MAY 2025 Recalls Compilation
23 guy, no sx, had protected sex w/ 1 male partner in past yr, last encounter 1 wk ago. Partner has other partners. Last HIV test 2 yrs ago. STI screen freq?
a 3 monthly
b 6 monthly
c 12 monthly
35 lady w/ no prev cervical screening testing, prefers self-collected due to past trauma. Not pregnant, no abn bleeding. Asks if eligible for self-test. Advice?
a) Refer for colposcopy if HPV 16/18 found on self-test
b) Not eligible for self-collected HPV test
12yo boy w/ dry cough, worse at night, vomits after coughing. PCR +ve for pertussis. No other sx given. School exclusion?
A After 5 days of abx
b 14 days from cough onset
30 guy attending for semen analysis. Couple referred for fertility workup. Needs results before appt. Correct info about semen analysis?
a. Deliver specimen to lab w/in 1 hr
b. KY jelly/soap OK as lube
Considering part-time role in prison. No prior exp in custodial setting. Thinking about pt health implications. True statement?
a ~50% of prisoners unemployed pre-entry
b High psych illness + pre-entry healthcare use
47yo lady w/ recurrent itch + thick white d/c, not improving w/ OTC tx. Swab shows Candida glabrata. No other lesions. Rx?
a. Boric acid 600mg PV nocte x14
b Clotrimazole 100mg PV nocte x6
61 male, new pt, eGFR dropped slightly over 12 mo (57 to 55). No other hx provided. Seen for bloods f/up. Likely CKD cause?
a Diabetes
b Polycystic kidney disease
c Familial kidney disease
Saw 10 pts w/ flu sx, 5 tested +ve. Mixed age/background. Reviewing risk levels. High-risk pt?
a. 18F Indigenous, prev well
b. 60M, prev well
6yo boy w/ 2-day L hip pain, no trauma, can’t weight bear, febrile. Pain worse despite paracetamol. No visible injury. Dx to r/o?
a. Septic arthritis of the hip joint
b. Slipped capital femoral epiphysis
26 lady, 1st cervical screening test, no sx. HPV (not 16/18) +ve, LBC shows LSIL. Wants to know what’s next. Advice?
a. Repeat HPV in 12 mths
b. Repeat LBC in 12 wks
9yo w/ hx of severe asthma, now SOB w/ ↑WOB, wheeze, poor response to salbutamol/ipratropium. GCS 15, sats 95% RA. Needs ongoing bronchodilators. Next step?
a. Give steroid, call retrieval, prep IV MgSO₄
b. Salbutamol neb + ipratropium
33yo female lawyer, no kids yet, wants 2–3 later, unsure if egg freezing needed. Healthy, reg periods, no issues. Friends mentioned it. True stmt?
a. Ideal oocyte freeze age <35
b. Age not only fertility factor; BMI matters
7yo w/ 3d fever, tired, sore throat, now red cheeks & lacy rash on trunk. No tonsil exudate. Looks flushed. Cause?
a Erythema infectiosum
b Roseola infantum
c Kawasaki Disease
77 old man w/ HTN, IHD, acute drooling, slurred speech, L facial droop, GCS 13. Meds non-compliant. CT available, stroke unit 2h away. Next step?
a Check BGL
b Give all usual meds to prevent complications
92 old lady in RACF, bed bound, ↓oral intake, wants comfort care only. Meds stopped, PRN morphine & midaz charted. Never had opioids before. Dose?
a Morph 2.5mg + midaz 5mg 4-hourly reg
b Morph 1-2mg + midaz 1-2mg PRN hourly
15 teenage girl w/ bulimia (binge-purge), stable wt, ↑exercise, amenorrhoea, ↓growth. Normal labs from last wk. Needs further tests pre-referral. Next test?
a. Calcium, magnesium, phosphate
b. Faecal calprotectin
c. Chest x-ray
67 guy w/ severe R knee OA, booked for TKR, confused about rapid recovery protocol. Thought bed rest needed. Asked re: early mobilisation. Advice?
a/ Mobilise same day (4–8 hrs post-op)
b/ Mobilise 24–48 hrs post-op
50 lady, routine CST, HPV 16/18+, cytology NILM. No response to recall after 3mo. What now?
a Send results via registered mail
b Refer to public hospital women’s clinic
59 guy truck driver, severe OSA dx, CPAP planned. Daytime sleepiness mod. Wife reports apnoeas. Fit to drive?
A< Needs sleep specialist for conditional licence
b< Meets private licence stds if CPAP compliant
80 guy w/ 2h central abdo pain, vomited x2, AF on ECG, BP low, irregular pulse. Abd soft, mild TTP. Most likely diagnosis?
a Acute mesenteric ischaemia
b Appendicitis
c Acute bowel obstruction
78 guy w/ CKD, DM2, HTN, now ↓eGFR from 50 → 27 over 6mo. On multiple meds incl ACEi, CCB, fibrate, carbamazepine. Needs nephro review. Med concern?
a- Metformin, fenofibrate, codeine
b- Carbamazepine, perindopril, paracetamol
40 female w/ 2d R facial droop post-URTI, forehead involved, no other neuro signs. OCP use, hx of exertional HA. ENT exam normal. Diagnosis?
a- Bell’s palsy
b- Guillain-Barré syndrome
c- Acoustic neuroma
49 guy, routine check, BP 210/110, no meds, asymptomatic. Hx of prior high BP, unsure if ever treated. You consider 2° HTN. True stmt?
a Sec HTN causes: OSA, adrenal/endocrine
b FHx ↑ risk for sec HTN
56 male booked for TKR, ECG done pre-op, looks abn. You check med list for cause of ECG changes. No hx given. Likely med?
a ACE inhibitor and spironalactone
b Digoxin
c Atenolol
75 male w/ ↓central vision, lines distorted on Amsler, brown macular lesion seen. Peripheral vision ok. Diagnosis?
A Macular degeneration
b Amaurosis fugax
c Chronic glaucoma
37 lady, 16wks preg, sudden R facial droop in clinic, worsened over 1hr. No numbness, diplopia or ear sx. Neuro exam normal aside from facial. Diagnosis?
a Bell palsy
b Ramsay Hunt syndrome
c Upper motor neurone stroke
14 female post anaphylaxis from bee sting, now has Epipen. Parents unsure how to use it. Want correct info. True advice?
a- Store Epipen cool/dark, 15–25°C
b- Can inject through 2 layers of clothes
20male w/ severe bil eye pain after farm work, likely arc welding exposure. No FB seen, fluorescein shows corneal erosions. Mgmt 24h?
a/ Expect big improvement in 24 hrs
b/ Avoid opioids, reg paracetamol QID
55yo guy w/ thrombocytopenia found on FBC, on many meds. You suspect drug-induced. Which med?
a/ Valproate
b/ Metoclopramide
c/ Donepezil
33 lady w/ HNPCC gene, no GI sx. Family hx of bowel ca. Asks about ongoing screening. Advice?
a Refer to bowel cancer specialist
b Colonoscopy now, repeat 5 yrs + iFOBT 2yrly + aspirin from age 50
79 male guy w/ 2h chest pain, SOB, sweating after gardening. PMHx of HTN, DM2, chol. ECG done in clinic. Diagnosis?
a> Acute inferior ST elevation myocardial infarction
b> Acute anterior ST elevation myocardial infarction
2yo w/ 2d fever, runny nose, barky cough, insp stridor worse w/ crying. Alert but ↑WOB, widespread wheeze. Diagnosis?
a Croup
b Aspiration pneumonia
c Bacterial tracheitis
35 lady, never had CST, asks for self-collected HPV test due to past trauma. Not preg, no bleeding. Asked about test. Advice?
a Refer for colpo if HPV 16/18 +ve
b Not eligible for self-collected HPV test
40 guy w/ 1st renal colic, stone 4mm in good spot, pain settled. Plan is conservative mgmt. Asked about stone type. Commonest composition?
a Calcium oxalate
b Cystine
23 guy w/ 3cm forehead lac from soccer, bleeding stopped. Sutured in clinic w/ good closure. Asked when to remove. Timing?
A 3–5 days
b 5–7 days
25 guy w/ painless firm L testicular lump, no epididymal issues. No sig PMHx. Diagnosis?
a Testicular cancer
b Spermatocele
c Hydatid of Morgagni
64 lady w/ 1d L calf pain/swelling, 4cm bigger vs R. DVT confirmed on USS. Asked about biggest risk factor. Strongest risk?
ATotal hip replacement B Obesity
C` Advancing age
91 old man in residential age care facility, IHD, DM2, seen 2wks ago for UA, declined hosp. Now dead after SOB & CP, no CPR done per wishes. Request for death cert. Action?
a Complete death cert – AMI
b Wait for colleague to return
5 pts w/ flu, different ages. Need to ID who’s high risk for poor outcome. Risk group?
a 18 year old Indigenous woman, previously well
b 60 year old male, previously well
76 female w/ bil hand tremor, better w/ alcohol, worsens w/ action. Slight voice tremor. Most likely cause?
a/ Essential tremor
b/ Dystonic tremor
c/ Cerebellar tremor