OET Medicine Preparation

Case Notes Repository

141 Cases Available

The largest OET case notes library on the internet

141 OET Medicine cases, every one fully typed out and searchable to the last word. Each case opens two ways — never a screenshot, never a random PDF.

OETlab Structured: The case broken into clean, labelled sections — patient, history, findings, and task — so you can scan the notes the way an examiner reads them.
Original Exam Text: The case exactly as it appeared in the exam, reproduced word for word — nothing rewritten, nothing left out.

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Showing 20 of 141 cases from our expanding collection.

Case Title	Specialty	Task Type	Level	Clinical Focus	Action
Case 01: Ms. Eleanor Bennet	Cardio	Referral	Intermediate	Post-MI / Captopril Side Effects	View Case
Case 02: Mr. Adam Knowles	GI	Urgent	Advanced	Obstructive Jaundice / ?Pancreatic Malignancy	View Case
Case 03: Mr. Barry Jones	Orthopedic	Referral	Intermediate	Lower Back Strain / Return to Work	View Case
Case 04: Mrs. Priya Sharma	Endocrine	Referral	Intermediate	Type 2 Diabetes / Poor Glycaemic Control	View Case
Case 05: Ms. Anne Hall	GI	Referral	Intermediate	GORD / Dysphagia	View Case
Case 06: Mr. Allen Mathis	Cardio	Urgent	Advanced	Biventricular Heart Failure / Silent Ischaemia	View Case
Case 07: Mr. Derek Romano	Cardio	Urgent	Intermediate	Acute Myocardial Infarction	View Case
Case 08: Mr. John Elvin	Cardio	Urgent	Advanced	Anterior MI / Acute Asthma Exacerbation	View Case
Case 09: Mrs. Lucy Clarke	Cardio	Urgent	Intermediate	Unstable Angina	View Case
Case 10: Mr. Robert Martin	Cardio	Urgent	Intermediate	Hypertension / ?Unstable Angina	View Case
Case 11: Brendan Cross	Cardio	Urgent	Advanced	Acute Rheumatic Fever	View Case
Case 12: Mr. Dave Cochrane	Cardio	Urgent	Advanced	Acute Left Ventricular Failure	View Case
Case 13: Emma Johnson	Respiratory	Urgent	Intermediate	Acute Asthma Exacerbation	View Case
Case 14: Mrs. May Hong	Respiratory	Urgent	Advanced	Right Lower Lobar Pneumonia	View Case
Case 15: Ms. Sally McConville	Respiratory	Urgent	Intermediate	Acute Asthma / ?Pneumonia	View Case
Case 16: Mr. Ammar Moustafawy	GI	Urgent	Advanced	Liver Abscess	View Case
Case 17: Mrs. Ann Howard	GI	Urgent	Intermediate	Early Bowel Obstruction / ?Carcinoma	View Case
Case 18: Mr. Brian Morgan	GI	Urgent	Intermediate	Acute Appendicitis	View Case
Case 19: Mr. Fred Davies	GI	Urgent	Advanced	Acute Colonic Pseudo-obstruction	View Case
Case 20: Mrs. Jenny Perkins	GI	Urgent	Intermediate	Large Bowel Obstruction (Sigmoid Volvulus)	View Case

Case 01: Ms. Eleanor Bennet

Post-MI / Captopril Side Effects

Cardio • ReferralView

Case 02: Mr. Adam Knowles

Obstructive Jaundice / ?Pancreatic Malignancy

GI • UrgentView

Case 03: Mr. Barry Jones

Lower Back Strain / Return to Work

Orthopedic • ReferralView

Case 04: Mrs. Priya Sharma

Type 2 Diabetes / Poor Glycaemic Control

Endocrine • ReferralView

Case 05: Ms. Anne Hall

GORD / Dysphagia

GI • ReferralView

Case 06: Mr. Allen Mathis

Biventricular Heart Failure / Silent Ischaemia

Cardio • UrgentView

Case 07: Mr. Derek Romano

Acute Myocardial Infarction

Cardio • UrgentView

Case 08: Mr. John Elvin

Anterior MI / Acute Asthma Exacerbation

Cardio • UrgentView

Case 09: Mrs. Lucy Clarke

Unstable Angina

Cardio • UrgentView

Case 10: Mr. Robert Martin

Hypertension / ?Unstable Angina

Cardio • UrgentView

Case 11: Brendan Cross

Acute Rheumatic Fever

Cardio • UrgentView

Case 12: Mr. Dave Cochrane

Acute Left Ventricular Failure

Cardio • UrgentView

Case 13: Emma Johnson

Acute Asthma Exacerbation

Respiratory • UrgentView

Case 14: Mrs. May Hong

Right Lower Lobar Pneumonia

Respiratory • UrgentView

Case 15: Ms. Sally McConville

Acute Asthma / ?Pneumonia

Respiratory • UrgentView

Case 16: Mr. Ammar Moustafawy

Liver Abscess

GI • UrgentView

Case 17: Mrs. Ann Howard

Early Bowel Obstruction / ?Carcinoma

GI • UrgentView

Case 18: Mr. Brian Morgan

Acute Appendicitis

GI • UrgentView

Case 19: Mr. Fred Davies

Acute Colonic Pseudo-obstruction

GI • UrgentView

Case 20: Mrs. Jenny Perkins

Large Bowel Obstruction (Sigmoid Volvulus)

GI • UrgentView

121 more cases to explore

Case 08: Mr. John Elvin

Anterior MI / Acute Asthma Exacerbation

Occupational English Test

WRITING SUB-TEST: MEDICINE

TIME ALLOWED: READING TIME: 5 MINUTES | WRITING TIME: 40 MINUTES

NOTES

John Elvin is a 48-year-old patient in your General Practice

5/05/11

Subjective:

Complaint of occasional mild central chest pain on exertion

Has mild asthma but otherwise previously well

Nil family history of cardiac disease

1 pack day smoker and drinks 10 standard drinks 5/7

Under significant stress with own business

Medications – seretide two puffs BD salbutamol two puffs prn

Allergies - Nil

Objective:

Nil chest pain O/E

ECG NAD

Troponin level NAD

Assessment:

Early stages of IHD

D/D - stress related chest pain

Alcohol dependence but not interested in changing

Plan:

Check serum lipids

Refer for exercise stress test

Review in 1 week

12/5/11

Subjective:

Still only very occasional chest pain on exertion

Has runny nose & pharyngitis at present with ↑asthma symptoms

Attended stress test with very mild chest pain at high exercise load

Objective:

Some very slight ischaemic changes present in exercise test

Mild bilateral wheeze present

Cholesterol mildly ↑

Assessment:

Ischaemic heart disease/angina

Viral upper respiratory tract infection

Plan:

Commence on lipitor, nitrates(imdur), aspirin and prn anginine

Educate anginine use

Review in 2/52

26/5/11

Subjective:

Chest pain for the last week

Still c/o frequent mild wheeze

Often forgets to take seretide puffers because of ETOH consumption

Objective Mild bilateral wheeze still present

Assessment Mild Asthma 2⁰ to ↓ compliance with medication

Alcohol dependence now affecting medication compliance

Plan Emphasised importance of preventative anti-asthma meds

Recommended pt write put a reminder for asthma and all medications on his fridge.

Encouraged pt to use prn salbutamol until asthma improves

Offered ETOH dependence treatment pharmacotherapy- will consider this.

1/6/11

Subjective:

Passing by medical centre and c/o sudden onset crushing chest pain on background of URTI and worsening asthma since last

Not relieved by anginine

Very audible wheeze

Examination ECG – mild ST elevation in anterior leads. ST 120

Lungs – O/A moderate wheeze and mild bilateral crackles. SP O2 86% on R/A

Heart – Slight S3 sound +ve

Assessment Likely anterior AMI; ? triggered by respiratory issues

Acute exacerbation of asthma 2⁰ to URTI

? Mild APO

Plan Paramedic transfer to ED

O2 15L via non-rebreather (pt isn't CO2 retainer)

GTN patch applied

IV morphine 5mg given

Ipratropium Bromide 500ug given via nebuliser in view of tachycardia

Frusemide 40mg given

WRITING TASK

Using information provided in the case notes, write a referral letter to Dr Jeremy Barnett, the Emergency Registrar on duty at Maroubra Hospital, Lakes Rd, Maroubra.

In your answer:

•

Expand the relevant case notes into complete sentences

•

Do not use note form

•

Use correct letter format

The body of your letter should be approximately 200 words. Use correct letter format.