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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.
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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
IntermediatePost-MI / Captopril Side Effects
Cardio • ReferralView
Case 02: Mr. Adam Knowles
AdvancedObstructive Jaundice / ?Pancreatic Malignancy
GI • UrgentView
Case 03: Mr. Barry Jones
IntermediateLower Back Strain / Return to Work
Orthopedic • ReferralView
Case 04: Mrs. Priya Sharma
IntermediateType 2 Diabetes / Poor Glycaemic Control
Endocrine • ReferralView
Case 05: Ms. Anne Hall
IntermediateGORD / Dysphagia
GI • ReferralView
Case 06: Mr. Allen Mathis
AdvancedBiventricular Heart Failure / Silent Ischaemia
Cardio • UrgentView
Case 07: Mr. Derek Romano
IntermediateAcute Myocardial Infarction
Cardio • UrgentView
Case 08: Mr. John Elvin
AdvancedAnterior MI / Acute Asthma Exacerbation
Cardio • UrgentView
Case 09: Mrs. Lucy Clarke
IntermediateUnstable Angina
Cardio • UrgentView
Case 10: Mr. Robert Martin
IntermediateHypertension / ?Unstable Angina
Cardio • UrgentView
Case 11: Brendan Cross
AdvancedAcute Rheumatic Fever
Cardio • UrgentView
Case 12: Mr. Dave Cochrane
AdvancedAcute Left Ventricular Failure
Cardio • UrgentView
Case 13: Emma Johnson
IntermediateAcute Asthma Exacerbation
Respiratory • UrgentView
Case 14: Mrs. May Hong
AdvancedRight Lower Lobar Pneumonia
Respiratory • UrgentView
Case 15: Ms. Sally McConville
IntermediateAcute Asthma / ?Pneumonia
Respiratory • UrgentView
Case 16: Mr. Ammar Moustafawy
AdvancedLiver Abscess
GI • UrgentView
Case 17: Mrs. Ann Howard
IntermediateEarly Bowel Obstruction / ?Carcinoma
GI • UrgentView
Case 18: Mr. Brian Morgan
IntermediateAcute Appendicitis
GI • UrgentView
Case 19: Mr. Fred Davies
AdvancedAcute Colonic Pseudo-obstruction
GI • UrgentView
Case 20: Mrs. Jenny Perkins
IntermediateLarge Bowel Obstruction (Sigmoid Volvulus)
GI • UrgentView
121 more cases to explore
Case 133: Mr. James Seymour
Recurrent Gout
Occupational English Test
WRITING SUB-TEST: MEDICINE
TIME ALLOWED: READING TIME: 5 MINUTES | WRITING TIME: 40 MINUTES
NOTES
Mr James Seymour is a 60-year-old man presenting in your general practice with a swollen left large toe.
Patient details:
Name:
James Seymour
Residence:
4 Pawlet Drive, Clayfield
DOB:
19/09/53 (Age 60)
Social history:
Retired academic (computer science)
Divorced, no children, lives alone
Non-smoker since 1994
Heavy drinker 5-6 beers and 3 wines/day
Observations:
BP 115/70mmHg, HR 68, RR 18, T 37.4°C
Allergies:
Nil known
FHx:
Father - rheumatoid arthritis (RA) ~ 28 yrs old. Died 75yrs.
Mother - smoker, died chest infection aged 71 yrs.
Grandparents' history unknown, died when old.
PMHx:
Appendicectomy 1963
Childhood - recurrent bronchitis
Annual influenza vaccine
Regular episodes of inflammation (?gout 1st toe) since 2010 – consulted several doctors
Medication:
Colchicine (Lengout) - 500mcg 2 tabs (stat on attack) then 1 tab each 2/24 until relief. Total dose ~ 6mg in 4 days.
Indomethacin (Indocid) - 25mg 2 tabs, twice/day.
On allopurinol after last acute attack - after several mths w/o symptoms ceased meds (a couple of mths before current episode).
Treatment record:
25/04/14 ~4 wks into current bout of gout.
Colchicine started 2 wks into bout, only taken at sub-therapeutic levels.
Indocid taken erratically.
3rd bout in 8 mths.
No allopurinol for a couple of mths.
Modifies diet to decrease purines. Sometimes wakes at night.
Given father's Hx Pt wants referral to rheumatologist to exclude RA.
Pt thinks gout meds not working (unlikely).
On examination:
Moderately inflamed, red first L toe. V painful - Pt irritated. No evidence of involvement of other joints.
pt V insistent on possibility of RA; poor compliance with gout management much more likely.
Treatment:
• Encouraged to comply with gout meds:
•
resume full dose colchicine.
•
resume full dose indomethacin. Cease either if gastrointestinal (GI) side effects (diarrhoea from colchicine; upper GI upset from indomethacin).
•
Regular paracetamol (4g/day for 3 days, then prn).
•
Take oxycodone 5mg bedtime only if sore and can't sleep; try to cease ASAP.
•
Improve dietary compliance and ↓ alcohol intake.
•
X-ray L foot, FBE, ESR, LFT, U&E, SUA, CRP.
•
Rev. 1/52 to discuss results & referral.
03/05/14
X-ray - minor degenerative changes of L first metatarsophalangeal joint.
FBE:
MCH 32.3pg (Ref Range: 27.0 - 32.0). All other NAO.
urate 0.48mmol/L (Ref Range: 0.18 - 0.47mmol/L).
CRP 6.0mg/L (Ref Range: < 3.0).
Gout episode subsiding.
No drug side effects apart from brief diarrhoea.
Only needed night time oxycodone 3 nights.
Provisional Diagnosis:
Gout.
Treatment:
Discussed ?synovial fluid sample stat next episode.
Start allopurinol now, long term; reinforce messages re: diet & alcohol.
Referral to Rheumatologist on patient's insistence with copy of pathology results.
WRITING TASK
Using the information given in the case notes, write a letter to Dr Malcolm Still, Rheumatologist at 5 Grant St, Fairmont, for further treatment or investigations.
In your answer:
•
Expand the relevant notes into complete sentences
•
Do not use note form
•
Use letter format
The body of the letter should be approximately 180-200 words.