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 42: Mr. Joy Fernandes

Worsening Asthma / ?Occupational

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

You are a locum doctor at Camberwell GP. You are assessing a 22 year old male with worsening asthma.

Patient details:

Name:

Mr Joy Fernandes

DOB:

14.10.1998

Address:

116, Fearnley House, London SE5 8JX

Marital Status:

Married, Wife lives in Surrey.

Medical history:

Asthma since age 5, 2 previous ITU admissions

Eczema

Smoker – 30 pack years history

Allergies:

Aspirin

Hair Spray?

Dog hair

Penicillin

Medication:

Salbutamol 2 puffs PRN

Rescue pack – Prednisolone 30 mg x 5 days

Aqueous cream LA BD

Family history:

Coronary Artery Disease – father died at 89 years

Psoriasis (sister)

Presenting complaints:

Worsening SOB on exertion

Nocturnal as patient debilitating cough (Main concern as patient of insomnia)

Increased use of Ventolin for symptoms

Treatment Record

12.9.2019

Subjective:

Not being able to use his blue inhaler – not satisfied with present technique.

Worsening rash related to Eczema

Objective:

Chest Minimal Wheeze

Peak flow 350mls/min (Ideal 400)

Abd SNT BS+

Nil peripheral oedema

Heart Sounds Normal

Tests:

Chest X Ray NAD

Pulmonary function test + reversibility testing = Good response

Full Blood count ↑ WBC

Diagnosis:

Acute infective exacerbation of asthma

?infectious

?? Poor inhaler technique

??? Occupational

Treatment:

Asthma CNS education of use of Salbutamol Inhaler

Addition of spacer attachment to inhaler

Short course of steroids/antibiotics +/- PPI cover

Discussion about smoking cessation including nicotine patches, chewing gums, vaping etc

Review in 1/52

20.9.2019

Review:

DNA previous appointment as unable to get time off work

Better inhaler technique

Ongoing headaches/wheezing at work

Unable to quit smoking

Tests:

Chest X Ray Normal

FBC Normal

Treatment:

Referral to smoking cessation clinic

Referral to occupational health team

•

Avoid exposure at work

•

Use facemask whilst at work

•

Avoid use of hairspray

If above efforts not responding in 3/52 – consider referral to difficult asthma clinic

WRITING TASK

Using the provided information as above, Write a letter to his regular GP, Mr Basra who has been on annual leave regarding this patient's recent visits to his practice. Address this letter to Dr. John Hill, GP, Camberwell GP, London SE5 9RS.