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 39: Mr. Jacob McCarthy

Below-Knee Amputation / Diabetic Foot

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

Mr. Jacob McCarthy, an 82-year-old, is a patient in the medical-surgical unit of which you are a physician.

Patient Details

Name:

Mr Jacob McCarthy

Next of kin:

Barbara McCarthy (76, spouse)

Admission date:

06 April 2018

Discharge date:

26 April 2018

Diagnosis:

Right below knee amputation (BKA) status post right foot diabetic ulcer

Past medical history:

Benign prostatic hyperplasia, diabetes mellitus Type 2 (non-compliant with medication), age-related dementia, essential hypertension, peripheral vascular disease, osteoarthritis

Social background:

Retired construction worker

Wife primary carer

Moderate cognitive impairment

Needs assistance with medication and activities of daily living (ADL's)

On admission:

Long history of noncompliance with diabetic medication.

Admitted for infected right diabetic foot wound of at least two weeks, did not notice injury → diabetic neuropathy.

Obvious signs – gangrene, pus, abscess.

Fever, chills, R foot non-weight bearing.

Blood cultures positive for gram-positive cocci.

Medical progress:

Given IV antibiotics, vascular surgeon consulted to assess wound.

Recommended BKA.

Surgery performed without complication.

Transitioned to oral antibiotics and opiates.

Currently afebrile – wound is clean, dry, intact.

Requires assistance for ADLs + wheelchair for mobility.

Nursing management:

Monitor surgical site for infection/drainage.

Check for fever/chills + other signs of infection.

Encourage oral fluids, nutrition.

Assist with ADLs and mobility.

Change dressings daily.

Ensure good urination and bowel movements.

Frequent turning – avoid decubitus ulcers.

Assessment:

Good progress made, pain under control, no further infection noted.

Blood cultures now negative.

Mobility severely reduced after amputation – requires assistance for ADLs and routine care.

Discharge plan:

Discharge to Skilled Nursing Facility for acute care and physiotherapy.

Can reassess later for stability with home nursing vs. long-term care facility.

Continue antibiotics and pain medication.

Will need to follow-up with vascular surgeon in 2 weeks.

Of note, wife wanted discharge to home in her care – physiotherapy and occupational therapy assessment indicate this would not be a safe discharge.

MEDICAL WRITING TASK

Using the information given in the case notes, write a discharge letter to Dr. Shannon Meccam, Medical Director of Knox Skilled Nursing Facility, 25 Harrowfield Avenue, Knox.

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.