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 44: Ms. Ling Wu

Traumatic Above-Knee Amputation

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

Today's Date:

10/05/19

NOTES

You are an Orthopaedic Surgeon, Trauma Ward of Spirit Hospital, Sydney. Your patient, Ling Wu was admitted following a cycling accident and is due to discharge back to the community.

Patient Details:

Ling Wu, female

DOB 01/03/2001

Single. Lives with parents

Past Medical History:

Mild eczema since childhood

Teenage Acne (2015)

Fractured fibula (2017)

Date of admission:

08/04/19 - Trauma Ward at Spirit Public Hospital

Date of discharge:

10/05/19

Description of accident:

08/04/19. The patient parked off the road, when a car skidded across and collided with her bicycle. Transferred to ED via ambulance

Initial Assessment in ED:

Open tibial-fibular fracture left extremity with near amputation and multiple contusions

Glasgow coma scale:

15, CT Head →neg,

Patient alert & responsive

BP- 178/90 mmHg, P-140bpm, RR- 28/min

Above-knee amputation performed same day

Hospital Progression:

09/04/19

Post-op pain controlled with intravenous opioids (morphine) via PCA infusion pump

Limb elevated to ↓ local oedema & pain

Full assist with mobility

DVT prophylaxis:

Fragmin 5000 IU once daily, subcut

14/04/19

Patient reports residual limb hurts, can feel amputated toes, cramping sensation (phantom limb pain) Insomnia

Rx opioids (Endone 5 mg BD), tricyclic antidepressant (Amitriptyline 10 mg tds) and antiepileptic (Neurontin 100 mg tds)

28/04/19

Orthopaedics:

Amputation incision intact, sutures out

Wound almost healed.

Residual limb wrapped with ace bandage to ↓ swelling and pain

Mental state:

Silent rumination, anxiety socialwithdrawal. Fear of being seen in public with social worker

05/05/19

Fragmin discontinued. No signs of DVT Phantom limb pain ↓. Stable on Paracetamol-Osteo 665 mg qid and Tramadol 100 mg nocte. Min stump oedema. Nil infection

Mobility:

Transfers bed to chair independently. Can stand on R) leg by side of bed. Able to walk with no assist using rolling walker for a short distance

Discharge Plan:

GP to monitor for signs of PTSD. Advise & arrange trauma focused CBT programme if required

Pt trained to wrap stump w/- ACE bandage

Parents supportive and able to assist with ADLs after discharge

Review at Trauma Clinic on 17/05/19

Medication at discharge (self-administration):

Neurontin 100 mg q8 h

Paracetamol Osteo 665 mg q8 h, prn

Tramadol 100 mg nocte

Amitriptyline 10 mg tds

WRITING TASK

Using the information in the case notes, write a letter to Dr Edmondson, the patient's GP explaining hospitalisation details and advising on further management. Address your letter to Dr Mike Edmondson, Glenfield Family Medical Practice, 12 Trafalgar Street, Glenfield, NSW, 2167.