🎓 OET - Case Study Quiz with Realistic Healthcare Scenarios

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

OET – Case Study Quiz with Realistic Healthcare Scenarios.

Work through realistic medical case studies to strengthen practical English skills needed for OET exam success.

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OET Healthcare Scenario Quiz

Work through realistic medical case studies to strengthen practical English skills needed for OET exam success.

Scenario: A 72-year-old man presents with sudden onset of right-sided weakness and slurred speech that began 2 hours ago. His BP is 185/110. What is the MOST appropriate immediate action?

MRI brain with contrast

Administer IV labetalol to lower BP

Aspirin 325 mg immediately

Stat non-contrast CT head

Scenario: A 45-year-old woman with no significant history presents with acute shortness of breath and pleuritic chest pain one week after a long-haul flight. She is tachycardic but afebrile. What is the most likely diagnosis?

Pericarditis

Pulmonary embolism

Asthma exacerbation

Pneumonia

Scenario: A 58-year-old diabetic man presents with a non-healing ulcer on his right foot. The foot is warm, erythematous, and there is purulent drainage. He has no fever. What is the MOST appropriate next step?

Immediate below-knee amputation

Obtain wound culture and start empiric antibiotics

Wet-to-dry dressing changes only

Hyperbaric oxygen therapy first

Scenario: A 28-year-old woman presents with acute onset of右下腹疼痛 (right lower quadrant pain), nausea, and fever (38.5°C). WBC is 14,000. What is the most likely diagnosis?

Ectopic pregnancy

Acute appendicitis

Ovarian torsion

Diverticulitis

Scenario: A 65-year-old with COPD presents with increased dyspnea, purulent sputum, and fever. On exam: prolonged expiratory phase, wheezing. Oxygen saturation is 88% on room air. What is the MOST appropriate initial oxygen target?

100% oxygen via non-rebreather

No oxygen unless saturations drop below 90%

Target SpO2 94-98%

Target SpO2 88-92%

Scenario: A 34-year-old man with no medical history has a generalized tonic-clonic seizure lasting 4 minutes witnessed by his wife. He is now postictal but breathing spontaneously. What should you do FIRST?

Administer IV lorazepam immediately

Start CPR

Place a tongue blade in mouth

Turn patient to recovery position and assess airway/breathing

Scenario: A 55-year-old woman presents with progressive fatigue, constipation, and weight gain over 3 months. Lab: TSH 12.5 (0.4-4.0), free T4 low. What is the most likely diagnosis and first-line treatment?

Liothyronine (T3) therapy

Methimazole

Radioactive iodine ablation

Levothyroxine replacement therapy

Scenario: A 68-year-old man with atrial fibrillation on warfarin presents with sudden severe headache, vomiting, and left-sided weakness. INR is 4.5. Non-contrast CT head shows a large intraparenchymal hemorrhage. What is the MOST urgent treatment?

Protamine sulfate

IV vitamin K + 4-factor PCC

IV tPA

Fresh frozen plasma only

Scenario: A 23-year-old woman presents with palpitations, heat intolerance, and unintentional 10-lb weight loss over 2 months. On exam: tachycardia, fine tremor, and a diffusely enlarged thyroid gland. What is the most likely diagnosis?

Subacute thyroiditis

Hashimoto's thyroiditis

Graves' disease

Toxic multinodular goiter

Scenario: A 62-year-old woman on IV antibiotics for pyelonephritis develops acute watery diarrhea 5 days after admission. What is the most important test to order?

Fecal calprotectin

Stool culture

Ova and parasite exam

C. difficile PCR/stool toxin assay

Scenario: A 48-year-old man with history of alcohol use disorder presents with confusion, ataxia, and ophthalmoplegia. What is the most likely diagnosis and immediate treatment?

Wernicke encephalopathy - IV thiamine

Stroke - tPA

Korsakoff syndrome - oral thiamine

Hepatic encephalopathy - lactulose

Scenario: A 35-year-old pregnant woman (28 weeks gestation) presents with headache, blurred vision, and right upper quadrant pain. BP is 160/105, urine protein 3+. What is the diagnosis and definitive treatment?

Severe preeclampsia - delivery

Acute fatty liver of pregnancy - delivery + N-acetylcysteine

Gestational hypertension - labetalol

HELLP syndrome - corticosteroids

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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.