JUNE 2026 Recalls Compilation
38male exposed to chronic Hep B carrier partner. Pt was asa. HBsAg -, Anti-HBs +, HBcAb -. Uncertain vax hx. What’s next?
a/ Inform of immunity
b/ Initiate vax series
29ldy w/ chronic painful swellings, scarring, & drainage in both axillae x5yrs. Lesions recur episodically and worsen over time. Smoker (5 PY), BMI 42. Exam shows nodules, sinus tracts, scarring bilaterally
a/ Doxycycline 50mg PO daily x6wks
b/ Oral isotretinoin
42M presented w/ L neck lump noticing few days prior. Had painless L tongue ulcer 3 wks ago that cleared spontaneously. He is MSM and on PrEP. Exam shows solitary 1.5cm firm L ant cervical LAD. diagnosis?
a/ HIV testing
b/ Syphilis serology
13do F presents w/ persistent jaundice noted from day 3. Exclusively breastfed, feeding well, normal stools/nappies. Jaundice noted on face/torso, no HSM. What’s the next step?
a/ Formula top-ups
b/ Measure serum bili
50M c/o chronic productive cough, daily sputum, freq chest infxns since child. Viral URTI -> LRTI w/ wheeze & dyspnea. Never smoked. R base coarse crackles post-cough, digital clubbing noted. No PNDX asthma, no occ exp, no travel.
a/ HRCT thorax
b/ Spirometry +/- bronchodilator
64F c/o L iliac fossa pain, loose stools x24h. Mild L iliac fossa tenderness, no guarding/rebound. Pt has HTN, HLD. ‘,
a/ Conservative mx + FU 24h
b/ Soluble fibre diet + FU 5d
34F, trainer, R shoulder pain x 2 mos, worse at night, limiting overhead motion. No trauma. Pain w/ abd 60-120 deg. No other joint/neck sx.
a/ Rotator cuff tear
b/ Shoulder impingement syndrome
56F w/ 3wk heat intolerance, palpitations, anx. Tender ant neck, worse swallowing. Viral illness 4wk prior. Sinus tach. Tender, enlarged thyroid. Most appropriate initial intervention?
a/ Initiate carbimazole 5 mg q12h
b/ Prescribe propranolol 10 mg q12h
15yo Indigenous male w/ sore throat, fever, dysphagia x 2 days. No cough/rhinorrhea. Others sick in community. Erythema/exudate on tonsils. Group A strep suspected. diagnosis?
a/ Azithromycin x 5d
b/ Penicillin V x 10d
13yo Aboriginal boy w/ sore throat, fever, odynophagia x 2 days. No cough/rhinorrhea. Exam shows tender submandibular LAD, erythematous tonsils w/ patchy exudate. Diagnosis?
a/ Azithromycin 12mg/kg PO x5d.
b/ Benzathine penicillin IM x1 dose.
78F w/ HTN, IHD, CKD4 presents w/ 2wk hx incr fatigue, confusion, abd discomfort, orthostatic Hypotension. Meds: perindopril,, spirono, digoxin. Also had CAP 3 wks ago treated w/ clarithromycin. .
a/ Wernicke’s encephalopathy
b/ Digoxin toxicity
57M truck driver, sudden forceful palpitations + mild dyspnoea + lightheadedness x 1hr. Hx 2 prior similar episodes w/ exertion. Exam: HR 158 bpm. ECG shows AVNRT pattern. Cause?
a/ IV adenosine 6mg bolus
b/ IV verapamil 5-10mg
52M w/ HTN, poor adherence, presents w/ sudden painless L eye vision loss. BP 198/102. Fundoscopy shows pale retina & cherry-red spot. Cause?
a/ Central retinal artery occlusion
b/ Central retinal vein occlusion
54F presents w/ 3hr chest discomfort & N/V. PMHx: T2DM, HTN, HLD. Smoker, ETOH use. Appears unwell. ECG shows ST elevation in anterior leads. Dx?
a/ Anterior STEMI
b/ Posterior STEMI
82F w/ 4mo DOE, now w/ minimal exertion. Denies other sx. Hx GAD, HLD. Exam shows HR 152 irreq irregular. ECG requested.
a/ ACS
b/ PE
c/ AFib w/ RVR
82F w/ 4mo hx worsening dyspnea on exertion. Now stairs difficult. No other sx reported. PMHx GAD, hyperlipidemia. PE: pulse 152bpm & irregularly irregular. ECG ordered.
a/ Acute decompensated HF
b/ Atrial fibrillation w/ RVR
47M w/ long-standing HTN (BP 182/108), non-adherent to tx. Now presents w/ acute, painless R eye vision loss. Fundoscopy shows pale retina & cherry-red spot. Dx?
a/ Central retinal artery occlusion
b/ Central retinal vein occlusion
31M presents w/ routine labs, no PMHx, NKDA, never smoker, no ETOH. Paternal/maternal FHx hypercholesterolaemia. Diagnosis?
a/ Familial hypercholesterolaemia
b/ Metabolic syndrome
9yo M w/ fever, sore throat, R knee & L wrist arthralgia. Bilat tonsillar exudate noted. Closest hosp 400km away. Presentation suggestive of an autoimmune inflammatory process post-strep infection.
a/ Acute rheumatic fever
b/ Septic arthritis
50M w/ 60min episode of tachy, initiated during sex. Hx dep (on citalopram), ETOH/tob smokes. ECG showed SVT. Closest facility 300km away. What’s the initial pharm tx?
a/ Adenosine 6mg rapid bolus
b/ Verapamil 5mg IV
62M w/ T2DM & obesity. Takes metformin and rosuvastatin. Drinks ~22 alc drinks/wk. Exam shows BP 158/92. Labs reveal elevated LFTs (ALP, AST, ALT, GGT) and dyslipidemia. dx?
a/ Alcoholic steatohepatitis
b/ Drug-induced liver injury
38F w/ sudden tearing sensation in L calf post-exercise, lasting days. Months later, came back w/ inc R calf pain & swelling, R calf 5cm > L, pitting oedema present. COC use noted. Dx confirmed.
a/ Rivaroxaban 15mg BID x 21d, then 20mg QD x 6wks
b/ Apixaban 30mg BID x 7d, then 15mg BID x 6wks
58F librarian w/ mo hx of progressive dyspnea on exertion & morning cough productive of white sputum. Smoker 20 cigs/d x 30 yrs. No wgt loss or hemoptysis. Trial of SABA ineffective.
a/ Emphysema
b/ Asthma
26M presents w/ ac onset sharp L chest/shoulder pain x4 hrs, pleuritic, worse w/ deep breath. Mild SOB, fatigue. Hx childhood asthma, current smoker x15 cigs/day. Dim breath sounds L upper quadrant. CXR provided.
a/ Spontaneous primary pneumothorax
b/ Pulmonary thromboembolism
17mo M presents w/ 5d hx productive cough & noisy breathing. Mildly ↓ PO intake but well-hydrated. No known drug allergies or significant PMHx. Vitals WNL.
a/ Viral respiratory tract infection
b/ Acute bronchiolitis
23yo F w/ worsening dyspnea on exertion (swimming) x 4 mos, esp. post commencment of triathlon training. Spirometry w/ poor bronchodilator response. Commercial diver by occupation. cause?
a/ Salbutamol prior to exercise.
b/ Budesonide/formoterol prior to activity.
55F w/ progressive dyspnea, chronic cough, daily creamy sputum x mos. Recurrent lower resp infxns. Exam shows clubbing, bibasilar coarse crackles. No smoking hx. Diagnosis?
a/ Bronchiectasis
b/ COPD
61F w/ R hand pain/stiffness x wks, worse w/ no relief from paracetamol. Exam showed swelling/tenderness at MCPs & IPs. Pt h/o depression, took citalopram, prev anaphylaxis to ibuprofen, non-smoker.
a/ ILD assoc w/ MTX
b/ Methotrexate-induced lung injury
75yo male, smoker, w/ progressive dyspnea & dry cough x mos. Prescribed SABA but limited relief. Exam shows finger clubbing & bibasilar crackles. Spirometry done.
a/ Preserved FEV1: FVC ratio
b/ Reduced FVC w/ normal FEV1
65M presents after MVA last night, minor impact, no deploy/injury. Reports pre-event amnesia, recent somnolence while driving. Nocturnal HA/pharyngitis noted. Meds: perindo, metro, atend, rivarox.
a/ Polysomnography
b/ Ambulatory BP monitoring