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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 16: Mr. Ammar Moustafawy

Liver Abscess

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
Today's Date 20/10/17
You are Dr. Peter Smith, GP covering 3 satellite clinics in a remote mining area of Western Australia. The nearest tertiary hospital to you is 1250km away in Perth or 2 ½ hours by air evacuation using the Flying Doctor Service. The nearest poly clinic is in Port Hedland with radiology and laboratory facilities but it is a 6 hour drive over dirt roads.
Patient History
Ammar Moustafawy (DOB: 15/1/61) Male
Divorced and lives alone
Process Technician at a Copper Mine in the remote Pilbara region of Western Australia
Works on rotation with 6 weeks on location and 4 weeks off
Started his present rotation one week ago
Regular overseas holidays
Just returned from the Phillipines 2 weeks ago after spending a 2-week vacation
Enjoys water sports:
scuba diving, sailing
Smokes 20 cigarettes/ day
Drinks 14 units/week
Walks half an hour every day
Hx of typhoid fever, (2009) In hospital for 6 days
Drug history
Not on regular medication
No known allergy
Family history
Father died of natural causes at 85
Mother hypertensive and diabetic aged 76
Older sister treated for cancer breast when she was 40 YO
18/10/17
Subjective
Ammar feels unwell, lack of appetite, sense of weakness and lack of energy for 3/7
Has reduced smoking to 5 cig/day and not drinking for one week
No vomiting but nauseating and passing motion normally
Objective
Patient looks tired, not jaundiced
Weight 89 kg; Height 193 cm
Pulse 84 regular, BP 130 /80, Temp 37.3° C
CVS, RS are normal
Abdominal examination:
lax and mobile with no mass or rebound but tender Rt. hypochondrium with no organomegaly
Assessment and planning
Prodromal stage of liver disease or mood swings after changing his drinking and smoking habits
Advise low fat, low protein and rich carbohydrate diet
Order blood, urine and stool tests
Prescribe vitamins B complex tablet one TDS and essential forte capsules 2 TDS
Review in two days for results
20/10/17
Subjective
Ammar is getting worse
Cannot tolerate foods only drinks fruit juice and noticed that the urine is getting darker in color with chills and rigors
Objective
Temperature 39°C; looks jaundiced and dehydrated
Abdominal examination shows palpable, tender liver
No ascitis
Investigations shows normal stool and 2+ urobilinogin in urine test. Leukocytoses with increased serum bilirubin and deranged liver enzymes (ALT And ALP) in blood tests
Assessment and plan
Start IV fluids and medicate Rocephin one gram IV BD and Flagyl 500 MG TDS
Contact Flying Doctor Service for urgent US examination or evacuation
Result of US shows enlarged liver 20 CM with a 10x10 cm cystic lesion in the Rt. Lobe of liver
You diagnose liver abscess and arrange referral to surgeon in Perth by Flying Doctor Service escorted by a registered nurse
Urgent assessment required including ultrasound guided drainage
WRITING TASK
Refer patient to the Surgical Registrar via the Emergency Department of Perth General Hospital, 268 Brisbane Rd Cottesloe, Western Australia 6542.
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