Find any question

A 68-year-old man, Mensah, is brought to a district hospital A&E in the Volta Region by his daughter-in-law. He has multiple bruises over his trunk and arms in different stages of healing. When alone …

A 4-year-old girl, Akua, is brought to a district hospital A&E in the Northern Region. Her mother reports she fell against a table. On examination, there is a 2 cm elliptical mark on her left forearm …

A 70-year-old man, Kwame, is brought to a regional hospital A&E by a neighbour. He appears malnourished, has multiple pressure sores over his sacrum, and has not seen a doctor in over a year. His adul…

Ama, a 45-year-old woman with no prior medical history, presents to Komfo Anokye ED with sudden-onset pleuritic chest pain and breathlessness that began four hours ago. She recently returned from a lo…

A 30-year-old man, Yaw, is brought to the regional hospital A&E unconscious after a generalised seizure. He is breathing spontaneously but is unresponsive to voice. You apply a head-tilt chin-lift and…

Mensah, a 45-year-old man, is discharged from the A&E of a district hospital after a well-managed episode of anaphylaxis to a bee sting. He has no known allergies and has never carried any emergency m…

Adwoa, a 19-year-old student, is brought to Korle Bu Emergency Centre by friends after eating at a restaurant. She has widespread urticaria, vomiting, and abdominal cramps. Her airway is patent, her b…

Ama, a 22-year-old student, is brought to the regional hospital A&E after eating groundnut stew at a party. She has widespread urticaria, periorbital swelling, and vomiting. Her blood pressure is 90/6…

Mensah, a 55-year-old man, is brought to the Korle Bu emergency centre in haemorrhagic shock after a gunshot wound to the abdomen. Peripheral venous access is impossible. The team decides to insert a …

Akua, a 38-year-old woman with a known seizure disorder, is brought to the UGMC emergency centre with new-onset severe headache, fever, and neck stiffness. The team suspects bacterial meningitis and p…

Yaw, a 60-year-old man with a history of hypertension, presents to the UGMC emergency centre with sudden severe chest pain radiating to the back, hypotension, and muffled heart sounds. A bedside ultra…

Four patients arrive simultaneously at the A&E of a regional hospital in the Ashanti Region following a road traffic collision. Patient 1 (Akua) is screaming in pain with a deformed leg. Patient 2 (Ya…

Four patients arrive simultaneously at the regional hospital A&E in Kumasi following a road traffic collision. Patient 1 (Ama, 28 years) has a fractured wrist, is walking, and is talking normally. Pat…

Adwoa, a 22-year-old student, presents to a regional hospital A&E with a 3-day history of fever, vomiting, and diarrhoea. She is alert, talking in full sentences, and mildly dehydrated. Her temperatur…

Akua, a 28-year-old woman, is brought to Komfo Anokye ED by her husband. She is sitting upright, leaning forward on her hands, visibly sweating, and unable to complete a full sentence. Her respiratory…

Yaw, a 60-year-old man, walks into the district hospital A&E in the Upper West Region complaining of mild headache for two days. While the triage nurse is recording his details, she notices he suddenl…

A 55-year-old man is brought to the district hospital A&E in the Northern Region with a three-month history of a scaly, pigmented rash over sun-exposed areas of both arms and neck, profuse watery diar…

During a biochemistry tutorial at the University of Ghana Medical Centre, a Year-1 EM resident, Kofi, is reviewing how DNA is copied before cell division. He notes that each daughter DNA molecule cont…

Yaw, a 55-year-old man, is admitted to Korle Bu Emergency Centre 8 hours after the onset of severe chest pain. His ECG shows Q waves in the anterior leads. His hs-TnI is 3,800 ng/L. The team also requ…

Yaa, a 29-year-old woman, is seen in the Korle Bu emergency centre at 32 weeks gestation with severe vomiting, inability to tolerate oral intake for three weeks, and progressive leg weakness. She has …

Kwabena, a 34-year-old man being treated for pulmonary tuberculosis at the regional hospital, is commenced on rifampicin, isoniazid, pyrazinamide, and ethambutol. Three weeks later, he attends the A&E…

A 44-year-old woman, Yaa, is seen in the UGMC endocrine surgical clinic with a diffuse, non-tender goitre. She lives in a rural community in the Northern Region where iodised salt has not historically…

Yaw, a 42-year-old fisherman from the Volta Region, is brought to the district hospital A&E with progressive night blindness over three months, dry and scaly skin, and corneal xerosis. He reports a di…

Kwabena, a 7-year-old boy from a rural community in the Northern Region, presents to the district hospital A&E with night blindness and a Bitot's spot on the conjunctiva. His diet consists mainly of m…

Esi, a 55-year-old woman, undergoes an elective open cholecystectomy at a regional hospital in Ghana for symptomatic gallstone disease. On post-operative day two she is noted to be confused and lethar…

A 45-year-old woman, Akua, presents to a district hospital A&E with right upper quadrant pain, fever, and jaundice. Her LFTs show markedly elevated ALP at 780 U/L with only mildly elevated ALT. The cl…

A district hospital in the Northern Region of Ghana refers a 28-year-old woman, Adwoa, to the regional hospital with a diffuse, soft, non-tender anterior neck swelling present since adolescence. She l…

A 44-year-old woman, Esi, is referred to the UGMC surgical unit with a diffuse, non-tender goitre. She lives in a rural farming community in the Upper East Region of Ghana where iodised salt has been …

Abena, a 30-year-old woman, is admitted to the regional hospital after sustaining burns in a cooking fire. She has burns to her entire left arm (circumferential), the perineum, and the face. The total…

A 48-year-old woman named Ama presents to Komfo Anokye ED with palpitations and mild breathlessness. She is haemodynamically stable with a BP of 128/82 mmHg. The ECG shows an irregularly irregular nar…