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 78: Ruth Devotch

Paediatric Goitre / Mild Hypothyroidism

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

Today's Date:

16/12/2019

NOTES

You are Dr. Vera Nice, General Practitioner, at the Weller Medical Centre and are seeking an assessment for your patient, Ruth Devotch.

Patient Details:

Ruth Devotch (Female)

D.O.B. 12/06/2009

Primary School Student

Extra curriculum:

piano, gymnastic, scouts

Past Medical History:

Eczema since birth (Elocon, Elidel, Bactroban)

Perforated eardrum (2009)

Immunisation status:

Up-to-date

Allergy sensitivity:

oranges, strawberries, chocolate; cosmetic products

Allergies - none

Family History:

Siblings: brother - 26, healthy; sister - 15, eczema, asthma

Rheumatoid Arthritis (RA) - father's mother and aunts

8/12/18

Mother concerned re:

a swelling at base of the neck for over a month. Tendency to become constipated (1mth)

On Examination:

Ht - 138cm; Wt - 35kg

Vital signs - normal

A few eczema patches on face and arms

Thyroid gland - upper borderline on palpation

Diagnosis:

Goiter?

Plan:

US Neck. Review with results

Elidel cream twice a day, apply freely on face

↑ water intake and fibre in diet

15/12/18

Mother contacted over the phone:

US - T-gland upper limits, homogenous, hyper vascularity + small cyst

Blood tests arranged. Review with results.

21/12/18

Examination:

- no changes. Eczema - improved.

FBC:

Hb - 134 g/L WCC - 7.9 (x 10 g/L)

TFT:

T4 - 11.50 pmol/L (10.0 - 19.0) TSH - 3.24 mIU/L (0.50 - 4.00)

T3 - 5.7 pmol/L (3.50 - 6.50)

Thyroid AB - +++

25-Hydroxy VitD - 35 mmol/L (>50)

Specialist's opinion over the phone:

Check ups every six months, US + TFT - repeat in a year. If symptomatic refer for consultation

OsteVit-D 0.2 ml daily

9/12/19

Flare-up of eczema after school swimming program: itchy, crusty skin around lips and eyelids

Symptoms of mild hypothyroidism:

↑ tiredness; cold limbs. Constipation improved with diet

On examination:

dry inflamed skin on face, some yellowish discharge from cracks

Neck swelling noticeably ↑

Dx:

Infected eczema. Rx Ceflex 250mg x 4 a day; Elocon ointment - twice daily

US Neck, TFT arranged

Review in a week.

16/12/19

Eczema settled

On examination:

Ht - 143.9cm; Wt - 35.8 kg

HR - 76

BP - 110/60

Abdomen - N

Reflexes - N

T-gland:

++, smooth; lymphadenopathy - absent

US:

Non specific goiter. Thyroglossal cysts

TFT:

T4 - 13.20 pmol/L (10.0 - 19.0)

TSH - 5.09 mIU/L (0.50 - 4.00)

T3 - 6.1 pmol/L (3.50 - 6.50)

25-Hydroxy VitD - 48 mmol/L

Plan:

↑ Vit D intake

WRITING TASK

Using the information, write referral letter to Dr Sean Smile, Paediatric Endocrinologist, seeking an assessment of her condition. Address your letter to: Dr Sean Smile, Paediatric Endocrinologist, Spirit Medical Centre, 246 Safety Rd, Monash, 3252.

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.