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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 141: Ms. Rosemary McQueen

Coeliac Disease (Gluten-free Diet)

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
You are a Paediatric doctor at Brightford Hospital. You have been responsible for the care of Rosemary McQueen who was recently admitted with abdominal pain.
PATIENT DETAILS:
Name:
Rosemary McQueen
Marital status:
Single
Residence:
Briarwood Cottage, Lower Lane, Brightford
DOB:
15.2.2004 (15 years)
Next of kin:
Mother (Alison) age 45, (piano teacher)
Social background:
Attends High School – good results
Leisure activities:
basketball, swimming (stopped May 2018 – 'too tired'), plays piano and flute
Good relationship with family (two younger sisters)
Past medical history:
Born premature (maternal diabetes)
Bronchiolitis at 1 year old
Intermittent asthma (Albuterol when needed)
No surgeries
No allergies
Family history:
Mother: diabetes mellitus type 2, hypertension
Father:
Crohn's disease
06.06.18 : Admission to A&E
Presenting problem:
Persistent diarrhoea, ("greasy" stools), abdominal pain, blistering rash over elbows, knees and buttocks
Weight loss reported (2.5kg in the past 2 weeks), easy bruising
Vital signs:
BP: 108/70 mmHg, P: 74 beats/min, T: 37º C, RR: 16 breaths/min
Diagnosis:
Celiac disease
Treatment & test results:
CBC:
haematocrit 25% (anaemia), MCV 84 fL, WBCs 3,500/μL
06.06.18 : platelets 118,000/μL (low WBC and platelets)
PT & aPTT:
both prolonged
Calcium 6.6mg/dL (low)
Stool culture, WBCs, Ova/Parasites: negative, no blood
Sudan black stain positive for steatorrhea
All antibody tests (antitissue transglutaminase, antiendomysial, antigliadin) positive
Transferred to paediatric unit
08.06.18 : Small bowel biopsy performed to exclude bowel wall lymphoma - characteristic findings of flattened intestinal villi and lymphocyte infiltration
All gluten to be removed from diet
Medications:
Ferrous Sulphate 200mg PO q12hr (comm. 07.06.18)
Albuterol 2 puffs inhaled PO q8h
Nursing management:
Gluten-free diet
Check medication compliance, vital signs
Medical progress:
Good
Diagnosis confirmed, differential diagnosis excluded
08.06.18 : Pt. ready for discharge
Discharge plan:
Eliminate gluten from diet
Ferrous Sulphate for <6 months.
Gluten-free diet → gradual resolution of symptoms
Repeat antibody titres (6 weeks' time), CBC and calcium level
Refer to dietician
WRITING TASK
Using the information given in the case notes, write a referral letter to Dr Jones, a dietician at Brightford General Hospital, for further management of Rosemary's gluten-free diet. Address the letter to Dr Barbara Jones, dietician, Brightford General Hospital, Brightford.
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.