MAY 2026 Recalls Compilation
61M 3wks post-ADHF. LVEF 32%, T2DM, CKD3a. On ramipril, bisoprolol, furosemide, metformin. K+ 4.9, Cr 148, eGFR 46. Denies SOB, orthopnea. No edema. BP 106/62. Next step?
a/ spironolactone 12.5 mg orally daily
b/ dapagliflozin 10 mg orally daily
48F w/ strong fam hx T2DM, PCOS. Asymptomatic. Exam shows obesity, large waist circ. FPG 6.1, HbA1c 6.0%, dyslipidemia noted. Current tests indicate prediabetes.
a/ Diagnose IFG & start lifestyle intervention.
b/ metformin 500mg BID.
c/ Arrange OGTT.
57M w/ 3mo hx dysphagia to solids only; liquids okay. Reports 6kg unintentional wt loss & occasional retrosternal burning. Had GERD, on omeprazole 20mg daily. Pt was on PPI w/o relief. Investigation?
a/ Upper endoscopy
b/ Barium swallow
c/ CT chest
70M presented w/ 20-min episode L arm wkness & slurred speech, fully resolved. HTN & HLD hx. Neuro exam normal, CT brain normal. ECG provided.
a/ aspirin 100 mg orally daily.
b/ aspirin 300 mg orally daily.
43F w/ asthma, daily daytime sx, 1-2x/wk nocturnal awakenings. Needing SABA several times/day. Current Rx: SABA PRN. Spirometry results notable for O2 sat 92%.
a/ ICS-LABA MDI 250/50mcg BID
b/ ICS 200mcg BID
72F w/ 3wk hx bilateral shoulder & hip girdle pain, morning stiffness >1hr, fatigue, difficulty rising. High ESR/CRP. Normal CK. What Dx?
a/ PO Prednisolone 15mg QD
b/ PO Prednisolone 40mg QD
37F w/ painful RLL lesion x 5d, after shaving. Red patch evolved, w/ fever & malaise. Labs showed elevated WBC. Concern for cellulitis/abscess. Initial labs notable for leukocytosis.
a/ I&D only.
b/ I&D + oral flucloxacillin.
75M w/ 6mo R knee pain, worse w/ exert, improves w/ rest. Morning stiffness <10min. No systemic sx. PMH: CKD 3b, AFib, HTN. Exam: R knee varus, crepitus, no swelling/effusion. Creat 182, eGFR 36. Initial approach?
a/ Ibuprofen 400mg TID
b/ Celecoxib 200mg QD
29F w/ 8wk hx depressed mood, loss of interest, sleep disturbance, decr appetite, poor concentration, fatigue. Also c/o anxiety sx (palpitations, nausea, diarrhea) esp when stressed. Exam: anxious affect, no psychosis.
a/ Initiate sertraline 50 mg OD.
b/ Initiate venlafaxine ER 75 mg OD.
78M presents after fall, tripped on rug, no LOC/head trauma. Hx AF, HTN, DM2. On apixaban, perindopril, metformin. Mild unsteadiness on turning noted. Cr 102, eGFR 68, HbA1c 7.2%. Falls risk?
a/ Lower apixaban dose q2h
b/ D/c apixaban
32yo F presented w/ fatigue, cold intolerance, wt gain x 6 mos, planning conception. TSH 6.8, fT4 13, +TPO Ab. Mild periorbital puffiness noted.
a/ Reassurance & repeat TFTs 6 mos
b/ Initiate levothyroxine 50mcg daily
50M presents w/ 2wk hx severe morning headaches, worse on waking. Assoc w/ nausea. Hx HTN on amlodipine. Exam: mild HTN, neuro exam unremarkable but fundoscopy shows blurred optic discs bilaterally. Rx?
a/ Contrast CT brain
b/ Non-contrast CT brain
c/ Lumbar puncture
62M w/ 3mo dry cough, DOE, R chest pain, unintent w/o. P/h HTN, ex-smoker 25pyrs (cx 8yrs ago). Dim breath sounds R base. CXR no acute abnormality. CRP 6. W/u?
a/ Repeat CXR 3mo
b/ High-res CT chest
c/ Referral resp phys
28F G2P1 @ 9 wks gestation c/o severe N/V, unable to tolerate PO intake for days, dark urine, w/ 4kg wt loss. UA: 3+ ketones. Vitals otherwise normal, dry mucous membranes.
a/ IV fluids
b/ ondansetron 4mg PO BID
c/ pyridoxine 25mg PO TID
57M w/ epilepsy diagnosed 4mo ago, seizure-free on levetiracetam. Self-employed electrician, uses car for work. Wants discussion unrecorded. Asking about driving.
a/ Inform transport authority.
b/ Instruct to stop driving & document.
57M w/ T2DM x 12yrs, CKD 3a, HTN on metformin, gliclazide, perindopril, amlodipine. Current HbA1c 7.6%, Cr 148, eGFR 48. ACR 46. Pts reports no hypoglycemia.
a/ Add dapagliflozin 10mg
b/ Add insulin glargine 10 units
74F w/ 2wk epigastric discomfort, early satiety. Taking Rlx 20mg qhs, Naproxen 500mg bid, PPI 40mg qd. Mild epigastric tenderness. Labs: Hb 108, MCV 78, Ferritin 14. Cause?
a/ Increase PPI to 40mg BID
b/ D/C Rlx
c/ Urgent gastroscopy
4yo M w/ L LE pain, unable to WB, no trauma hx. Had mild URI sx last wk. Exam shows L hip pain w/ passive rotation. T 37.9C. Hx of mild malaise.
a/ Adm urgently to hospital.
b/ US L hip.
c/ X-ray pelvis.
66M w/ IHD post DES, T2DM, CKD3a. Dev’d DOE, orthopnoea (2 pillows), b/l ankle swelling over 4 mos. No chest pain. Exam: bibasal crackles, pitting oedema to mid-shins. On ASA, atorva, metoprolol, ramipril, metformin.
a/ Initiate spironolactone
b/ Commence furosemide
c/ Initiate dapagliflozin
51F w/ 3wk progressive L nasal blockage, blood-tinged discharge, facial pressure. Abx failed. Ant rhinoscopy shows friable mass L nasal cavity. No nodes.
a/ CT sinuses
b/ Biopsy in GP
c/ Urgent ENT referral
38M presents w/ palpitations, anxiety, tremor, heat intolerance, & 6kg unintentional wt loss over 3 mos. Exam shows tachy, irregular pulse, fine tremor, & diffuse goitre. Initial labs needed. What next?
a/ PP 40mg tid + Carb 20mg qd
b/ PTU 100mg tid
c/ Carb 10mg qd
72F presented after fall, w/ worsening thoracic discomfort for mos. PMH osteopenia, COPD, hx chronic steroids (pred 7.5mg daily). CXR showed T8 wedge compression fx.
a/ Initiate alendronate 70mg q wk.
b/ Initiate calcium carbonate 1.2g daily.
64M w/ 6wk progressive dysphagia s/p solids to softs. Reports post-prandial retrosternal discomfort & food retention. Significant hx smoking. 5kg wt loss 2mo ago. Denies heartburn. Dx?
a/ Famotidine PO
b/ VSGS
25F presents w/ lower abd pain & vaginal bleed. LMP 6 wks ago, c/o light-headedness. + urine preg test, ser bhCG 1600. Abd suprapubic tenderness, + cervical motion tenderness. What’s next?
a/ Refer to ED.
b/ TVUS.
73M presents w/ 24hr n/v & yellow visual tinges. Hx of AFib & OA. Meds inc. apixaban, digoxin, & new ibuprofen started 1 wk ago. Exam showed irregular pulse 58. Investigated w/ Cr 168 & eGFR 34. Cause?
a/ Discontinue ibuprofen
b/ Halt digoxin admin
49F w/ 2mo hx progressive morning HA, N/V, blurred vision. Mom had MS dx @ 28. Fundoscopy shows bilat papilloedema.
a/ MRI brain w/ contrast
b/ CT brain w/o contrast
58M w/ 3wk LBP, worse at night, boring pain. Lost 4kg, fatigued, decr appetite. Hx afib, HTN. Labs: Hb 109, MCV 78, Ferritin 10, ESR 68, CRP 42, Cr 128. Denies cauda equina sx. Question:
a/ Plain radiograph L-spine
b/ MRI L-spine w/ contrast
c/ Graded physical activity
62M c/o intermittent dizzy spells, presyncope upon standing, blurred vision. Sx worse AM & hot showers. Hx HTN, DM2, PNB. Meds inc ramipril, amlodipine, indapamide, metformin, empagliflozin, tamsulosin. Cause?
a/ Decrease amlodipine
b/ Discontinue tamsulosin
10yo G w/ persistent d+ after metronidazole rx for Giardia. BM now greasy, malodorous to frothy, explosive, distension, discomfort x3-4 daily. Stool PCR neg. Appetite diminished.
a/ Metronidazole 10mg/kg PO TID x5d
b/ Tinidazole 50mg/kg PO single dose
85F w/ 6wk progressive SOB on exertion & abd discomfort. Now w/ ankle oedema, reduced exercise tol, & early satiety. Exam: elevated JVP, bibasal creps, pitting oedema bilat. Dx confirmed via Ix.
a/ Administer frusemide 40 mg orally daily
b/ Initiate bisoprolol 1.25 mg orally daily