Akua, a 34-year-old woman, presents to the Korle Bu ENT outpatient clinic with a 6-week history of persistent nasal congestion. She admits to using oxymetazoline nasal spray up to four times daily for…
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 6-year-old boy, is brought to a district hospital in the Ashanti Region with a 4-day history of right ear pain, fever (38.8 °C), and reduced hearing. His mother reports no prior ear infections.…
A 55-year-old woman, Akua, is brought to Komfo Anokye ED in status epilepticus. She has been seizing for 20 minutes despite two doses of rectal diazepam given by paramedics. IV access is secured and t…
A 34-year-old woman, Akua, undergoes emergency laparotomy for a perforated typhoid ileal ulcer at a regional hospital in Ghana. Rocuronium 50 mg IV is used for intubation. At the end of the procedure,…
A 28-year-old man, Kwabena, is seen in the surgical outpatient clinic at UGMC with allergic rhinitis causing nasal congestion, sneezing, and watery rhinorrhoea. The intern prescribes chlorphenamine 4 …
Kwabena, a 55-year-old man with squamous cell carcinoma of the oropharynx, is referred to the UGMC oncology unit for concurrent cisplatin-based chemoradiation. After completing three cycles of cisplat…
Kofi, a 55-year-old man with known ischaemic cardiomyopathy, presents to the Komfo Anokye ED in cardiogenic shock. His blood pressure is 78/50 mmHg and he has signs of low cardiac output with cool per…
Ama, a 52-year-old woman, is scheduled for an elective anterior resection for sigmoid colon carcinoma at the UGMC surgical unit. The surgical team prepares the antibiotic prophylaxis regimen. Cefazoli…
A 3-year-old boy, Yaw, is brought to the paediatric surgical ward at a regional hospital in Ghana with recurrent episodes of acute otitis media — four episodes in the past year. His mother reports tha…
Yaa, a 52-year-old woman with known hepatitis B-related cirrhosis and portal hypertension, is admitted to the UGMC surgical unit for an elective incisional hernia repair. Pre-operative assessment reve…
Yaa, a 9-year-old girl, is brought to Tamale Teaching Hospital A&E by her parents after sustaining a blow to the right orbit from a cricket ball. She is distressed and uncooperative. There is marked p…
Akosua, a 9-year-old girl, is brought to the A&E of a district hospital in the Northern Region by her father after being kicked in the right eye during a school football match. She is crying and uncoo…
Yaw, a 19-year-old footballer, undergoes a four-compartment fasciotomy of the right lower leg at Tamale Teaching Hospital following a tibial fracture with confirmed compartment syndrome. The fasciotom…
A 22-year-old woman, Yaa, is brought to the district hospital in the Upper East Region. She has been convulsing for 20 minutes despite receiving diazepam 10 mg IV twice at 5-minute intervals. She is s…
A 28-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a witnessed generalised tonic-clonic seizure lasting approximately 2 minutes. He has no prior history of seizures and …
A 28-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a witnessed episode of generalised tonic-clonic convulsions lasting approximately 3 minutes. He has no prior history o…
A 3-year-old girl, Abena, is brought to the regional hospital A&E in Sunyani. She has been having a generalised tonic-clonic seizure for 8 minutes. She has a fever of 39.2 °C. No IV access has been es…
A 58-year-old man named Mensah is brought to Korle Bu emergency centre with fever, chills, and right upper quadrant pain for 2 days. His temperature is 39.5°C, heart rate is 124 bpm, respiratory rate …
Akua, a 29-year-old nurse, presents to a regional hospital A&E with fever, chills, and burning micturition for 2 days. Her temperature is 38.9°C, heart rate 102 bpm, respiratory rate 21 breaths/min, a…
A 38-year-old woman named Yaa presents to a district hospital in the Volta Region with 2 days of fever, chills, and productive cough. Her temperature is 38.6°C, heart rate is 104 bpm, respiratory rate…
Fatima, a 34-year-old woman, presents to the regional hospital A&E with a 3-day history of dysuria, loin pain, and rigors. Her temperature is 38.8°C, heart rate 106 bpm, respiratory rate 24 breaths/mi…
A 60-year-old man named Mensah presents to the Komfo Anokye ED with a 2-day history of fever and productive cough. His temperature is 38.6°C, heart rate is 110 bpm, respiratory rate is 23 breaths/min,…
Joseph, a 38-year-old man, presents to the district hospital A&E with a 3-day history of profuse watery diarrhoea and vomiting. He is lethargic and unable to stand. His blood pressure is 76/50 mmHg, p…
Yaw, a 42-year-old man who returned from a long road journey from Accra to Tamale 5 days ago, presents to Tamale Teaching Hospital ED with sudden-onset right-sided pleuritic chest pain and breathlessn…
Abena, a 55-year-old woman with no prior cardiac history, presents to a district hospital in the Upper East Region with a 4-day history of fever, productive cough with rusty-coloured sputum, and worse…
Mensah, a 45-year-old man, presents to the regional hospital A&E in Cape Coast with a 4-day history of fever, productive cough with rusty-coloured sputum, and right-sided pleuritic chest pain. On exam…
A 68-year-old hypertensive man named Joseph is brought to a district hospital A&E after suddenly developing weakness of his left arm and leg 90 minutes ago. He also has a left-sided facial droop. His …
A 38-year-old man presents to a district hospital A&E with sudden onset weakness of his right arm and leg that began 2 hours ago. He has no facial droop and his speech is normal. BP is 160/95 mmHg, HR…
Mensah, a 72-year-old man, presents to a district hospital in Northern Region with a 20-minute episode of right leg weakness and right-sided visual loss that resolved completely. He has a history of h…
Ama, a 45-year-old market trader, presents to a regional hospital A&E after standing up from a seated position and immediately feeling dizzy before collapsing briefly. She has been on treatment for pu…