of fever, severe headache, neck stiffness, and photophobia. Her temperature is 39.5°C, heart rate 118 bpm, a…
Mohammed, a 38-year-old teacher, presents to a district hospital in the Northern Region with a 7-day history of stepwise fever, severe headache, abdominal pain, and constipation. He appears toxic and …
A 45-year-old woman is referred from a peripheral facility to the regional hospital A&E with a 5-day history of fever, confusion, and jaundice. Her malaria RDT is positive. Blood glucose is 2.2 mmol/L…
Kwabena, a 25-year-old student, returns from a 3-week trip to a rural area in the Upper East Region and presents to a regional hospital A&E 10 days later with high fever, confusion, and jaundice. His …
Akosua, a 27-year-old woman, presents to a district hospital in Brong-Ahafo with a 5-day fever, headache, and vomiting. She lives in a malaria-endemic area and has not taken prophylaxis. Temperature i…
Yaa, a 52-year-old market trader, is brought to a regional hospital A&E in the Ashanti region with a 4-day history of high fever, productive cough, and right-sided pleuritic chest pain. Temperature is…