OET Speaking (Medicine) -11.

 OET Speaking (Medicine) -11.

Role play Card.

Setting: Health Clinic

Doctor: A 62-year-old patient presented two months ago with herpes zoster  (shingles) . He/she is now re-presented with the complaints of post-herpetic neuralgia (the nerve that often lingers after a shingle rash goes away).


Task: 

        * Explain to the patient the cause of the pain

        * Recommend common analgesia as the first line treatment and explain the after-effects of strong pain medications (opioids)

        * Give Capsaicin cream for topical application 

        * Explain the side-effects and steps need to be followed while applying the Capsaicin cream (e.g., a slight stinging or burning sensation o the skin, wear gloves        while applying the cream to the affected area)

       * Prescribe anti-convulsant drugs and explain the effects of it  (Gabapentin or pregabalin may be useful, if necessary)

      * Explain that non-pharmacological may help (e.g., relaxation - meditation, adhesive dressing and cognitive    behavioral therapy) 


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