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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 55: Mr. Jack Mills

Paranoid Schizophrenia

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES
Today's Date 27/12/17
You are a Psychiatrist at Spirit Hospital Psychiatric Emergency Care Centre (SECC) and Jack Mills is a patient on the ward.
Patient Details
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Name- Jack Mills, DOB 01/09/1996
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Marital Status: Single
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Admission: 23/11/2017 (Spirit Hospital Psychiatric Emergency Care Centre)
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Discharge: 27/12/2017
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Diagnoses: Paranoid Schizophrenia/Nicotine Dependence
Family History
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Jack's parents separated 4 years ago and divorced 2 years ago
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No other children in the family
Psychosocial History
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Completed high school; above-average student; often involved in school and extracurricular activities
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He smokes a pack of cigs a day and drinks beer daily. Binge drinking episodes while at university. He denies any illicit drug use
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He has a keen interest in computers and collected considerable equipment and software, primarily gifts from his father
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He has been on Disability Support Pension (DSP) since 2016
Medical History
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Nil
Symptoms History
May 14, 2016
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Jack was first admitted to SHPW with a 6-month history of confusion, difficulty concentrating on his studies, and frequent mood swings. He stopped attending university and was not in contact with his friends.
Diagnosis:
Paranoid schizophrenia
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He was hospitalised for 2 weeks & stabilised on Haldol 20 mg and sodium valproate 125 mg, daily.
Plan
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Live with his mother in Parramatta (Sydney area)
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Referral to psychiatrist arranged along with weekly group psychotherapy in Spirit Community Mental Health Service,NSW.
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Discharged 28/5/16
August 2017
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Attempted suicide: A possible stressor was that 1 week ago his mother said about ideas to remarry in the near future
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Self-harm through deep cut on both wrists
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Hospitalised in ED, surgical tx, under 24hr supervision. Refused to change medication
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His attendance in group psychotherapy was irregular.
November 2017
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He has been increasingly isolated for the past 2 weeks, working on his computer and is very secretive about what he is doing
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He stopped attending his work program, saying that he had "more important work" to do at home
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His mother believes he stopped taking medications
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Jack refuses to eat or talk with his mother; is nervous because of his mother's plans to remarry)
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He was brought to Spirit Hospital Psychiatric Emergency Care Centre (SECC) by his mother on 23/11/17
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He has been irritable, suspicious and stated that he has been hearing multiple voices in his head for the past week
Hospital progression
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The patient's sodium valproate was increased to 125 bd and then 250 tds
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His need for intramuscular (IM) medication, or other medication was explained. The patient fiercely objected about injection, saying, "I am a reliable person, I can always take the medicine." The fact is that he has not been very compliant. After much discussion, the patient has agreed to take 4 mg of Navane IM, qid
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Jack received one-to-one, supportive, and insight-oriented psychotherapy on various issues (importance of compliance, taking meds, and avoiding alcoholic beverages). His participation through the program was less than adequate as he could not concentrate and focus, but he still participated in psychotherapy group
Lab tests
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Serial FBC for had shown WBC ranging from 9.2 to 12. RBC had ranged from 4.88 to 5.5
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Cholesterol was 5.3 mmoll/L
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T4 was 12.1, the next T4 was 10.1 (normal range 10 - 25 pmol/L), T3 was 4, 7(normal range 4.0 – 8.00 pmol/L), TSH has ranged from 1.2 to 1.5 (normal range 0.4-5.0 mIU/L)
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Sodium valproate level was 42 μg/mL (normal range - 50-100 μg/mL)
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Urinalysis - normal
Condition on discharge
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Improving
Ability to manage funds and finances
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Improving
Ability to use good judgment
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Still impaired
Prognosis
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Guarded
Follow-up
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The patient will be living with his mother
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Will be continued on medication (Sodium valproate 250 bd and Navane 1.5 mg IM q. 4 weeks (the next dose is due on January 16, 2018)
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LFTs and sodium valproate level to be checked annually
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Cholesterol level to be regularly controlled
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Diet: Low cholesterol
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One-to-one psychotherapy
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Advise to abstain from alcohol & give up smoking
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Vocational rehabilitation and "day programs" to improve self-esteem, quality of life, treatment compliance, and clinical and social stability
WRITING TASK
Using the information in the case notes, write a letter to Dr. Twyford, the Psychiatrist at Parramatta Spirit Community Mental Health Service, NSW, 2345.
In your answer:
•
Expand the relevant case notes into complete sentences
•
Do not use note form
•
Use correct letter format
The body of your letter should be approximately 200 words. Use correct letter format.