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510 matches for “Ghana” — showing 61–90
Biochemistry · Potassium, calcium, and magnesium homeostasis ★ HY difficulty 3/5

Kofi, a 47-year-old chronic alcoholic, presents to the district hospital A&E with generalised weakness, muscle cramps, and palpitations. His ECG shows U-waves and a prolonged QT interval. Serum potass…

Biochemistry · Lipid metabolism, ketogenesis, and DKA ★ HY difficulty 2/5

A 34-year-old man named Kwame is brought to the Korle Bu Emergency Centre by his family. He is drowsy, tachypnoeic with Kussmaul breathing, and smells of acetone. His blood glucose is 28.4 mmol/L, art…

Biochemistry · Liver function tests and bilirubin metabolism ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the Korle Bu emergency centre with jaundice noticed by his family. He recently returned from a rural area and reports dark urine and fatigue. His bilirubin is 8…

Bleeding — general approach · Massive transfusion protocol activation criteria ★ HY difficulty 2/5

A 55-year-old man, Mensah, is brought to the Korle Bu emergency centre after a high-speed road traffic collision. His blood pressure is 75/45 mmHg and heart rate is 140 beats/min despite 1.5 litres of…

Bleeding — general approach · Sites of occult blood loss - chest ★ HY difficulty 2/5

A 45-year-old man, Kofi, presents to the Komfo Anokye ED in Kumasi after a stab wound to the left chest. His blood pressure is 70/40 mmHg, heart rate is 136 beats/min, and his trachea is central. On a…

Bleeding — general approach · Tranexamic acid in traumatic haemorrhage ★ HY difficulty 1/5

A 32-year-old woman, Ama, is brought to the regional hospital A&E in Tamale after a road traffic collision 90 minutes ago. She has a blood pressure of 95/65 mmHg, heart rate of 112 beats/min, and is b…

Bleeding — general approach · TXA early window (3h trauma) and massive transfusion trigger ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the regional hospital A&E by relatives after a road traffic collision on the Accra–Kumasi highway. He is agitated and tachypnoeic. His vital signs are: BP 88/60…

Bleeding — general approach · Haemorrhagic shock recognition - occult blood loss ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a road traffic collision. He is confused, his blood pressure is 80/50 mmHg, heart rate is 128 beats/min, and respirato…

Burns · Burns unit transfer criteria - paediatric TBSA threshold ★ HY difficulty 2/5

Akua, a 6-year-old girl, is brought to the district hospital A&E in the Northern Region after spilling hot soup over her abdomen. She has a burn affecting approximately 6% TBSA, assessed as partial-th…

Burns · Burns unit transfer criteria - electrical burns ★ HY difficulty 2/5

Mensah, a 50-year-old electrician, is brought to the district hospital A&E after sustaining an electrical burn at a worksite. He has an entry wound on his right hand and an exit wound on his left foot…

Burns · Parkland fluid formula and burn surface area calculation ★ HY difficulty 2/5

A 40-year-old woman, Akua, weighing 70 kg, is brought to the Komfo Anokye ED after a kerosene stove explosion. She has partial-thickness burns covering both lower limbs (18%) and her anterior trunk (1…

Burns · Inhalation injury recognition and early airway management ★ HY difficulty 2/5

A 35-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a house fire. He is hoarse, has singed nasal hairs, and is coughing up black carbonaceous sputum. His oxygen saturatio…

Burns · Inhalation injury recognition and early intubation ★ HY difficulty 2/5

Kofi, a 42-year-old man, is brought to the regional hospital A&E after a building fire. He was trapped in a smoke-filled room for approximately 20 minutes. On examination, he has singed nasal hairs, c…

Cardiac dysrhythmias · AF with rapid ventricular response — recognition ★ HY difficulty 1/5

A 67-year-old man named Mensah presents to Korle Bu emergency centre with a 2-day history of palpitations, mild breathlessness, and fatigue. His blood pressure is 136/84 mmHg and his pulse is irregula…

Cardiac dysrhythmias · Recognising VT with a pulse — synchronised cardioversion if unstable ★ HY difficulty 2/5

A 45-year-old woman, Adwoa, presents to a regional hospital A&E in Ashanti with palpitations, dizziness, and mild breathlessness for 6 hours. Her blood pressure is 90/60 mmHg and her heart rate is 155…

Cardiac dysrhythmias · AF with rapid ventricular response — recognition ★ HY difficulty 1/5

Yaa, a 67-year-old retired civil servant with known hypertension, presents to the district hospital A&E in the Volta Region with a two-day history of palpitations and mild breathlessness. Her blood pr…

Cardiac dysrhythmias · Recognising VF and pulseless VT — immediate defibrillation ★ HY difficulty 1/5

A 58-year-old man, Kwame, is brought to the Komfo Anokye ED by ambulance after collapsing at a funeral. He is unresponsive, not breathing, and has no palpable pulse. The cardiac monitor shows a chaoti…

Cardiac dysrhythmias · Ventricular fibrillation recognition ★ HY difficulty 1/5

Kwame, a 52-year-old trader, collapses in the waiting area of Komfo Anokye ED. He is unresponsive and has no palpable pulse. The cardiac monitor is attached and shows a chaotic, irregular waveform wit…

Cardiac dysrhythmias · Recognising VF and immediate defibrillation ★ HY difficulty 1/5

A 58-year-old man named Kwame collapses in the waiting area of Komfo Anokye ED. He is unresponsive, not breathing, and has no palpable pulse. The cardiac monitor shows a chaotic, irregular waveform wi…

Cardiopulmonary and cerebral resuscitation · Shockable vs non-shockable rhythm recognition ★ HY difficulty 1/5

A 45-year-old woman named Akua is brought to the Komfo Anokye ED after collapsing at home. CPR is in progress on arrival. The cardiac monitor is attached and shows a rapid, chaotic, irregular waveform…

Cardiopulmonary and cerebral resuscitation · BLS sequence and compression technique ★ HY difficulty 1/5

A 58-year-old man named Kwame collapses in the waiting area of a regional hospital A&E in Ashanti Region. He is unresponsive, not breathing normally, and has no palpable pulse. A nurse calls for help …

Cardiopulmonary and cerebral resuscitation · BLS sequence - DR ABC ★ HY difficulty 1/5

A 58-year-old man named Kwame collapses in the waiting area of Komfo Anokye ED. He is unresponsive, not breathing, and has no palpable pulse. The nurse calls for help and begins the resuscitation sequ…

Cardiopulmonary and cerebral resuscitation · Amiodarone after third shock in refractory VF ★ HY difficulty 2/5

A 50-year-old man named Yaw is in cardiac arrest in the resus bay of Komfo Anokye ED. He has been in ventricular fibrillation. Three defibrillation shocks have been delivered and CPR has resumed. Intr…

Cardiopulmonary and cerebral resuscitation · Post-ROSC priorities - targeted temperature and ventilation ★ HY difficulty 3/5

A 48-year-old man named Mensah is successfully resuscitated after 15 minutes of CPR for ventricular fibrillation at Komfo Anokye ED. He remains unconscious after return of spontaneous circulation (ROS…

Cardiopulmonary and cerebral resuscitation · Shockable vs non-shockable rhythm recognition — ventricular fibrillation ★ HY difficulty 1/5

A 58-year-old man named Kwame collapses in the waiting area of a regional hospital A&E in Kumasi. He is unresponsive, not breathing, and has no palpable pulse. The resuscitation team arrives within on…

Cardiopulmonary and cerebral resuscitation · Amiodarone 300 mg after third shock in refractory VF ★ HY difficulty 2/5

A 55-year-old man named Kofi is in cardiac arrest in the resus bay at Korle Bu emergency centre. He has been in ventricular fibrillation. Three defibrillation shocks have been delivered and CPR has co…

Chest pain · STEMI immediate management ★ HY difficulty 2/5

Mensah, a 62-year-old man with known hypertension and type 2 diabetes, is brought to Korle Bu emergency centre with 30 minutes of severe central chest pressure radiating to his right arm. He is sweati…

Chest pain · STEMI classical presentation ★ HY difficulty 1/5

Kwame, a 58-year-old male trader, presents to Komfo Anokye ED with a 40-minute history of severe crushing central chest pain radiating to his left arm and jaw. He is sweating profusely and has vomited…

Chest pain · STEMI classical presentation ★ HY difficulty 2/5

Kwame, a 58-year-old male teacher, presents to the Komfo Anokye ED with a 45-minute history of severe crushing chest pain radiating to his left arm and jaw. He is diaphoretic and nauseated, with a blo…

Chest pain · STEMI classical presentation ★ HY difficulty 1/5

Kwame, a 58-year-old farmer, presents to the regional hospital A&E in Kumasi with a 40-minute history of severe crushing central chest pain radiating to his left arm and jaw. He is diaphoretic and nau…