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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 52: Mrs. Sandra Peterson

Dehydration / Polypharmacy

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
Today's Date:
22/03/2020
NOTES
You are the Attending Physician on the Medical Assessment Unit (MAU) where Mrs. Sandra Peterson has resided during her hospital stay.
Hospital:
Liverpool Hospital - MAU
Patient Details:
Name: Sandra Peterson
DOB:
01/01/1929
Address:
258 Addison St, Liverpool
Marital status:
widowed - 25 yrs
Next of kin:
daughter - Ann Macarthur ph 0438856277
Admission Date:
20/03/2020
Discharge Date:
22/03/2020
Principal Diagnosis:
Dehydration due to Viral URTI (Upper Respiratory Tract Infection)
Polypharmacy (on 24 medications at time of admission including 6 separate antihypertensives)
Additional Diagnosis:
Alzheimer's dementia
Osteoporosis
HTN
Hypercholesterolemia
History of Presenting Illness
13/03/2020 - coughing (yellow sputum)
18/03/2020 - ↓ed mobility, found in a sitting position on the floor in her room, no injuries
19/03/2020 - ↑ed confusion had another fall in the toilet, no injuries
20/03/2020 - BP 190/90, SOB, dizziness, the 3rd fall, an ambulance was called Pneumovax taken 2 weeks prior to presentation
Social History:
Lives in 2-bedroom-flat with her daughter and son-in-law
Daughter is overly supportive, overreacting and anxious about her mother's health. She has insisted on more medication for her mother.
No regular GP. Visits various clinics when required with daughter.
Religion:
Orthodox Christianity, attends church weekly with daughter
Hobbies:
listening to classical music, watching movies
Requires some assistance with bathing, dressing and toileting
Home Care worker visits every 2 days (bathing)
Medical Progress
On admission:
Conscious but not fully orientated
Bi-basal crackles heard on chest, left greater than right
Left chest wall tenderness on deep palpation
Heart sounds dual with soft ejection systolic murmur
Abdomen soft and distended, tender LLQ
Bowel sounds present
Moving all four limbs, plantars downgoing
T 36.8 C, RR 18/min, BP 180/75 mmHg, HR 76 reg, SaO2 96% in RA
X-Ray - normal
FBC - WCC 9.0, Hb 125g/L, Na, K, urea, creatinine, LFTs & Calcium, Magnesium and Phosphate normal
CT-brain - no acute changes
Commenced on Augmentin 500 mg x BD, per os
IV normal saline for 24 hrs
On discharge:
Intermittent dry cough, afebrile, haemodynamically stable, saturating 98% in RA
BP 150/70 - after adjustment of anti-hypertensives
Mild confusion, but cooperative
Medications rationalised by doctor as detailed in discharge plan
Discharge Plan:
Discharge to home
Continue 500-mg tablet of Augmentin BD 5 days
Increase metoprolol to 25 mg BD
↑ candesartan to 16 mg mane
Cease regular paracetamol
Cease Metamucil
Cease frusemide
Cease pazosin
Cease amlodipine
Cease glyceryl-trinitrate patch
Cease Movicol
Medications to be monitored and assisted
Daughter requires education/monitoring due to Hx of polypharmacy
WRITING TASK
Using the information in the case notes, introduce Sandra Peterson to Dr Diane Dutz, General Practitioner explaining relevant history and discharge requirements. Address your letter to: Dr Diane Dutz, General Practitioner, Spirit Community Health Centre, Cnr. Campbell & Goulburn Streets Liverpool, NSW, 2170.
In your answer:
•
Expand the relevant case notes into complete sentences
•
Do not use note form.
•
Use letter format.
The body of your letter should be approximately 180~200 words.