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 81: Ms. Tracy Bowen

Polycystic Ovary Syndrome / Infertility

Occupational English Test

WRITING SUB-TEST: MEDICINE

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

NOTES

Patient History Tracy Bowen (Ms)

DOB 22/7/88

PMH Childhood asthma – worse with dust, exercise, smoke, cat hair, change in temperature.

Recurrent bronchitis.

Father heavy smoker – house smoky.

Medications Salbutamol inhaler, beclomethasone prn

28/08/04

Subjective Irregular menstrual periods since menarche. Very infrequent, up to 90-day intermenstrual interval. Frequently with dysmenorrhoea. Stress related to parents' divorce (2002). Adolescent acne since 3/12 ('pus-filled').

Objective Abdominal exam – NAD

Rectal exam – NAD

FHx – no genetic anomalies

Breast development normal

Assessment Idiopathic oligomenorrhoea, primary dysmenorrhoea

Treatment Oral contraceptive pill (Diane-35, 2mg – low dose)

Analgesia (naproxen)

Reassurance

21/09/05

Subjective Acne – facial + upper back, shoulders and neck.

Objective OE:

deep, inflamed nodules and pus-filled cysts with scarring on face, neck, upper back and shoulders.

Assessment Deep acne

Treatment Antibiotic therapy:

tetracycline 250mg qid; tetracycline ointment 1% 5g, apply liberally bd

24/11/05

Subjective Acne – unchanged. Cyst-like, leaves scars. C/o diarrhoea, vaginal candidiasis and sore tongue since 4/52.

Assessment Cystic acne

Treatment Refer to dermatologist for Roaccutane (isotretinoin) capsules 30mg bd. Isotrex gel 0.05% – apply at night.

R/V 2/52.

Notes for intervening period omitted for clarity.

28/03/14

Subjective Patient married; discontinued OCP January 2013.

Difficulty conceiving. Amenorrhoea; depression; weight gain.

Objective BMI 28 (overweight)

BP 100/60

Hirsutism (has had cosmetic therapy: electrolysis)

Oral GTT (fasting) 6.5mmol/L (Ref range <5.5mmol/L)

Serum testosterone 2.1nmol/L (Ref range 0.4-2.7)

SHBG 19nmol/L (Ref range 20-100)

Free Androgen Index (TE/SHBG ratio) 11.1% (Ref range <8.0)

Serum oestradiol 325pmol/L

(Follicular phase 70-670; Luteal phase 200-600)

FSH 5.1IU/L

(Follicular phase 2.5-10; Luteal phase 1.5-9)

LH 9.0

(Follicular phase <15.0; Luteal phase <15.0)

Prolactin 115.3μg/L (Ref range <25.0)

TSH 2.8 (Ref range 0.35-5.50mIU/L)

Haematology NAD

Vitamin D 57nmol/L (Ref range 60-160)

Iron studies Normal

Assessment ?PCOS (polycystic ovary syndrome)

Treatment Climen (cyproterone with oestradiol) 10mg qd

Patient requests referral to endocrinologist

Pelvic US ordered; copy of results to be sent to endocrinologist

WRITING TASK

Using the information given in the case notes, write a letter of referral to Dr Susan Clayton, endocrinologist at the Women's Health Centre, 11-13 Bell Street, Newtown.

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.