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OET 2024 Sample Questions

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OET Reading Sample

Text A

Spacers are plastic devices with a mouthpiece at one end and a hole for a pressurised metered-dose inhaler (pMDI) to be inserted at the other.

  • They increase the proportion of the drug delivered to the airways and reduce the amount of drug deposited in the oropharynx (thereby reducing local adverse effects and reducing the amount of systemic absorption).
  • They are not interchangeable and must be compatible with the pMDI used.

 

Text B

 Prescribe an inhaled short-acting beta-2 agonist (SABA) to all people with symptomatic asthma, to be used as reliever therapy as required. In a small minority of people with asthma with infrequent, short-lived wheeze, and normal lung function, occasional use of a SABA might be the only treatment necessary.

  • Good asthma control is associated with little need for use of a SABA. Anyone prescribed more than one SABA per month should have their asthma control and symptoms assessed urgently and measures taken to improve their asthma control, if this is found to be poor.

Prescribe an inhaled corticosteroid (ICS) as preventer therapy for all people who:

  • Use an inhaled SABA three times a week or more, and/or
  • Have asthma symptoms three times a week or more, and/or
  • Are woken at night by asthma symptoms once weekly or more.
    • In addition, an ICS should be considered for adults and children over the age of 5 years who have had an asthma attack requiring treatment with oral corticosteroids in the past two years.

 

Text C

  • Asthma is characterised by symptoms including cough, wheeze, chest tightness, and shortness of breath, and variable expiratory airflow limitation, that can vary over time and in intensity.
    • Symptoms can be triggered by factors including exercise, allergen or irritant exposure, changes in weather, and viral respiratory infections.
    • Symptoms may resolve spontaneously or in response to medication, and may sometimes be absent for weeks or months at a time.

 

Text D


Various risk factors may increase the likelihood of development or persistence of asthma, including:

  • Personal or family history of atopic disease (for example asthma, eczema, allergic rhinitis, or allergic conjunctivitis)
  • Male sex for pre-pubertal asthma and female sex for persistence of asthma from childhood to adulthood
  • Respiratory infections in infancy
  • Exposure (including prenatally) to tobacco smoke
  • Premature birth and associated low birth weight
  • Obesity

————————————————————————————————


For each question, 1-7, decide which text (A, B, C or D) the information comes from. You may use any letter more than once.

In which text can you find information about:

  • How to treat a patient who is awoken at least once per week by asthma symptoms.
  • Factors likely to trigger symptoms.
  • Duration of symptoms.
  • Interchangeability of spacers.
  • Whether to move from a SABA to an ICS.
  • Whether tobacco smoke is a risk factor for asthma.
  • Typical symptoms of asthma.


The answers are B, C, C, A, B, D, C

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OET Writing Sample

You are asked to update Mr Hernandez’s GP, Dr Sinh, on what has happened. Using the information in the case notes, write a letter to the patient’s GP. 

Case Notes: Cardiovascular

Today is the 15th September 2021.

Patient Details:

Name: Mr James Hernandez
DOB: 03/03/1947

Presenting Complaint

Patient noted chest tightness w/exertion one month ago. Developed tight sensation in chest after walking more than 500m. This pain subsided w/in five minutes of stopping walking. This happened four more times over the past four weeks, each time he attempted to walk any more than that. No radiation. Tonight (15th Sept) he went for a run and noted that the pain was worse than before, as he tried to ‘run through it.’ Had to stop at the side of the road and wait for it to subside. Became panicked and presented to the ED at 21.15. Was concerned about having an MI. Patient has a history of hypercholesterolaemia. No family history of cardiac problems.

Previous medical history:

Diagnosed with hypercholesterolemia through screening two years ago.
Osteoarthritis diagnosed 6 years ago. Mild symptoms which he manages with OTC NSAIDs. Good mobility despite this. Otherwise well.

Drug History:

Simvastatin 40mg daily
Ibuprofen as required for OA

Allergies:

NKDA. Allergic to tree nuts, for which he has an epipen.

Family history:

Nil relevant

Substance Intake:

Drinks c. 10 units per week. Smoker with c. 30 pack years of smoking.

Social History:

Lives in an assisted-living facility. Considers himself to be a very spiritual person. Worried about losing his mobility / ability to walk, as he enjoys walking in the grounds of the assisted-living facility. Explained that he hopes to be able to walk or hike longer distances if possible, as this was something he used to enjoy doing.

Relevant Examination:

O/E, HR 72, RR 16. BP was within normal range at 130/85. No abnormalities detected on examination of the CVS.

No abnormalities detected on examination of other systems.

Relevant Investigations: ECG normal. Cardiac markers (CKMB, troponins) were not raised.

PLAN: History and examination clearly indicative of stable angina. I have therefore prescribed aspirin 75mg daily, atenolol 100mg daily, GTN spray to be taken as required. If there is any worsening, Mr Hernandez has been told to see the GP. If he needs to take more than three doses, he should present to A&E. Advice given re smoking, drinking. His smoking is a particular concern, although he seems set on this. GP should attempt to counsel him and see if he can be encouraged to quit.

Drugs on Discharge:

Aspirin 75mg daily, with food

Side effects: dyspepsia, haemorrhage. Uncommon: dyspnoea, rhinitis, skin reactions.

Atenolol 100mg daily, before bed

Bradycardia; confusion; diarrhoea; dizziness; erectile dysfunction; fatigue;nausea;; rash (reversible on discontinuation); sleep disorders; syncope


GTN PRN (max 3 doses)

Dizziness; drowsiness; flushing; headache; hypotension; nausea; vomiting

Simvastatin 40mg daily, evening

Constipation; diarrhoea; dizziness; flatulence; gastrointestinal discomfort; headache; myalgia; nausea; sleep disorders

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OET Writing Model Answer

Answer:

Dear Dr Sinh,

Re: J Hernandez, 03/03/1947

I am writing to inform you that your patient Mr Hernandez, a 74 year old gentleman, presented tonight at the ED with a four week history of chest tightness on exertion.

Mr Hernandez’s symptoms had been constant over the course of four weeks, with pain brought on by attempting to walk more than a distance of 500m. Each time, Mr Hernandez found that the pain abated if he rested at the roadside. The pain did not radiate. Tonight (15th September 2021) Mr Hernandez thought the pain was worse, and became concerned he was having an MI. On examination, his BP, HR and RR were all normal. Investigations found no abnormalities; his ECG was normal and cardiac markers were not raised.

A diagnosis of stable angina was made. As such, I have prescribed Aspirin 75mg daily, Atenolol 40mg daily, and a GTN spray to be taken PRN. I have also advised Mr Hernandez to consider reducing his smoking and drinking.

Mr Hernandez is a smoker, with a 30 pack year history of smoking. I am concerned about the effect this could be having on his health; if you could counsel him that would be highly appreciated.

Please do not hesitate to contact me with any questions.

Yours sincerely,

Doctor _____

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