Back to Home
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

CardioReferralView

Case 02: Mr. Adam Knowles

Advanced

Obstructive Jaundice / ?Pancreatic Malignancy

GIUrgentView

Case 03: Mr. Barry Jones

Intermediate

Lower Back Strain / Return to Work

OrthopedicReferralView

Case 04: Mrs. Priya Sharma

Intermediate

Type 2 Diabetes / Poor Glycaemic Control

EndocrineReferralView

Case 05: Ms. Anne Hall

Intermediate

GORD / Dysphagia

GIReferralView

Case 06: Mr. Allen Mathis

Advanced

Biventricular Heart Failure / Silent Ischaemia

CardioUrgentView

Case 07: Mr. Derek Romano

Intermediate

Acute Myocardial Infarction

CardioUrgentView

Case 08: Mr. John Elvin

Advanced

Anterior MI / Acute Asthma Exacerbation

CardioUrgentView

Case 09: Mrs. Lucy Clarke

Intermediate

Unstable Angina

CardioUrgentView

Case 10: Mr. Robert Martin

Intermediate

Hypertension / ?Unstable Angina

CardioUrgentView

Case 11: Brendan Cross

Advanced

Acute Rheumatic Fever

CardioUrgentView

Case 12: Mr. Dave Cochrane

Advanced

Acute Left Ventricular Failure

CardioUrgentView

Case 13: Emma Johnson

Intermediate

Acute Asthma Exacerbation

RespiratoryUrgentView

Case 14: Mrs. May Hong

Advanced

Right Lower Lobar Pneumonia

RespiratoryUrgentView

Case 15: Ms. Sally McConville

Intermediate

Acute Asthma / ?Pneumonia

RespiratoryUrgentView

Case 16: Mr. Ammar Moustafawy

Advanced

Liver Abscess

GIUrgentView

Case 17: Mrs. Ann Howard

Intermediate

Early Bowel Obstruction / ?Carcinoma

GIUrgentView

Case 18: Mr. Brian Morgan

Intermediate

Acute Appendicitis

GIUrgentView

Case 19: Mr. Fred Davies

Advanced

Acute Colonic Pseudo-obstruction

GIUrgentView

Case 20: Mrs. Jenny Perkins

Intermediate

Large Bowel Obstruction (Sigmoid Volvulus)

GIUrgentView

121 more cases to explore

Case 127: Mr. Yuxiang Meng

Acute Manic Episode

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
Yuxiang Meng is a 21 year old overseas student chef from China in your general practice. He only speaks very basic English and sees you because you are a GP from a Chinese background and speak Mandarin.
2.03.11
Chief complaint - URTI symptoms for 5 days.
O/E:
*Mild pharyngitis & rhinorrhea. T 37.5
*C/O chronic insomnia
*Observed to be elevated in mood, tangential & ? delusional about fixing the world's nuclear waste problem
*Nil obvious signs of organic syndromes
Assessment:
Mild viral illness & ? mania/1st episode BPAD
Plan:
Nil treatment for URTI, just rest & ↑fluid intake. Referral made to local community mental health for urgent assessment. Pt. escorted home by his uncle. Diazepam 10mg QID prescribed & to be given with community MH team's supervision.
Investigations ( exclude organic pathology & baseline)
FBC
UEC
TFTs
LFTs
CMP
urgent CT scan
3.03.11
Mental health team used interpreter and concur with provisional diagnosis of mania.
They state the following:
no immediate dangers to self/others; MH keen for GP involvement due to language issues and they will monitor pt. daily; they are keen to avoid hospitalisation as pt. very afraid of idea of psych. ward due to stigma of the same in China
Today pt's uncle accompanied pt. to GP surgery get blood results.
O/E
* Bloods NAD except mildy ↓protein & mild hypokalaemia (3.2 K+)
*CT NAD
*MSE – still tangential and delusional about same theme, but only mildly elevated since sleeping well post diazepam
Assessment:
Likely non-organic mania
Plan:
*Commence pt. on quetiapine 50mg BD (starting dose)
*↓diazepam to 10mg either BD or TDS depending on MH team's assessment.
*R/V in 3/7; likely ↑of quetiapine.
*Commence pt on K+ (Span K) tablets.
7.03.11
Pt. was relatively settled for 3/7 but uncle suspects he has secreted & discarded meds.
Last night stayed up all night singing Chinese revolutionary songs (not usual behaviour) and running naked down his street. Uncle didn't want to call MH for fear of 'getting locked up'.
O/E
* Pt very elevated in mood, pressured in speech, loose in associations and fixated on having to rid Australia of all nuclear waste by tomorrow. Believes he can draw power from Mao Ze Dong's spirit to achieve this.
*Pt stripped naked in front of GP and tried to hug him.
Assessment Acute manic episode
Plan:
Offered stat quetiapine 100 mg & diazepam 20mg but refused.
Schedule pt under MHA
Have uncle accompany pt with ambulance & police to RNSH ED
Refer to on call psych reg Dr Ben Hinds
Update local MH team.
Long term – try to refer to Chinese speaking psychiatrist.
WRITING TASK
Using information provided in the case notes, write a referral letter to Dr Ben Hinds, the Psychiatry 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.