MARCH 2026 Recalls Compilation
17yo F w/ 3wk hx mucus in stools, occasional BRB streaks. Looser stools daily, denies nocturnal diarrhoea/fever/wt loss. Abdomen soft, mild L iliac fossa tenderness. Stool PCR detected B. hominis, neg for other path. diagnosis?
a Coeliac serology
b Faecal calprotectin
26F presents w/ hx intermittent 4yr relationship, partner exhibits physical aggression, recent escalation w/ intoxication, restraint, verbal abuse. Pt feels secure enough to return home, no sig injuries apparent. next step?
a/ Refer pt to mainstream FDV support.
b/ Refer pt to ACHO.
19yo F, 3wks postpartum, adopted infant 2 days ago. Presents w/ significant bilateral breast pain & engorgement. Denies fever or other sx. Wants rapid relief.
Cabergoline
Firm breast binding
23yo F w/ chronic daily sneezing, nasal itching, watery rhinorrhea. Sx worse indoors/waking, unresponsive to intranasal steroids/antihistamines. Pale/oedematous turbinates on exam.
a Skin prick testing
b Oral immunotherapy
c CT sinuses
3yo Aboriginal gi w/ intensely pruritic rash x 4wks, started hands, now hands, feet, axillae, groin. Nocturnal scratching, disturbed sleep. Multiple excoriated papules/nodules in affected areas. initial tx?
1 Hydrocortisone 1% BID x 1wk
2 Oral antihistamine nightly
25F, pro free diver, c/o sudden L ear hearing loss, tinnitus, vertigo after deep dive. Difficulty equalizing pressure, had allergic rhinitis. Tried to rest, worsening sx. T PGA causes vertigo.
a/ Eustachian tube dysfunction
b/ Otitis media
7moF w/ 3d hx fever, cough, coryza, conjunctivitis. Poor feeding, lethargic. Widespread erythematous rash noted today, started on face. Unimmunised for MMR. maculopapular rash on face/trunk. most common complication?
a/ Otitis media
b/ Pneumonia
3yoM w/ unilateral foul-smelling rhinorrhea x 3 days. Exam shows purulent, malodorous discharge from L nostril w/ visible plastic bead obstructing airflow. Child non-cooperative.
a/ Spontaneous extrusion
b/ Forceps removal alone
35F w/ 6mo hx N/V, decr appetite, vomiting daily. All prior w/u neg. Pt is refugee from Ethiopia 18mo ago, overwhelmed, isolated, low mood, tearful. IUD in situ. BMI 18. Next best step?
a/ Initiate duloxetine 30mg daily
b/ Initiate sertraline 50mg daily
30F w/ rash to upper back/trunk, itchy + rough texture, numerous small red scaly spots developing past few days. PE shows multiple small erythematous scaly papules on back/trunk, sandpaper-like.
a/ Topical coal tar 1% daily.
b/ Oral antihistamine daily.
42M c/o R eye irritation, sticky d/c, watery. Brief eye pain/visual disturbances earlier after metal grinding (no PPE). Exam: R subconjunctival haemorrhage, clear cornea. VA 6/7.5 OU. Action?
. Prescribe lubricating drops
CT orbit
80F w/ stepwise cognitive decline over 2 yrs, noted by son. Episodes of deterioration followed by plateau. Hx HTN, HLD. MMSE 23/30, poor orientation/visuospatial/memory.
a/ Alzheimer’s disease
b/ Vascular dementia
77F presented w/ acute onset drowsiness, slurred speech. Pt taking metformin, gliclazide, atorvastatin. Capillary glucose 2.2 mmol/L. Brain CT/MRI showed only mild cerebral atrophy.
a/ Subdural haemorrhage
b/ Hypoglycaemia
33M w/ sudden, severe, sharp, tearing chest pain radiating to back. Serial ECGs/troponins neg overnight. Hx HTN poorly controlled, stopped meds >6mo ago. Radial pulses asymmetric R>L. diagnosis?
a/ ACS
b/ Aortic dissection
c/ Pulmonary embolism
28F presents w/ 48hr hx light vaginal spotting, bright red no clots, no abd pain. US 1wk ago showed viable singleton IUP at 8wks GA. Speculum exam shows small amount fresh blood, cervix closed.
a/ Ectopic gestation
b/ Implantation bleeding
c/ Threatened abortion
61M w/ T2DM x 6yrs, on metformin. Last A1c 6.8%. Ambulatory BP morn 141/86, no HTN tx yet. Urine dip 2+ protein, no hematuria. FHx dialysis. Normal labs otherwise.
a/ Start statin.
b/ BMI < 23.
c/ SBP < 130.
Pt presented w/ hypercalcemia & hypophosphatemia (0.7). PTH was borderline high (6.2). DEXA showed osteopenia. Pt’s albumin was used for correction, but details re: pt demo omitted.
a/ Prescribe Alendronate 70 mg orally weekly
b/ Sestamibi parathyroid scan
42M w/ 3yr hx L-sided UC, previously sensitive to sulfasalazine, then stopped tx independently. Now asymptomatic, nl bowel habits. Wants advice re: resuming tx. Exam nl.
a/ Colonoscopy
b/ Flexible sigmoidoscopy
c/ Faecal calprotectin
9yo M c/o rash x 2d on lower ext, buttocks, upper limbs. Also c/o abd pain & arthralgias x 1wk. Hx URI 10d ago. palpable purpuric lesions on lower ext/buttocks, non-blanching.
a/ ITP
b/ HSP
c/ Hypersensitivity vasculitis
63M presents w/ progressive mid-thoracic back pain, worse at night, & fatigue. localized T-spine tenderness. elevated ESR & mild hypercalcemia. T6 wedge compression fx. Hx of HTN.
a/ Bone mineral densitometry
b/ Serum protein electrophoresis
66M s/p R THR 6 mos ago for OA, uncomplicated. Plng dental procedure w/ filling/crown. PMH HTN, dyslip. No meds.
a/ No prophylactic abx.
b/ Amoxicillin 2g PO 1hr pre.
c/ Clindamycin 600mg PO 1hr pre.
50F w/ inc. HA freq (2-3x/wk vs q few wks), unilateral, throbbing, photophobia, n/v. Pt concerned abt wt gain/sedation. PMH mild asthma on ICS, vasomotor sx on paroxetine. Neuro exam unremarkable.
a/ Propranolol
b/ Topiramate
c/ Amitriptyline
27F w/ prolonged, irregular menses since menarche, now bleeding x 13d. Gained ~12kg over 5 yrs. C/o persistent acne & hirsutism. BMI 32. Pelvic US pending. What’s next?
a/ Adnexal mass w/ ascites
b/ Endometrial thickness > 12mm
c/ >20 peripheral follicles/ovary
29F w/ hx bipolar, 3mo decline in mood, inc sleeping, poor concentration. On lithium, wk ago lithium lvl & labs WNL. No SI/hallucinations/delusions, no mania. Psychomotor slowing present. Most suitable intervention?
a/ Increase lithium dose
b/ Add fluoxetine
c/ Add olanzapine
55M w/ 12mo hx progressive memory decline & motor slowing. R hand fine motor difficulties. Denies visual hallucinations or fluctuating cognition. No dream enactment or head trauma.
a/ Parkinson’s disease
b/ Alzheimer’s disease
c/ Corticobasal degeneration
Pt presented w/ R scrotal pain & swelling, worsening over hrs. Fever noted, urine cx pending. Exam showed tender testicle & epididymis, w/ some erythema of scrotal skin. No trauma hx.
a/ Epididymitis/orchitis
b/ Testicular torsion
44F w/ poorly controlled asthma, daytime sx >4 days/wk, nocturnal sx 1x/wk, uses SABA 4-5x/wk. Lungs had occasional expiratory wheeze. No prior ICS or hosp. next step?
a/ Budesonide-formoterol 400/12mcg bid
b/ICS w/ LABA
22M metal worker w/ chemical splash to L eye 25 mins ago, no eye protection. Severe eye pain, blurred vision, photophobia. L eye shut, conjunctival injection, tearing. next step?
a/ Pressure eye pad, keep eye closed
b/ Check visual acuity before Rx
47F w/ H. pylori+ non-ulcer dyspepsia 6 wks ago post-gastroscopy. Had triple eradication therapy. continues OTC esomeprazole for reflux. Inquires re: further invx/tx. Denies smoking/infreq EtOH.
a/ Stop PPI 6 wks, do 13C-UBT
b/ Stool antigen test while on PPI
73F presented w/ L distal radius fx from fall. Menopause @ 50, no prior fx hx. PMH GERD on omeprazole. Lumbar spine T-score -1.8, femoral neck T-score -2.0. Creat/eGFR normal. What next?
a/ Start alendronate 70mg weekly.
b/ Give CC 1.5g daily.