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 48: Ms. Isabel Garcia

Bacterial Meningitis

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

You are a doctor working in the Stillwater Hospital Emergency Department. Today you treated Ms Garcia, who was referred by her General Practitioner (GP), Dr Bradbury.

Patient Details

Name:

Ms Isabel Garcia

DOB:

01.01.1995

Address:

29 Greenfield Road, Stillwater

Medical history:

2007 Fracture R arm

2009 Unexplained weight gain, ?stress

2014 Difficulty sleeping

Allergies:

Certain washing detergents cause skin irritation.

Medications:

Doxylamine prn (encouraged not to use).

Family history:

Mother – breast cancer, age 38.

Social history:

University student (2nd year).

Reason for referral:

Suspected meningitis.

Treatment Record

23 May 2015

Subjective:

Painful, stiff joints for 1 wk.

Sensitivity to light.

↑ bruising.

Headache, neck stiffness, photophobia, rash.

On examination:

Afebrile.

Bruising L arm.

Petechial rash abdomen and legs.

Unable to touch chin to chest when lying supine.

Tests ordered:

Full blood count (FBC), renal function, liver function test (LFT), C-reactive protein (CRP), lumbar puncture, blood cultures.

Results:

White cell count:

14.0x10⁹/L

C-reactive protein:

150

Lumbar puncture:

White cell count 1000 (elevated)

Polymorphonuclear (PMN) predominance

Glucose:

10mg/dl (reduced)

Protein:

70mg/dl (elevated)

Subsequent microscopy and culture:

Neisseria meningitidis

Diagnosis:

Bacterial Meningitis.

Treatment:

Ceftriaxone 2g IV bd while awaiting lumbar puncture culture results.

Dexamethasone 10mg IV before first dose of antibiotics, then 10mg IV every 6hrs for 4 days.

Following lumbar puncture results:

benzylpenicillin 1.8g IV every 4hrs for 5 days.

Pt responding well to treatment.

Department of Human Services notified.

Discussed with family re:

ensure family immunised.

Plan:

Letter to GP, recommend:

Contact close family & friends of Pt:

•

Seek medical attention ASAP – observation for any signs of unexplained illness required.

•

?chemoprophylaxis for people in recent close contact with Pt.

WRITING TASK

Using the information given in the case notes, write a letter to Dr Bradbury, the doctor who referred Ms Garcia, to update her on the patient's status and follow-up treatment that may be required in the future. Address the letter to Dr Lorna Bradbury, Stillwater Medical Clinic, 12 Main Street, Stillwater.

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.