AUGUST 2026 Recalls Compilation
61F w/ 3d hx severe L lower jaw pain, cheek swelling, worse w/ biting, radiates to L ear. PMH: poorly controlled DM2, HTN. Current meds: metformin, amlodipine. Mild trismus. diagnosis?
a/ Periodontal abscess
b/ Acute odontogenic infection
28F w/ 3wk dysphagia, burning tongue, substernal pain on solids. Denies wt loss/heme, but reduced intake. Hx T1DM w/ poor control recently. Esomeprazole 20mg QD x 2wk no help. Next step?
a/ Barium swallow
b/ PPI increase
25M w/ painful erythematous penile lesions x days, subjective fever. Reports multiple recent unprotected vaginal intercourses. Physical exam shows multiple vesicles on penile shaft. Lesion swab for HSV PCR?
a/ NAAT for gonorrhoea
b/ HSV PCR swab
6yo F w/ L elbow crusted lesion x 1 wk. Hx eczema, PCN allergy (lip swelling/wheeze). Lesion erythematous plaques w/ yellow crusting. No systemic sx.
a/ Cephalexin PO
b/ Mupirocin topical
31M presents w/ 1 wk painless penile ulcers & groin swellings. New partner 2 wks prior. Exam: multiple painless ulcers, raised edges, bilat non-tender inguinal LAD.
a/ Primary syphilis
b/ Lymphogranuloma venereum
33F presented w/ malaise, rigors, fever, h/a, rash. PMH significant for homelessness & polysubstance use. Exam notable for macular rash & splinter hemorrhages on hands. Closest tertiary care 300km away.
a/ Viral exanthem
b/ Infective endocarditis
23M mixed heritage presents w/ acute facial/ankle edema, started 2 wks post-sore throat. No CV-19. BP 156/94. Exam shows pitting edema face/ankles.
a/ Nephrotic syndrome
b/ Post-streptococcal glomerulonephritis
70M w/ gradual vision loss, worse in L eye recently. Pt notes central blurring, difficulty writing. Exam shows R 6/6, L 6/18. Fundoscopy of L eye reveals exudate & macular oedema.
a/ Wet macular degeneration
b/ Diabetic retinopathy
20yo Aboriginal female w/ 4wk hx B/L purulent eye d/c, redness, + mild stinging on urination. No vision changes. Exam shows B/L purulent d/c, conjunctival inflam. No systemic sx. Dx?
a/ Doxy 100mg BID x7d
b/ Azithro 1g PO x1
59M c/o acute LBP 3d post-mech fall, w/ post thigh radiculopathy L. No red flags. PMH HTN. BCC dx. Taking friend’s oxycodone PRN.
a/ Older age
b/ Radicular pain
25yo F w/ 2wk hx unusual grey, malodorous vaginal d/c, worse post intercourse. Denies pruritus, dysuria, dyspareunia. IUD in situ x 18 mos. Exam: thin grey d/c, no cervical motion tenderness. cause?
a/ Metronidazole PO x 7d
b/ Boric acid intravaginal x 14d
58F new pt continuin ramipril 10mg for HTN diagnosed ~6 yrs ago, prev records N/A. Her HTN exist, no DM/CVD/renal issues, non-smoker, infreq alcohol, no fam hx kidney dz.
a/ Discontinue ramipril therapy immediately.
b/ Perform Cystatin C assay for CKD.
38F presents w/ oligomenorrhea x 18mos, now amenorrheic x 7mos. Reports occasional hot flushes, disturbed sleep. No relevant PMH or meds w/o contraception. UPT neg, TSH, prolactin normal.
a/ Elevated FSH levels
b/ Elevated anti-Müllerian hormone levels
28M w/ penile lesions, non-tender, warty, papilliferous on shaft/base. Recent STI screen: Hep B sAg neg, Hep B sAb pos, Hep B cAb neg, Hep C neg, HIV neg. Meth abuse hx, denies IVDU. likely reason for Hep B serology?
a/ Previous Hep B immunisation
b/ Current Hep B infection
20yo F backpacker w/ R foot pain post snakebite. Had HA, N/V, lightheadedness. Temp 38.5, HR 124, BP 95/77. Puncture wound R foot. Occasional cocaine use. Diagnosis?
a/ Brown snake envenomation
b/ Tiger snake envenomation
63M in aged care facility w/ 48hr hx fever & prod cough, started post-meal. Pt has MND, allergic to PCN. Ruled out COVID. Crackles RML.
a/ Aspiration pneumonia
b/ Lung abscess
6yo M w/ 6-day hx productive cough, fevers, lassitude, rhinorrhoea, worsening over 3 days. Dec feeding, norm fluid intake. Intercostal/subcostal indrawing, coarse crackles RLL. Diagnosis?
a/ Bronchiolitis
b/ Viral pneumonitis
29M w/ 4mo incr dyspnea on exertion, esp swimming. Allergic rhinitis hx. Normal spirometry today, no bronchodilator response. Symptoms worse w/ endurance training. Consider EIA. Rx?
a/ SABA pre-exercise
b/ ICS twice daily
31F seen re: recent Pap results. PT reports unprotected sex 5 days ago, asks abt pregnancy risk. Claims condom failures before, but not recently. Wants to avoid invasive interventions.
a/ Administer levonorgestrel 1.5 mg PO.
b/ Administer ulipristal acetate 30 mg PO.
23yoW presented w/ 5wk bilateral red eyes, mucopurulent discharge, morning matting. Also c/o mild dysuria, freq. Sexually activ. Exam: bilateral conjunctival injection, purulent discharge. Initial pharm tx?
a/ Oral azithromycin 1g single dose
b/ Oral doxycycline 100mg BID x 7d
25F presents w/ 1 wk progressive L eye ↓ vision, pain w/ EOM, ↓ colour vision. Hx R eye similar sx ~1yr ago, resolved. L optic disc oedema noted on fundoscopy. Diagnosis?
a/ Multiple sclerosis
b/ Optic neuritis
49yo F postmenopausal 6 mos experiencing hot flushes, night sweats, vaginal dryness. Maternal aunt dx breast ca @ 49yo. No other fhx. Nightly ETOH.
a/ General pop risk.
b/ Moderately elevated risk.
36M w/ persistent nasal congestion & rhinorrhoea x wks, occasional clear/yellow d/c. Tried nasal decongestants, loratadine, saline irrigation w/o sig relief. Needs help w/ cravings after advised to quit.
a/ Nicotine replacement therapy (patch): 21 mg patch daily
b/ Varenicline: 1 mg orally twice daily
47F w/ LGSIL on Pap, HPV 9+. Smoker, no current sexual activity. Denies bleeding/pain/discharge. Prior Paps nl. What non-pharm mgmt?
a/ Repeat HPV co-test in 12 mos.
b/ Arrange repeat Pap in 6 mos.
27M w/ penile nodule & bilateral inguinal LAD. Had non-painful penile sore a wk prior, now groin swellings. Multiple unprotected sexual encounters. PE shows penile ulcer & LAD. Closest tertiary care far.
a/ Single dose Benzathine penicillin G IM
b/ Doxycycline 100mg PO BID x14d
32F c/o severe irritability & anger episodes, worse pre-menses, affecting work/relationships. Denies SI. Hx MDD, seeing psych. No ETOH/tob. BMI 42.What’s the dx?
a/ OCP
b/ Norethisterone
c/ Fluoxetine 20mg qd
46F c/o heavy menses x 2 yrs, lasting 8 days w/ hourly changes & clots. Hx: PUD, HTN, migraine w/ aura. Labs notable for low ferritin. Pelvic US normal. Dx?
a/ Primary endometrial dysfunction
b/ Endometrial hyperplasia
23F w/ 3wk cramping abd pain, loose stools x3/d, worse at night, fatigue, n/v. Hx recurrent oral ulcers, current smoker. Abd exam: mid-abd & RIF tenderness. No guarding.
a/ Crohn’s disease
b/ Irritable bowel syndrome
c/ Coeliac disease
53F hasn’t answered calls re bloods, left voicemails. Emergency contact also unreachable. Bloods rec’d AM, concerning. No response to multiple attempts. Most appropriate immediate action?
a/ Police welfare check
b/ Contact defence organisation
29M f/u ET + R/V from Syria/Lebanon, asymptomatic in Aus 3 wks. Labs show elevated eosinophils, pos QFT-TB & Hep B core Ab+. CXR nl. Asks about findings/tx. What’s next?
a/ Refer to TB clinic for LTBI eval
b/ Give ivermectin 200mcg/kg x 2