NOVEMBER 2025 Recalls Compilation
71 gentelman w/ worsening SOB on exertion + orthopnoea. Hx T2DM + HTN, on metformin + amlodipine. Home BPs also ↑. Med change today?
a/ Start enalapril 2.5mg mane
b/ Increase amlodipine to BD
5girl w/ nocturnal anal itch, well during day. Newly started school. Suspicion for threadworm. Best mgmt?
a/ Treat family w/ pyrantel + repeat in 2 wks
b/ 7-day metronidazole
55lady noticed new oral mucosal changes, non-painful. Otherwise well, no sig PMHx. Abnormal white lesion in mouth. Dx?
a/ Oral lichen planus
b/ Oral submucous fibrosis
Couple w/ 4yo child w/ CF seeking preconception advice. Both parents CFTR carriers. Want risk of next child being affected. Correct statement?
a/ 25% chance of CF
b/ 50% chance of CF
Discussing RFs for intimate partner violence in female pts. Need to ID true RF. Which one? Cause?
a/ Hx child abuse/violent family
b/ Higher income
Reading research paper on new screening test. Table includes A/B/C/D results. Asking how to calc PPV. Formula?
a/ [A / (A + B)] x 100
b/ [A / (A + C)] x 100
39 lady w/ 8-mo hand pain + stiffness, worse in AM. Exam: boggy tender MCPs + wrists bilat; XR erosions. No rash/fever. Dx?
a/ Rheumatoid arthritis
b/ Ankylosing spondylitis
72male w/ fatigue, exertional SOB, ankle oedema. Hx MI; echo shows HFrEF (LVEF <40%). Need med that improves outcomes. Next step?
a/ Eplerenone
b/ Verapamil
c/ Frusemide
30gentleman arranging semen analysis before fertility appt. Needs correct instructions for sample collection. Which statement true? Next step?
a/ Deliver sample to lab <1 hr
b/ Mild issues → repeat in 2–3 wks
4yo girl w/ 2-mo fatigue + pallor, ↓ activity. Bloods: microcytic hypochromic anaemia. Need expected iron study pattern. Diagnosis?
a/ ↓Ferritin, ↓iron, nl transferrin, ↓sat
b/ ↑Ferritin, ↓iron, ↓transferrin, ↑sat
57girl w/ 6-mo SOB + cough, recent haemoptysis + wt loss. Smoker w/ clubbing + ↓ breath sounds L base; CXR showed L apical mass + L effusion. Asking commonest primary lung Ca. Diagnosis?
a/ Adenocarcinoma
b/ Squamous Cell Carcinoma
72guy w/ 4-wk SOB, shoulder pain, wt loss. Exam: cervical LAD, clubbing, hoarse voice. Likely lung malignancy pattern. Diagnosis?
a/ Lung cancer
b/ Multiple myeloma
c/ Lymphoma
26female routine CST showed HPV (non-16/18) + LSIL. No sx. Wants advice on f/up. Next step?
a/ Repeat HPV in 12 mo
b/ Repeat LBC in 12 wks
18 lady, 36h post-UPSI, day 11 cycle, off OCP. Wants to avoid pregnancy. Choosing suitable EC option. Next step?
a/ Give ulipristal 30mg
b/ Insert Implanon
77 old lady w/ acute shingles L upper back; started on aciclovir. Asking RFs for PHN. Which one? Cause?
a/ Severe prolonged blistering
b/ Age <50 years
35 lady w/ 2-mo R facial pain radiating to ear/jaw/neck; worse w/ chewing. Exam: diffuse mild tenderness R side. Most likely dx? Diagnosis?
a/ Parotitis
b/ Dental abscess
47 female seeking contraception, considering COCP. Need to ID UKMEC category 4 contraindication. Which one? Next step?
a/ Body mass index of 31
b/ Smoking 10 cigarettes / day
10yo boy w/ 2 warts on L hand x2 mo, no prior tx. Mother asking best initial mgmt. What works best? Next step?
a/ Surgical excision
b/ Liquid nitrogen cryotherapy
70yo gentleman w/ vertebral crush fracture after minor fall. Reviewing RFs for osteoporosis. Which RF most significant? Cause?
a/ Type 2 diabetes
b/ Hypothyroidism
72F w/ chronic SOB, cough, wheeze; long smoker; spirometry + CXR consistent w/ obstructive disease. Asking key initial non-pharm step. Next step?
a/ Smoking cessation support
b/ Start 1.5L/day fluid restriction
81F in RACF w/ advanced Alzheimer’s + severe agitation. Starting low-dose risperidone after non-pharm + reversible causes ruled out. Plan is weekly review. Next step?
a/ 12 weeks time
b/ 16 weeks time
23F w/ 2-day pleuritic chest pain, worse lying flat; recent viral illness. Exam mostly normal except mild tachycardia. ECG done. Diagnosis?
a/ Acute pericarditis
b/ Inferior STEMI