SEPTEMBER 2025 Recalls Compilation
10mo baby girl with delayed milestones per parents. Term C-section, no birth issues. You ask about gross motor, fine motor, social, communication dev. Expected milestone?
a/ Crawl or bottom shuffle
b/ Say ‘mumma’/’dadda’ w/ meaning
8mo baby boy w episodes of pain, draws legs up, vomited, had bloody loose stool. Abd tender around umbilicus. No med hx, BF + solids. diagnosis?
a/ Intussusception
b/ Anal fissure
c/ Pyloric stenosis
40yo female w 6d of rhinorrhoea + dry cough, COVID neg. Fam had same sx. Concerned about flying due to sinus congestion. condition?
a/ Tympanosclerosis
b/ Acute Otitis Media
c/ Tympanic Perforation
56 male coming in for pre-op ECG for knee replacement. Routine ECG reviewed, looks abnormal. You check med list. Meds responsible for ECG changes?
a/ ACE inhibitor and spironalactone
b/ Digoxin
c/ Atenolol
78 old man on multiple meds, CKD, eGFR dropped from 50 to 27 over 6mo. You refer to nephro, advise med review. Which med is most concerning?
a/ Metformin, fenofibrate, codeine
b/ Carbamazepine, perindopril, paracetamol
38 man w/ 3mo of R groin pain, gradual onset, no trauma. Antalgic gait, ↓ internal rotation R hip, +ve Trendelenburg. Hx of RA. diagnosis?
a/ Avascular necrosis of the femoral head
b/ Osteoarthritis of the hip
66man w/ healthy lifestyle, no issues, but fam hx of # (mother at 91). Wants to check osteoporosis risk. risk factor trigger BMD scan?
a/ Rheumatoid arthritis
b/ Asthma
c/ Glaucoma
54M w/ persistent HTN despite triple therapy. BP 169/102, good adherence. Fam hx of stroke (father @49). Meets criteria for primary aldosteronism, how?
a/ Sustained BP >150/100 on 3 readings, resistant HTN
b/ HTN + FHx stroke <60yo
25man with 23 lady planning 3wk trip to South America, want to conceive soon. Aware of Zika risk, asking advice. How to reduce risk of fetal microcephaly?
a/ Start contraception now, continue 6mo post-trip
b/ Seek vax before travel
40 yo man had +ve IGRA for TB during work screen. Born in Aus, lived in India as child. No sx (no fever, cough, WL). Next step?
a/ CXR
b/ AFB sputum MCS
9yo girl w/ asthma flare, poor response to salbutamol + ipratropium via spacer. GCS 15, wheezing bilat, talking in words. Known hx of severe exacerbations. Next steps?
a/ Give steroid, call retrieval, prep IV MgSO₄
b/ Salbutamol + ipratropium via O₂-driven nebs
7yo girl w/ 3d fever, tired, sore throat. Flushed cheeks + lacy rash on trunk. No tonsillar exudate, normal tongue. cause?
a/ Erythema infectiosum
b/ Roseola infantum
c/ Kawasaki Disease
62 lady w/ persistently high BP in clinic. Declines 24hr ABPM, agrees to home BP readings. You review her suitability. Correct statement?
a/ Check BP before meds
b/ Monitor BP AM + PM
55 guy w/ new HA, transient vision loss R eye, recent diplopia. Hx of shoulder stiffness. All started wks ago. diagnosis?
a/ Giant cell arteritis
b/Amaurosis fugax
c/ Migraine
43 male found unconscious at home, known DM, took insulin AM, drank alcohol night before. Glucagon given, still low BSL, unresponsive. IV access secured. Next step?
a/ 10% glucose IV 150–200ml over 15min
b/ 50% glucose IV bolus
74yo w/ heavy epistaxis x2hrs, 2nd episode in 2wks. Ongoing bleeding despite 15min pressure. Pale + clammy. Next step?
a/ Foley to post. pharynx + ant. nasal pack
b/ Chloramphenicol gauze, review 2h
17 lady w/ long hx of menorrhagia, on COCP but still heavy. Mum also had heavy periods + PPH. Concern for inherited bleeding disorder. cause?
a/ VWD mainly AD inheritance
b/ VWD most common inherited bleeding d/o
82yo found unresponsive in carpark, abnormal breathing. BLS started while awaiting ambulance. CPR initiated. Compression rate?
a/ 100-120 compressions per minute
b/ 90 – 110 compressions per minute
27lady w/ ↑ migraine freq, 4–5x/mo, impacting QoL. Hx of GAD + asthma, on escitalopram + Implanon. Zolmitriptan helps acutely. Best preventive option?
a/ Pizotifen 0.5mg orally nocte
b/ Amitriptyline 10mg orally nocte
54male worried about CRC, friend recently dx w/ mets. No fam hx, no sx, FOBT neg 9mo ago. Wants advice on prevention. Ongoing strategy?
a/ Limit EtOH
b/ Annual FOBT
54 male with T1DM, R foot swollen x6wks, no trauma, no pain due to neuropathy. Foot is red, hot, swollen but XR normal. L foot normal. diagnosis?
a/ Charcot osteoarthropathy
b/ Acute gout
c/ Septic arthritis
47 lady with 3wk hx vulval itch + thick white d/c. Recurrent, now not improving w/ OTC antifungals. Swab grew Candida glabrata. Best treatment?
a/ Boric acid PV 14 nights
b/ Fluconazole 150mg stat
53 lady w 3mo bloating + dull abdo pain, no change in bowels or diet triggers. On COCP, no other meds. Suspect ovarian ca. Risk factor?
a/ FHx HNPCC
b/ COCP use
72M w/ hx of MI, now gets SOB w/ stairs, fatigued for 6mo, ankle indents. Still OK w/ dressing + no SOB at rest. Suspect CHF. NYHA class?
a/ NYHA Class 1
b/ NYHA Class 2
4mo F had routine vax, febrile that night, had seizure next day. ED obs normal, no recurrence. Parents unsure re future vax. Advice?
a/ Continue NIP vax at GP/clinic
b/ Continue NIP vax under specialist supervision
45M w/ 2d hx SOB, cough, fever, lethargy. Exam: crackles at L base. Looks like CAP. Likely organism?
a/ Streptococcus pneumoniae
b/ Chlamydia pneumoniae
79F had 3rd fall in 12mo, no injury today. On frusemide, amlodipine, temazepam. Bloods incl Ca/Vit D normal. Falls prevention strategy?
a/ Start tai chi
b/ Use hip protector
68M w/ T2DM post-colonoscopy, now vomiting + abdo pain. BSL ↑, blood ketones ↑, metabolic acidosis on VBG. Med to have withheld?
a/ Empagliflozin
b/ Metformin
c/ Semaglutide
74M w/ 5kg wt loss, fatigue, nocturnal back pain. Normocytic anaemia, high total protein, mild renal impairment, high Ca. Likely myeloma. Next tests?
a/ Serum electrophoresis + immunofixation
b/ Skeletal survey + LFTs
26F w/ sudden palpitations x1hr, HR 150, ECG shows SVT. No CP, SOB or hx of CVD. Vitals stable. First-line mgmt?
a/ Modified Valsalva
b/ Urgent tertiary transfer