JULY 2025 Recalls Compilation
70lady, 3-day hx of watery diarrhoea, lower abdo pain. Recently finished amoxycillin/clavulanic acid. No travel or sick contacts. Cause?
a/ Clostridium difficile
b/ Blastocystis hominis
72male w/ 6-mo hx of bleeding skin lesion on R shoulder. Hx of skin ca. Pink papule w/ pearly edge. Next step?
a/ Imiquimod 5% topical is approved tx
b/ 5-FU topical is approved tx
53male sheep farmer, stubbed foot 3 days ago. R foot erythema, diffuse tenderness, limping, no wound. Diagnosis?
a/ First episode of gout
b/ Thrombosis of the tibialis anterior artery
16lady w/ rough red bumps on outer upper arms. No itch. PMH of childhood eczema. Next step?
a/ Urea 10% daily w/ gentle skin exfoliation
b/ Betamethasone valerate 0.02% cream BID x10 days
57 male non-healing L forearm lesion. Using Black Salve for confirmed SCC. No sx of infection. Statement?
a/ Black salve illegal, unsafe, ineffective in Aus
b/ Black salve is safe natural tx for superficial SCC
55 male w/ prostate ca + widespread bony mets. Pain worsening, reluctant for opioids. Wife is nurse + supportive. Next step?
a/ Immediate release morphine tablets orally
b/ Buprenorphine patches transdermally
12-mo baby girl, dev delay in gross motor only. Low tone, ↓ reflexes, fine tremor. Normal comm. Diagnosis?
a/ Spinal muscular atrophy
b/ Down syndrome
21 lady w/ 4-mo hx of binge eating 3x/wk. Laxative use, fasting, no purging or wt loss. BMI 24. Diagnosis?
a/ Bulimia nervosa
b/ Anorexia nervosa
c/ Binge eating disorder (BED)
60 male R forehead headache + chills. Painful vesicles on R nose, facial sensitivity, cervical LAD. Diagnosis?
a/ Herpes Zoster
b/ Varicella zoster
c/ Measles virus
Clinic receptionist w/ mild LBP after lifting printer today. No PMH known, not your pt. Next step?
a/ Advise her to see doc at another clinic (no working relation)
b/ Recommend seeing other docs in clinic as you’re on lunch
27 male w/ recent unprotected sex w/ partner w/ past syphilis. No ulcers or symptoms now. Worried about exposure. Management advice?
a/ Order syphilis serology + presumptive benzathine penicillin 1.8g IM now
b/ Order serology now, tx w/ benzathine penicillin if pos
7yo boy had anaphylaxis to bee sting, got IM adrenaline from mum. Now stable w/ mild wheeze, fading rash, no distress. Next step?
a/ Keep him in ED 3+ hrs, give Salbutamol 8-12 puffs w/ spacer
b/ Give IM promethazine then d/c w/ safety net advice
10yo boy w/ worsening R shin pain after playing, no visible bite or injury. Alert and oriented. Suspicious signs for redback spider?
a/ Agitation
b/ Hypotension
c/ Bradycardia
55 man w/ known 3cm AAA from 10 months ago, smoker, high BP. No meds. What are primary management priorities?
a/ Optimise CV risk (HTN, cholesterol), encourage smoking cessation
b/ Screen all 1st degree relatives for aortic aneurysm
6yo boy w/ 2-day L hip pain, no injury, febrile, won’t weight bear, no bruising. Important diagnosis?
a/ Septic arthritis of the hip joint
b/ Slipped capital femoral epiphysis
27 man started new gym, now bilateral arm pain/weakness, swollen arms, dark urine. Initial investigation to confirm diagnosis?
a/ Serum creatinine phosphokinase level
b/ Upper limb duplex ultrasound
c/ Urine dipstick
8yo girl w/ chronic cough, nocturnal wheeze during sport, no PMH, no allergies. Minimum age for spirometry?
a/ 6 years old
b/ 5 years old
c/ 7 years old
92 old lady frail, bedbound, declining, family meeting for EOL care. Started subcut PRN morphine + midazolam for comfort. Dose/freq?
a/ Morphine 2.5mg + midazolam 2.5mg hourly prn
b/ Morphine 1-2mg + midazolam 1-2mg hourly prn
77 male acute drooling, slurred speech, L facial droop, GCS 13, poor med adherence, CT available, stroke unit 2hr away. Next priority?
a/ Check his blood glucose level
b/ Check for contraindications to thrombolysis
53 female w/ fam hx of CRC (sister 64, dad late 60s), no symptoms, normal FOBT at 50. Her CRC risk & screening advice?
a/ Moderate CRC risk (15-30%), start colonoscopy q5yr now
b/ Average CRC risk (5-10%), restart iFOBT q2yr
86 lady w/ chronic itchy legs worse in winter, no topical use. Exam shows fine scales, red cracked skin w/ ‘crazy paving’ pattern. Most likely diagnosis?
a/ Asteatotic eczema
b/ Atopic dermatitis
55 female wants shingles vax after husband’s recent case. Told Shingrix vax free only for certain groups under NIP. Eligible group for free vax?
a/ Persons aged over 65 years
b/ Persons aged 50-65
Mum worried 2yo son w/ recent anaphylaxis to unknown allergen can’t eat normal food later. Asked about food allergies kids most commonly outgrow. Which one?
a/ Egg
b/ Cashews
c/ Peanut
80 male w/ acute central abd pain, nausea, vomiting, irregularly irregular pulse, low BP, soft tender abdomen, no guarding. ECG shows AF, no acute changes. Most likely diagnosis?
a/ Acute mesenteric ischaemia
b/ Appendicitis
28 male w/ 6wks itchy rash on extensor arms/legs w/ vesicles & buttock erythematous papules, lost 6kg, recurrent diarrhoea, no fever. Rash diagnosis?
a/ Dermatitis Herpetiformis
b/ Scabies
46 male non-smoker, sedentary, waist 94cm, fam hx T2DM, AUSDRISK used for diabetes risk. Which add’l risk factors included in AUSDRISK?
a/ Infrequent intake of fruit and vegetables
b/ History of hyperlipidaemia
65 female w/ enlarging 8mm papule on R neck, central keratotic horn, suspected keratinocytic tumour. Biopsy planned. Max safe dose 1% Lidocaine w/ Adrenaline?
a/ 490 mg
b/ 140 mg
c/ 210 mg
45 man STI screen, returned 2 wks ago, multiple partners incl MSM, inconsistent condom use. Has painless penile ulcer & non-tender inguinal nodes. Most likely ulcer cause?
a/ Treponema pallidum
b/ Neisseria gonorrhoea
49 lady Torres Strait Islander at AMS for health assessment, checks Medicare Item 715 eligibility. Which statement about Aboriginal & Torres Strait Islander Health Assessment is correct?
a/ Aboriginal Health Worker can assist w/ assessment under GP supervision
b/ Item claimable once every 12 months only
Couple infertile 18 months, husband asked about testicular risk factors & sent for semen analysis. Which statement about male factor infertility is correct?
a/ Smoking, cannabis, opioids reduce male fertility
b/ Exogenous testosterone helps if spermatogenesis suppressed
5yo girl got foam oven cleaner in R eye, burning but no distress. Mum looking for sterile saline. Phone advice for dad on what to do?
a/ Don’t wait for mum, wash eye 20 min w/ running water + eyelid open
b/ Use 20ml sterile saline, give ibuprofen, pad eye, review soon
28 lady 7+ wks preg, nausea worse afternoon-evening, no vomiting yet. Tried diet changes & ginger, no med yet, wants no drowsiness. Best 1st line Rx?
a/ Pyridoxine 25mg 1-2x daily recommended
b/ Doxylamine 25mg HS + 12.5mg AM prescribed
22 lady w/ blotchy brown facial patches, no itch/pain, worried about skin cancer; uses OCP & iron. Fitzpatrick III-IV skin type. Likely diagnosis?
a/ Melasma
b/ Polymorphous light eruption
c/ Solar Lentigo
10yo girl w/ 3 days dyspnoea, headache, fever dx pneumonia. What exam findings show severe pneumonia in kids?
a/ Marked tachycardia
b/ Bilateral crepitations on auscultation of the lungs
Considering job as prison part-time doc, new to custodial health. Which statements about inmate health are true?
a/ ~50% prisoners unemployed month before entry
b/ Hep C rates ~1% despite high substance use
66 male smoker w/ mild COPD on salbutamol + tiotropium confused about inhalers. Planning long-term care. What care aspects to recommend now?
a/ Recommend influenza, COVID & pneumococcal vaccines
b/ Recommend shingles & pneumococcal vaccines
70 male 6-month odynophagia, R ear pain, quit smoking 1 yr ago, lost 10kg, hoarse voice, enlarged R neck node. Most likely diagnosis?
a/ Carcinoma of the pharynx
b/ Oropharyngeal candidiasis
c/ Parotid tumour
24 lady few days worsening R eye ache, reduced vision after windy day, worse w/ eye movement. VA 6/12 R, RAPD present, fundus normal. Associated disease?
a/ Multiple sclerosis
b/ Benign intracranial hypertension
c/ Vitreous haemorrhage
48 female recurrent abd pain, constipation, fatigue, depression, high serum calcium confirmed, no supplements. Most likely cause hypercalcemia?
a/ Primary hyperparathyroidism
b/ Vitamin D toxicity
c/ Sarcoidosis
14 female w/ sister w/ HCM & MYBPC3 gene, sister had cardiac arrest but survived. Family wants advice on testing for HCM including half-brother. What to tell them?
a/ Parents must test +ve 1st before Ben tested for gene
b/ She tested for gene only after age 18