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 120: Mrs. Elizabeth Miro

Inflammatory Breast Cancer & Depression

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

You are a general practitioner and Elizabeth Miro is a patient in your clinic.

Patient Details:

Name:

Elizabeth Miro

DOB:

23/10/70

Occupation:

Laboratory Technician. Works 60hours/week

Social History:

Married, 3 children (2y boy, 5y girl , 7y girl)

Husband is stay-at-home dad

Exercise - jogging 3 times/week

1-2 glasses of red wine with dinner everyday

Past Medical History:

Tonsillectomy (1978)

Appendicectomy (1980)

Wrist Fracture (1998)

Car accident concussion (2015)

Work stresses → depression (2015), prescribed fluoxetine 20mg daily, ceased when pregnant with 3rd child

Right breast lactational mastitis (2017).

Family History:

Father:

Type 2 diabetes, hypertension, angina

Mother:

Ovarian ca (at age 69)

Maternal aunt died of breast ca at age 73, obesity in sisters

April 19 2019

Subjective:

3 weeks of progressively worsening right breast pain, swelling, redness and warmth

Stopped breast feeding her 3rd child Nov 2017

Last mammogram normal 2015 (now overdue)

Objective:

Temp 36.5ºC, HR 70, RR 16

Breast exam - right breast mildly enlarged, periareolar erythema, warm, firm and tender to touch. No nipple discharge/retraction. No palpable lump/abscess, however, exam limited by tenderness. Several palpable lymph nodes in the right axilla, non-tender.

Diagnosis:

? right-sided mastitis, inflammatory breast cancer

Plan:

1. Oral flucloxacillin 500mg TDS for 7/7

2. Mammogram and ultrasound breasts

•

? abscess, ? malignant features

•

radiology slips provided, patient to book scans with local radiology service

3. Review in one week

May 6 2019:

Patient defaulted appt.

May 8 2019:

Patient contacted and asked to make appointment. Postponed.

May 15 2019:

Patient contacted again, agreed to appt. May 19 with scans prior.

May 19 2019:

Subjective:

Antibiotic course completed. No improvement. Ongoing right breast pain and swelling

Objective:

Afebrile

Right breast - diffuse erythema, swollen, tender, pitted skin ('peau d'orange'), nipple retraction

Mammogram (18/5/2019) - right breast skin thickening, overall increase in density of right breast, ill-defined mass deep in the centre of the breast

Ultrasound breast (18/5/2019) - marked skin thickening with overall hyperechogenicity of the right breast and a deep spiculated mass ~4mm in diameter. 2x enlarged right axillary lymph nodes.

→ imaging findings suggestive of malignancy rather than infection

Plan:

Urgent core-needle biopsy of right breast

May 20, 2019: Biopsy results show infiltrating ductal carcinoma

Patient shocked. Can't accept.

Reports stress, loss of energy and tearfulness last 3 months. Thinks she has not been able to do her job well and is letting her colleagues down. Feels guilty about getting sick as breadwinner of the family. Feels completely hopeless.

Diagnosis:

1. Inflammatory breast cancer

2. Depression

Plan:

1. Order baseline bloods (FBE, U&E, LFT), results to be forwarded to Oncologist

2. Urgent referral to Breast Oncologist Dr Emma Smiley for further evaluation, staging and treatment

3. Recommenced fluoxetine 20mg daily

4. Repeat referral to psychiatrist Dr Sara Anderson

WRITING TASK

Using the information in the case notes, write a letter to Dr Emma Smiley, Breast Cancer Oncologist, Spirit Breast Clinic Suite 303, Bullhead St, Bulla, NSW 2898 for further assessment and treatment.

Expand the relevant case notes into complete sentences

Do not use note form.

Use letter format.

The body of your letter should be approximately 180~200 words.