Vijayscope

  OET Speaking, Medicine- 56. Setting: Sub-urban Clinic Doctor:  This 31-year-old, otherwise healthy patient has been experiencing stomach cramps, nausea, diarrhea, and dizziness for two weeks since swimming in a water hole (a natural hole where water collects) on a hiking trip. He/she originally thought it was the flu, but is now, seeking your advice as the symptoms are persisting. Task * Question the patient to determine if he/she swallowed any contaminated water. * Explain what contaminants' in the contaminated water are. (eg. micro-organisms from animal or human wastes etc) * Recommend tests to confirm the cause (eg. stool sample microscopy, culture and sensitivity, parasites, ova and cysts, test for Norovirus etc) * Recommend symptomatic treatment for now (eg. antiemetics, etc) and wait until the test results come back for specific treatment. * Advise against anti-diarrhoeal agents until tests confirm there is no infective  (bacterial or viral) cause for diarrhoe. ...

  OET Speaking, Medicine- 55 Setting: Sub-urban Medical Clinic DOCTOR Your patient has come to see you about his/her 16-year-old son whom he/she suspects is taking illegal drugs. The boy is not present. TASK * Ask questions to establish why the parent thinks that his/her son is taking drugs. * Find out more about the boy (eg, his lifestyle, friendship group, studies etc) * Find out what your patient would like you to do. Ask whether it would be possible for the boy to come and see you in person * Suggest referring the boy to an adolescent psychologistfor assessment and appropriate treatment * Explain the parent some of the possible effects of marijuana (e.g., can affect alertness, concentration, co-ordination etc) * Recommend strategies to convince the son to see the psychologist( empathetic approach, normalize seeking help, provide practically etc                  ***************************************

  OET  Speaki ng , Medicine - 54 Setting : Sub-urban Clinic Doctor : *This 29-year-old lawyer has been experiencing heart palpitations. The patient is extremely busy, eats fast food very often, and consumes large amount of coffee. Both his/her examination and ECG are normal. Task: * Ask the patient about his/her heart palpitations. * Suggest that the patient's symptoms could be caused by stress and anxiety.  * Empathise with the patient's situation, but inform him/her that the symptoms are not due to coronary problems. (eg. ECG and physical exams normal, etc.) * Give suggestions to help the patient manage the heart palpitations (eg. stress management, reduction in coffee intake, etc.) Include a healthier diet as a suggestion.  * Recommend ways of eating healthier (eg. making healthier choices in restaurants, etc) and explain that these are important for long-term health.                         ********...

  OET Speaking Role Play - Medicine A&E SETTING: A& E Department DOCTOR: The patient presented two hours ago at the A&E Department with his/her four-year-old-son. The child had a 36-hour history of recurrent vomiting and stomach pain which was diagnosed as viral gastroenteritis. He was given oral re-hydration fluids and observed for two hours. He is now ready to be discharged. The child is not present for your discussion with the parent.    TASK * Confirm child is ready to be discharged. Find out about the parent's concerns. * Explain gastroenteritis.(eg., irritation of stomach or intestine due to viral infection, etc.) * Give information about how gastroenteritis is spread(eg.,contact with vomit/faeces of infected person, shaking hands, contaminated foods/objects etc.) * Resist request to keep child in hospital(eg. oral re-hydration therapy is usually effective, etc) Advise on hydration and appropriate clear fluids(eg. watered down unsweetened fruit juice, ...

OET Speaking - Medicine - Discharge   Roleplay Card Setting:   Medical Ward DOCTOR:   Your patient is 54 years old and was admitted 2 days ago with right lower lobe pneumonia. He/she has made significant improvement with intravenous antibiotics and the decision made by the team to discharge home with a further 3 days of oral antibiotics from today .  TASK *Explain the reason for today's visit (discuss discharge decision) * Reassure the patient (antibiotics cured pneumonia, satisfactory blood tests, and vital signs, continue oral antibiotics for 3 days etc) * Find out about his/her home and work situation. Stress the importance of rest at home (recovery, prevent communicable diseases, etc). Recommend a medical certificate for a further week off work. * Advise when to return to hospital (not better after 1 week/sooner if symptoms worsen, chest pain, acute shortness of breath, high fever etc) * Inform about follow-up visit (chest x-ray in 6 weeks) Find out any concerns/...

  OET Speaking - Roleplay Card: 52- Medicine SETTING: Medical Ward DOCTOR: Your patient is 54 years old and was admitted 2 days ago with right lower lobe pneumonia. He/she has made significant improvement with intravenous antibiotics and the decision made by the team to discharge home with a further 3 days of oral antibiotics from today .  TASK *Explain the reason for today's visit (discuss discharge decision) * Reassure the patient (antibiotics cured pneumonia, satisfactory blood tests, and vital signs, continue oral antibiotics for 3 days etc) * Find out about his/her home and work situation. Stress the importance of rest at home (recovery, prevent communicable diseases, etc). Recommend a medical certificate for a further week off work. * Advise when to return to hospital (not better after 1 week/sooner if symptoms worsen, chest pain, acute shortness of breath, high fever etc) * Inform about follow-up visit (chest x-ray in 6 weeks) Find out any concerns/ questions. * Expla...