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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 41: Mr. John Aloisius

Pulmonary Tuberculosis

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
You are a doctor in the Emergency Department of Newtown Hospital. You have been responsible for the care of Mr John Aloisius, recently admitted with breathing problems.
PATIENT DETAILS:
Name:
John Aloisius
Marital status:
Single
Residence:
39 Long Street, Bridgeford
DOB:
4.9.85 (33 y.o.)
Next of kin:
Brother (age 39)
Social background:
Occupation:
archaeologist (recently returned from year-long visit to remote region of Latin America)
Past medical history:
No PMHx
No surgeries
No medication
NSAIDs allergy
Non smoker
Family history:
Mother: asthma (since childhood)
Father:
dec. 1999 (lung cancer)
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
Admission to Emergency Dept:
01.02.19
Presenting problem:
Night sweats & fevers, cough & sputum with some hemoptysis (over several weeks)
VS:
BP: 114/72 mmHg, P: 90 beats/minute, T: 38.5°C, RR: 18 breaths/minute, Oximeter: 92% saturation room air
Physical examination:
Notable for cachexia, chest with scattered rales, no consolidation
Diagnosis:
Pulmonary tubercolosis
Treatment & test results:
Chest x-ray:
apical infiltrate
01.02.19 Pt. placed on respiratory isolation
03.02.19 : Sputum acid-fast stain & mycobacterial culture positive for tuberculosis
Liver function (AST & ALT): normal
TB medications started:
Isoniazid 5 mg/kg PO/IM qDay, Rifampin 10 mg/kg/day PO, Pyrazinamide 15-30 mg/kg PO, qDay, Ethambutol 2.8g PO twice weekly
HIV serology:
negative
Vitamin B-6 50mg PO once daily
11.02.19 Sputum acid-fast stain: negative
Medical progress:
Good
Pt:
'lonely & depressed' (isolation)
Nursing management:
Respiratory isolation (private room) with negative pressure
Normal diet
Follow anti-tuberculosis medication schedule:
monitor side-effects
Weekly sputum analysis
Medical staff to wear high-efficiency disposable masks (for bacillus filtration)
Discharge date:
11.02.19
Discharge plan:
Continue 4-drug regimen (for 2 months)
Cease pyrazinamide & ethambutol after 2 months
Continue isoniazid + rifampin (daily or intermittent) for 4 mths
Monitor medication compliance:
directly observed therapy (DOT) by nurse recommended (→poss. reduction of above regimen to 2 / 3x wk after 2 wks at initial dose)
Monitor for toxicity (CBC, serum creatinine, baseline & periodic liver enzymes)
Baseline & periodic serum uric acid assessments
Periodic visual acuity & red-green color perception (Ishihara test)
Continue Vitamin B-6 supplements
WRITING TASK
Using the above information, write a letter of discharge to Dr Hodges, the patient's GP, informing her of the treatment Mr Aloisus has received and advising on further management. Address the letter to Dr Christine Hodges, 2 Hill Forest Road, Newtown.
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.