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 51: Ms. Betty Johnson

Right Total Knee Replacement

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

Your patient, an 81-year-old woman, recently had a right total knee replacement (R.TKR) on 25/02/2015.

She is being discharged today.

Patient:

Ms Betty Johnson

Address:

12 Merry Street, Stillwater

Marital Status:

Widowed

Past Medical History:

Aortic valve replacement & pacemaker 2010

Osteoarthritis since 2011 - pain & immobility increase past 3yrs

For R.TKR Feb 2015:

full blood work, typing & cross matching, X-rays, ECG etc.

Regular Medication (25/2/15):

Paracetamol 665mg 2 tabs tds

Warfarin 3mg mane - ceased 5 days preoperatively, started Clexane (enoxaparin sodium - anticoagulant)

Social Background:

Widowed 1986. Lives alone. 4 children

Post Op:

25/02/15 11:30am

Returned to ward following R. TKR.

Vital signs - BP 115/70, P 82, R 16, T 36.9°C.

Circulation observation good, knee high on pillow.

Hb 80g/l = IVT Transfusion.

IV cephalothin 1g qid for 24 hours.

Increase regular oral paracetamol (1g qds).

Patient Controlled Analgesia (PCA) - morphine ✓ effective.

Wound - nil ooze.

26/02/15

Wound - good, sponged.

Restart warfarin 5mg today.

sic Clexane 80mg given for anticoagulation.

Cease PCA. Start oxycodone 5 - 10mg pm.

Pathology:

FBE, U&Es, Liver Function Tests (LFTs), Hb.

Path results ✓, Hb 100g/l = commence Feratab (iron sulphate) 300mg mane.

27/02/15

sic Clexane 80mg.

Start warfarin 5mg nocte.

Removal of (R/O) dressing, wound good, R/O alt. clips on 03/03/15.

28/02/15

Crutches, short walks. Wound good, afebrile.

sic Clexane 80mg given.

01/03/15

s/c Clexane 80mg given.

02/03/15

X-rays, bloods ✓ , INR - 3.0, Hb 112g/l, ECG - no abnormalities.

Managing w/ min assistance.

Cease Clexane.

03/03/15 - 05/03/15 Wound clean, R/O alt clips tomorrow. Mobility good. Obs

06/03/15 R/O remaining clips. Pathology✓. Transfer to rehab today.

Rehab:

07/03/15 ✓ Admission complete - stable. Circ ✓. Mobility, crutches good.

08/03/15 -13/03/15

Mobility, frame use, trial stick, pool, gentle exercises= good. Showering w/ min assistance.

Path & X-ray.

14/03/15

Path ✓, INR - 3.8.

decrease warfarin 4mg nocte, Hb - g/l , decrease Feratab 150mg mane.

15/03/15 -19/03/15

Uneventful – gradually increase independence.

Wound good. Obs ✓, Physio exercises good. Home list provided.

21/03/15

✓ ✓ No cardiac issues.

Discharged w/ home nursing assistance (personal hygiene, home care). Wound exposed, shower w/ min assist. Stick/ frame prn.

Discharge medication:

warfarin 4mg nocte, Feratab 150mg mane, paracetamol 1g qds, oxycodone 5-10mg prn.

Rehab appt in 2 weeks.

Advised to see local doctor in 1 week, referral for local doctor - suggest repeat FBE, INR.

WRITING TASK

Using the information given in the case notes, write a letter of referral to Ms Johnson's local doctor, Dr Tony Jones, to update him on her condition following her recent surgery and discharge from rehab. Address the letter to Dr Tony Jones, Private Practice, 12 New 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.