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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.

Showing 20 of 141 cases from our expanding collection.

Case 01: Ms. Eleanor Bennet

Intermediate

Post-MI / Captopril Side Effects

Cardio • ReferralView

Case 02: Mr. Adam Knowles

Advanced

Obstructive Jaundice / ?Pancreatic Malignancy

GI • UrgentView

Case 03: Mr. Barry Jones

Intermediate

Lower Back Strain / Return to Work

Orthopedic • ReferralView

Case 04: Mrs. Priya Sharma

Intermediate

Type 2 Diabetes / Poor Glycaemic Control

Endocrine • ReferralView

Case 05: Ms. Anne Hall

Intermediate

GORD / Dysphagia

GI • ReferralView

Case 06: Mr. Allen Mathis

Advanced

Biventricular Heart Failure / Silent Ischaemia

Cardio • UrgentView

Case 07: Mr. Derek Romano

Intermediate

Acute Myocardial Infarction

Cardio • UrgentView

Case 08: Mr. John Elvin

Advanced

Anterior MI / Acute Asthma Exacerbation

Cardio • UrgentView

Case 09: Mrs. Lucy Clarke

Intermediate

Unstable Angina

Cardio • UrgentView

Case 10: Mr. Robert Martin

Intermediate

Hypertension / ?Unstable Angina

Cardio • UrgentView

Case 11: Brendan Cross

Advanced

Acute Rheumatic Fever

Cardio • UrgentView

Case 12: Mr. Dave Cochrane

Advanced

Acute Left Ventricular Failure

Cardio • UrgentView

Case 13: Emma Johnson

Intermediate

Acute Asthma Exacerbation

Respiratory • UrgentView

Case 14: Mrs. May Hong

Advanced

Right Lower Lobar Pneumonia

Respiratory • UrgentView

Case 15: Ms. Sally McConville

Intermediate

Acute Asthma / ?Pneumonia

Respiratory • UrgentView

Case 16: Mr. Ammar Moustafawy

Advanced

Liver Abscess

GI • UrgentView

Case 17: Mrs. Ann Howard

Intermediate

Early Bowel Obstruction / ?Carcinoma

GI • UrgentView

Case 18: Mr. Brian Morgan

Intermediate

Acute Appendicitis

GI • UrgentView

Case 19: Mr. Fred Davies

Advanced

Acute Colonic Pseudo-obstruction

GI • UrgentView

Case 20: Mrs. Jenny Perkins

Intermediate

Large Bowel Obstruction (Sigmoid Volvulus)

GI • UrgentView

121 more cases to explore

Case 115: Mrs. Jennifer Haydon

Metastatic Breast Cancer (Spinal Spread)

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
Patient's name:
Mrs. Jennifer Haydon
Date of Birth:
20 August 1960
Social History:
Married with 2 children, Heavy smoker, Drinks alcohol occasionally
Past Medical History:
not relevant, no previous breast problem
Past Surgical History:
Tubal ligation 5 years ago
Menstrual History:
Menarche at the age of 13, Menstruation- normal flow, period- regular, 3/28 cycle
Family History:
No family history of breast disease
15/06/2017
Subjective:
noticed lump in upper part of right breast 2 months ago, no change in size during menstrual cycle, no discharge from nipple
Objective:
pulse rate- 76/ min, BP-130/85, an ill-defined 1.5 cm lump in upper quadrant of right breast, no lymph node enlargement, overlying skin-normal, no evidence of attachment to surrounding structures, no other abnormal findings on general examination
Assessment:
Breast cancer or Fibroadenoma or cyst
Plan:
Explain possible conditions & consequences, to undergo radiological assessment (Mammogram) and Pathological assessment (Fine needle aspiration or core biopsy)
21/06/2017
Subjective:
extremely concerned about the possibility of cancer, difficult to sleep at night, anxious , feeling low, sometimes irritated, pounding heart, unable to cope even household chores, lack of concentration, breast lump- no problem
Objective:
PR 85/min, BP 150/90,
Look anxious, sweaty, other examinations - normal
Mammogram- normal
Ultrasound - confirmation of solid lump
Cytological examination - malignant cells
Core biopsy under local anesthesia adenocarcinoma
Assessment:
Anxiety secondary to breast cancer (adenocarcinoma)
Plan:
Break bad news, suggest to take further tests (blood tests, bone scan, CT scans), outline different treatment options available such as surgery , radiotherapy & chemotherapy, to refer to general surgeon for operation
07/07/2017
Subjective:
for regular follow-up, had local excision and axillary clearance with radiotherapy to residual right breast for local control
Objective:
general condition- well, no evidence of metastases, hormone receptor - negative
Assessment:
post-operation recovery of grade 2 adencarcinoma
Plan:
chemotherapy, regular reviews for cancer spread, to contact local breast cancer foundation for further information
12/01/2018
Subjective:
sudden onset of severe low back pain, suffering from mild back pain 5 weeks ago ,no problem until 5 weeks ago, constant pain, keeping her awake at night, exacerbated by movement, radiate down back of left leg, 5 kg weight loss, the pain "got rid of her appetite"
Objective:
pain distribution in front of thigh, inner aspect of thigh, knee & leg, sensory loss in anterior aspect of thigh, absence of knee jerk
Assessment:
Tumor spread to lumber spine
Plan:
Bone scan, CT scan of chest & abdomen, radiotherapy to control pain, refer to an oncologist for assessment & palliative care
WRITING TASK
Using the information in the case notes, write a letter of referral to Dr. George Thomas at the Middlemore Hospital, 100 Hospital Rd, Otahuhu, Auckland 2025, New Zealand.
In your answer:
Expand the relevant case notes into complete sentences
Do not use note form
The body of the letter should not be more than 200 words
Use correct letter format