AUGUST 2025 Recalls Compilation
33 yo male tiler with 3-day hx of L knee pain, swelling, red. No trauma. Anterior knee swollen, tender. Next step?
a/ clinical dx, no further tests needed
b/ Refer for FBC + CRP
62yo w/ tiredness x3 mo, found to have B12 def. Asking which assoc. condition. Associated w/ B12 def?
a/ Newly arrived refugee
b/ Sulphonylurea use
22 lady noticed changing tongue appearance 2 wks ago. No pain, hx of pustular psoriasis. O/E abnormal tongue. Next step.
a/ Reassure no treatment needed
b/ Urgent FBC + blood film needed
22 lady w/ recurrent diarrhoea + abdo pain. No fever, no travel. Looking for red flags. Symptoms suggestive of IBD?
a/ Waking to pass stools overnight
b/ Abdominal bloating
53lady with hot flushes affecting sleep + daily life. Wants to start tibolone. When can it be used? Indication?
a/ Post surgical menopause
b/ Current vaginal bleeding
Reading research on new screening test. Table shows results (A, B, C, D). Asked how to calculate. Sensitivity?
a/ [A / (A + C)] x 100
b/ [A / (A + B)] x 100
46male factory worker w/ tiredness, unrefreshed sleep, AM headaches. Obese, drinks beer daily. Likely diagnosis?
a/ Obstructive sleep apnoea
b/ Anaemia
89 lady in hostel, med review during flu vax. Several meds incl. amitriptyline, temazepam. Which med risky at her age? Med caution?
a/ Frusemide, amitriptyline, temazepam
b/ Perindopril, amlodipine, temazepam
59F from China, 3 mo hx of cough, haemoptysis, wt loss, night sweats. PMHx T2DM, HTN. Never smoked. Initial investigations?
a/ CXR + 3 sputum AFB smear/culture
b/ Interferon gamma release assay
29F w/ hair loss, +ve hair pull test, scalp normal. 3-mo post-partum, otherwise well. Most likely dx? Diagnosis?
a/ Telogen effluvium
b/ Alopecia areata
60F w/ PMB x6 mo, initially post-intercourse but now more frequent. No pain. Wants to rule out serious cause. Diagnosis?
a/ Cervical cancer
b/ Atrophic vaginitis
New refugee family from Iraq settling in regional town. Father called to register. You’re thinking about health checks. Correct statement?
a/ Medicare rebate for refugee health check, separate from visa med exam
b/ No comprehensive health check needed, done before arrival
25M w/ 3-day hx of fever, URTI sx, abdo pain. O/E splenomegaly, ↓ breath sounds. Asking which pathogen needs notification. Notification?
a/ Chlamydia psittaci
b/ Chlamydia pneumoniae
c/ Enterovirus
38F, 9 wks preg, comes w/ partner to discuss NIPT. Heard about it from friend. Wants more info. Correct statement?
a/ NIPT screens for Down’s, Turner’s
b/ NIPT detects CF, thalassemia
61M new pt, eGFR 55, was 57 last yr. No other hx known. Thinking about common causes in Aus. Likely cause?
a/ Diabetes
b/ Hypertension
c/ Glomerulonephritis
4yo boy w/ fever x5 days, red lips, strawberry tongue, red eyes, swollen hands/feet. Mum very worried. Important diagnosis?
a/ Kawasaki Disease
b/ Roseola infantum
c/ Rubella
20F med student often late, brags about partying, drinks lots. Still attentive + knowledgeable in consults. Next step?
a/ Discuss tardiness + concerns w/ her
b/ Notify uni about suspected intoxication on placement
12F w/ hair loss on frontal scalp, some short hairs remain. No rash or scaling. Mum anxious pre-comp. Likely diagnosis?
a/ Traction alopecia
b/ Tinea capitis
c/ Alopecia areata
57F w/ thyroid lump, 2cm soft R lobe nodule. TSH mildly ↑. Feels well otherwise. Next step?
a/ Thyroid + cervical LN US for FNA need
b/ Thyroid CT scan
28M w/ UC, on immunosuppressants, no flares. Feels well, WNL exam. Due for routine tests. What to arrange?
a/ FBC, electrolytes, LFTs, faecal calprotectin
b/ FBC, LFTs, coag, albumin, faecal calprotectin
75M died overnight in hosp after fever + cough. Recently had drink-driving MVA, needed surgery, was on bail. GP unsure re cause. Coroner’s case?
a/ Doc unsure re cause of death
b/ Death within 1 wk of police custody
70F w/ itchy, watery eyes, no response to antihistamines. No nasal sx. Yellow crusts on lids, some burning. Next step?
a/ Warm compress + baby shampoo lash scrubs
b/ Start intranasal mometasone daily
23M backpacker doing cattle farm work. Mild fever x4 days, concerned re Q fever. Wants to confirm dx. Best test?
a/ Serum PCR for Coxiella burnetii
b/ Serial blood cultures for Coxiella burnetii
44F w/ worsening headaches x4 mo + bitemporal hemianopia. You suspect pit adenoma. Asked to pick true statement. True statement?
a/ Visual loss usually from tumour pressing on optic chiasm
b/ Pituitary adenomas = 40–50% of intracranial tumours
45M Indigenous, lives remote, hx DM + IHD. Has fever, night sweats, haemoptysis. CXR ordered, can’t produce sputum. What else?
a/ Try giving nebulized hypertonic saline to induce a sputum sample
b/ Mantoux test
29F, 6 wks preg, hx hypothyroidism, on thyroxine. Wants to know if dose needs changing. You plan TFTs. TSH target?
a/ TSH < 2.5 mIU/L
b/ TSH < 4.0 mIU/L
19M med student planning rural elective in Thailand. Wants advice on malaria proph. No allergies, on isotretinoin. Best option?
a/ Atovaquone/proguanil daily w/ fatty food 1-2d before to 7d after trip
b/ Mefloquine weekly starting 2-3wks before to 4wks after trip
66M smoker on rivaroxaban, painless haematuria. Initial w/u incl cytology + labs all normal. Next step?
a/ CT IVP + urology referral for cystoscopy
b/ Renal US referral
81F w/ acute vertigo, slurred speech, nausea. Woke up like that, can’t walk. PMHx HTN + T2DM. Most likely diagnosis?
a/ Cerebellar cerebrovascular accident
b/ Meneire’s disease
Looking up Cochrane for immunotherapy in kids with egg allergy. Recall need to use PICO to search properly. Elements?
a/ Population, Intervention, Comparator, Outcome
b/ Patient group, Intervention, Comparator, Outcome