A 19-year-old footballer, Kofi, is brought to the regional hospital A&E with a closed mid-shaft femoral fracture sustained during a match. His pain score is 9/10. You plan a femoral nerve block for an…
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.
Mohammed, a 19-year-old student, presents to the Korle Bu emergency centre with a two-day history of high fever, photophobia, and a non-blanching petechial rash. You suspect bacterial meningitis and p…
Kofi, a 62-year-old man with a fractured shaft of femur sustained in a farm accident, is brought to the regional hospital A&E. He is in moderate pain and you plan to perform a femoral nerve block for …
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…
A 35-year-old woman, Akosua, is triaged at Korle Bu Emergency Centre with a 1-hour history of sudden severe headache she describes as 'the worst headache of her life.' She is alert and orientated, GCS…
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…
You are the senior resident on duty at a regional hospital A&E. A house officer calls you to review a 26-year-old man named Kofi who presented with a headache. The house officer has documented 'headac…
A 28-year-old woman, Adwoa, presents to the Komfo Anokye ED with a 2-day history of fever and cough. As she walks to the triage desk, you notice she is speaking in full sentences, her skin is warm but…
A 19-year-old student named Aisha is brought to a district hospital A&E after a witnessed tonic-clonic seizure. On arrival she is post-ictal but rousable, with a patent airway, BP 110/70 mmHg, HR 98 b…
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 6-year-old boy named Yaw is brought to the Komfo Anokye ED by his mother. He is crying but responds to his name, has a temperature of 38.8°C, and a small laceration on his forehead from a fall. His …
A 40-year-old man, Kwabena, is brought to the district hospital A&E in the Northern Region following a farm accident in which his thigh was caught under a tractor. His right thigh is grossly swollen a…
A 30-year-old man, Yaw, arrives at the Korle Bu emergency centre 90 minutes after a stab wound to the left chest. He is in respiratory distress with a BP of 88/60 mmHg, pulse 124/min, and oxygen satur…
A 38-year-old man, Mensah, is brought to a district hospital in the Northern Region after a road traffic accident. He has bruising over the left lower chest and complains of left shoulder tip pain. Hi…
Adwoa, a 52-year-old woman, is admitted to a regional hospital A&E following a laparoscopic procedure during which she received unfractionated heparin. She develops oozing from the operative site and …
A 52-year-old woman, Yaa, is recovering in the surgical ward at Korle Bu after coronary angiography performed 4 hours ago. She develops sudden onset dyspnoea and hypotension. The nursing staff note sh…
A 28-year-old woman, Ama, is brought to the emergency centre at Komfo Anokye after a motor vehicle collision. She complains of left thigh pain and her left thigh appears markedly swollen and deformed …
A 55-year-old man, Joseph, is recovering on the surgical ward at a regional hospital after cardiac surgery performed 6 hours ago. He develops sudden-onset haemodynamic instability with a BP of 80/50 m…
Akua, a 25-year-old primigravida at 36 weeks gestation, is brought to the A&E of a regional hospital in the Volta Region after a road traffic accident. She is pale, confused, and has a blood pressure …
A 60-year-old woman, Adwoa, is brought to a district hospital A&E with burns to scattered areas of her body following a domestic fire. The burns are irregular and do not follow a clear anatomical patt…
A 7-year-old boy, Yaw, is brought to the district hospital in the Volta Region after falling into a fire. He has burns to his entire right lower limb. His mother states the burn happened 2 hours ago. …
A 19-year-old woman, Esi, attends the district hospital A&E in the Upper East Region after spilling boiling water on her right forearm. The affected skin is red, moist, and extremely painful, with no …
A 19-year-old student, Ama, presents to a district hospital A&E after splashing concentrated sulphuric acid (battery acid) on her forearms and hands while working in a garage. She arrived 10 minutes a…
A 7-year-old boy, Kofi, is brought to the regional hospital A&E by his mother after pulling a pot of boiling water over himself. He has blistering, moist, red, and exquisitely tender burns to his righ…
A 50-year-old man, Yaw, sustained circumferential full-thickness burns to his right lower limb in a house fire 6 hours ago. He is now in the Korle Bu emergency centre. The limb is tense, the toes are …
Yaa, a 24-year-old woman, presents to the Korle Bu emergency centre after scalding her right hand with boiling water. The burned area is red, moist, and extremely painful, with several intact blisters…
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…
Yaw, a 38-year-old man, presents to the Komfo Anokye ED after a chemical splash to his face and both eyes at a factory. He reports immediate severe burning pain in both eyes and difficulty opening the…