Kwame, a 28-year-old man, presents to the Komfo Anokye ED with a 5-day history of sharp central chest pain that is worse on lying flat and relieved by sitting forward. He had a flu-like illness 10 day…
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.
Yaw, a 29-year-old man, presents to the regional hospital A&E with sharp central chest pain that worsens when he lies flat and improves when he leans forward. He had a flu-like illness two weeks ago. …
Ama, a 60-year-old woman, is brought to the district hospital A&E with two hours of central chest pain. The ECG shows 3 mm ST elevation in leads V1–V4 with new left bundle branch block morphology. She…
A 55-year-old man, Joseph, presents to a regional hospital A&E with central crushing chest pain radiating to his left arm for 2 hours. An ECG shows anterior ST-elevation. He is assessed, given aspirin…
A 45-year-old man, Kofi, is seen at Komfo Anokye ED with chest pain. The night team assesses him, starts treatment, and hands over verbally to the morning team without written documentation of the pla…
Yaw, a 42-year-old man, is brought to the district hospital A&E in cardiogenic shock following an anterior STEMI. His blood pressure is 85/60 mmHg, heart rate is 105 beats per minute, and his extremit…
A 70-year-old man, Kofi, is brought to the district hospital A&E with symptomatic sinus bradycardia at 32 beats per minute following an inferior STEMI. He is confused and hypotensive. The attending do…
A 42-year-old man, Yaw, presents to the regional hospital A&E with an acute anterior STEMI complicated by cardiogenic shock. His heart rate is 48 beats per minute and blood pressure is 80/55 mmHg. Ech…
A 55-year-old man, Yaw, is in the resus bay at UGMC following an anterior STEMI complicated by cardiogenic shock. His blood pressure is 85/60 mmHg and his cardiac output is severely reduced. The cardi…
Kofi, a 55-year-old man with known ischaemic heart disease, presents to the Komfo Anokye ED in cardiogenic shock following an anterior STEMI. His blood pressure is 75/50 mmHg and he has signs of pulmo…
Ama, a 67-year-old woman, presents to the UGMC resus bay with symptomatic sinus bradycardia at 32 beats per minute following an inferior STEMI. She is diaphoretic and her blood pressure is 88/55 mmHg.…
A 62-year-old man, Kwabena, presents to the UGMC resus bay in cardiogenic shock following an anterior STEMI. His blood pressure is 85/60 mmHg and his cardiac output is severely reduced, but his system…
Kofi, a 62-year-old man with no prior cardiac history, presents to the Korle Bu emergency centre with sudden-onset central chest pain and diaphoresis. ECG shows anterior ST elevation. He rapidly deter…
Mohammed, a 55-year-old man with no known lung disease, is brought to Korle Bu emergency centre with sudden-onset breathlessness and central chest tightness radiating to his left arm. His oxygen satur…
A 45-year-old man presents to a district hospital in Brong-Ahafo after a syncopal episode. He has a history of hypertension on amlodipine. His ECG shows right bundle branch block with ST elevation in …