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 56: Miss Eleanor Holmes (Discharge)

Near-Drowning — Discharge to GP

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

Miss Eleanor Holmes, an 8-year-old, is a patient on your general medical ward. She was admitted after near drowning.

Hospital:

Southwick Park Hospital, 70 Sparrow Street, Mitchelstown

Patient details

Name:

Eleanor Holmes

Age:

8 years

Next of kin:

Philippa Holmes (mother)

Admission date:

24 August 2019

Discharge date:

26 September 2019

Diagnosis:

Near drowning, potential hypoxia (hypoxic brain injury)

Family:

Lives with mother and father (James)

Medical history and medications:

Fractured tibia (4yo)

Rotovirus (suspected) (January 2018)

Mild eczema

Social background:

Primary school student (year 4)

Enjoys sport and dancing (ballet, street dance, netball, football)

Background:

Fell into fresh water lake while on holiday with father and their dogs.

Found 15-20 minutes later face down.

Paramedics arrived 10 minutes later, basic life support started

On admission to ED:

cyanotic, pulseless, apnoeic, fixed & dilated pupils, tympanic temp 27.7°C

Management and Progress:

24/08/19 : CPR performed

Ventilator & endotracheal tubing inserted

Heated humidifier, radiant warmer, preheated blankets applied

Paediatric ventilator used

Initial ABG (Arterial Blood Gas) = 7.04 / 84 / 36 / 19 / 78%

Spontaneous circulation achieved

28/08/19 : ABG = 7.44 / 34 / 94 / 23 / 97%

BP 98/64

Tympanic temp 34.8°C

Patient stable – transferred from ICU to general ward

30/08/19 : Temperature normal

Unresponsive to command

Shifting around within the bed

No longer hyperventilated for ICP protection

Mechanical ventilation weaning off begun

05/09/19 : Responsive to commands

Basic communication - possible dysarthia

06/09/19 Speech therapy commenced

Difficulty concentrating

Paracetamol 3x daily for headaches

Coughing up pink sputum

Mechanical ventilation stopped

26/09/19 : Communication improving, still some dysarthia

Concentration improving, cognitive function appears ok

Neurological exams clear – further tests needed to check for delayed problems as precaution

Parents concerned about neurocognitive effects and possible sequelae related to perceived hypoxia

Paracetamol given p.r.n.

Occasional cough

Ready for discharge

Discharge plan:

Paracetamol for headaches

Monitor cough, return to hospital ASAP if worsens

Speech therapy for speech

Neurologist for tests (neuropsychological, visual-spatial, IQ) in one week

GP to check cough, headaches

Parents to monitor cough, headaches, concentration. Call Dr if minor issues, bring to A&E if severe and suspected pulmonary oedema

WRITING TASK

Using the information provided in the case notes, write a discharge letter to Eleanor Holmes' GP, Dr Fiona Mc Andrews, Bennett's Hill Medical Group, 59 Embankment St, Mitchelstown.

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.