🎓 OET - Advanced Healthcare Quiz for High Exam Scores

This entry is part 2 of 11 in the series OET Preparation Quizzes

OET – Advanced Healthcare Quiz for High Exam Scores.

Challenge advanced medical English skills with difficult OET-style questions designed for top exam performance.

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OET Advanced Healthcare Quiz

Challenge advanced medical English skills with difficult OET-style questions designed for top exam performance.

A 72-year-old patient with stage 4 chronic kidney disease (eGFR 22 mL/min) presents with new-onset atrial fibrillation. Which anticoagulant is CONTRAINDICATED?

Dabigatran

Apixaban

Rivaroxaban

Warfarin

A patient with severe traumatic brain injury has an ICP monitor reading of 28 mmHg (normal <15). Which intervention should be performed FIRST?

Administer 20% mannitol 1 g/kg IV

Elevate head of bed to 30 degrees

Drain CSF via external ventricular drain

Hyperventilate to PaCO2 28-30 mmHg

A 55-year-old with cirrhosis presents with hematemesis. Endoscopy shows esophageal varices with active bleeding. Which intervention is FIRST-LINE therapy?

IV vasopressin

TIPS procedure

Balloon tamponade (Sengstaken-Blakemore tube)

Endoscopic band ligation + octreotide

A 34-year-old woman with systemic lupus erythematosus develops acute kidney injury. Urinalysis shows RBC casts and proteinuria 3.5 g/24h. Renal biopsy is performed. Which histologic finding confirms Class IV lupus nephritis?

Diffuse endocapillary proliferation in >50% of glomeruli

Thickening of glomerular basement membrane

Subepithelial immune deposits without proliferation

Focal segmental proliferation in <50% of glomeruli

A patient undergoing mechanical ventilation develops new-onset fever, purulent sputum, and CXR shows a new infiltrate. Which diagnostic test has the HIGHEST yield for ventilator-associated pneumonia (VAP)?

Endotracheal aspirate Gram stain and culture

Procalcitonin level

Bronchoalveolar lavage (BAL) with quantitative culture

Blood cultures

A 62-year-old with AML receives induction chemotherapy. Day 10, fever (39°C) and hypotension develop. Broad-spectrum antibiotics are started. On Day 3, fever persists. What is the NEXT step?

Add empiric antifungal therapy

Add IV acyclovir

Change to different broad-spectrum antibiotics

Repeat blood cultures and wait 48 hours

A patient with acute respiratory distress syndrome (ARDS) has PaO2/FiO2 ratio of 85 on PEEP 14 cmH2O. Which adjunctive therapy has demonstrated MORTALITY benefit?

Inhaled nitric oxide

Neuromuscular blockade (paralytics)

Prone positioning

High-frequency oscillatory ventilation

A 45-year-old with HIV (CD4 45 cells/mm³) presents with subacute headache, confusion, and focal seizures. MRI shows ring-enhancing lesions in basal ganglia. What is the MOST likely diagnosis and empiric therapy?

Cryptococcal meningitis - amphotericin B/flucytosine

Progressive multifocal leukoencephalopathy - no specific therapy

Primary CNS lymphoma - high-dose methotrexate

Toxoplasmosis - pyrimethamine/sulfadiazine

A patient with septic shock requires vasopressors. Which vasopressor is RECOMMENDED as first-line therapy per Surviving Sepsis Campaign guidelines?

Norepinephrine

Epinephrine

Dopamine

Vasopressin

A 28-year-old with STEMI undergoes primary PCI. Despite successful revascularization, LVEF is 30%. Which medication has been shown to reduce SUDDEN CARDIAC DEATH in this population?

Spironolactone

Implantable cardioverter-defibrillator (ICD)

Sacubitril/valsartan (Entresto)

Metoprolol succinate

A 65-year-old with metastatic non-small cell lung cancer (EGFR exon 19 deletion) progresses on first-line chemotherapy. Which targeted therapy is indicated?

Osimertinib (Tagrisso)

Gefitinib (Iressa)

Pembrolizumab (Keytruda)

Crizotinib (Xalkori)

A 48-year-old with acute pancreatitis develops pancreatic necrosis. On Day 14, fever and bacteremia with gas-forming organisms occur. What is the definitive intervention?

Percutaneous drainage only without necrosectomy

Step-up approach: antibiotics then minimally invasive necrosectomy

Discontinue antibiotics and observe

Immediate open surgical necrosectomy

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Healthcare professionals preparing for the Occupational English Test (OET) can use these quizzes to strengthen the clinical English skills required in real healthcare environments. Topics include medical vocabulary, patient communication, referral letters, grammar, listening comprehension, and common OET-style question formats across Reading, Listening, and Writing sections.

The quizzes are suitable for doctors, nurses, pharmacists, dentists, physiotherapists, and other internationally educated healthcare professionals preparing to work in English-speaking healthcare systems such as the UK, Ireland, Australia, New Zealand, and beyond. Each test uses multiple-choice questions with instant answer feedback to support self-study, OET preparation courses, and daily clinical English practice.