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...

 OET Spe aking - Medicine, Breaking Sad News Warm-up Questions Interlocuter: Could you please introduce yourself? Candidate: I'm Dr Martin, with a decade of experience in the medical field and I specialize in Accident and Emergency Medicine. My expertise lies in handling critical cases and providing swift and effective patient care in urgent situations. On top of that, I've led numerous medical teams and initiatives aimed at improving emergency response, problems and patient outcomes. Above all, I'm a daily learner.  Inter: What's your medical experience like?  Candi: I've been a doctor since 2010, initially spending 4 years in the ICU, where I managed critically ill patients and hone my skills in advanced medical procedures. For the past 8 years, I've worked in the A&E Department, handling a wide range of medical emergencies. This role has sharpened my abilities to make quick decisions and provide compassionate care under pressure.  Inter: What are the curr...

  OET Speaking, Medicine, # 50 - Cancer Diagnosis SETTING : Sub-urban Clinic DOCTOR Your patient is a 49-year-old accountant, married with two children.  He/she presented three weeks ago with a one-month history of rectal bleeding, diarrhea, and 2 kg weight loss. You ordered a colonoscopy and today the patient is returning for the results. Unfortunately, the patient has a tumor in the descending colon and the biopsy results confirms cancer. TASK *   Tell the patient the biopsy results (2cm tumor confined to bowel wall ) and recommended urgent referral to a surgeon. * Explain that management of the illness after surgery include chemo/radiotherapy depending on the spread of the tumor (but only with the patient's consent) * Explain that a colonoscopy is unlikely as the tumor is confined to the descending colon. * Encourage the patient to be optimistic about surgery (eg. success rates are usually high, biopsy indicates that the tumor is limited to the bowel wall)

  OET Speaking Roleplay , Medicine # 51 DOCTOR : You see a 28-year old patient who has been experiencing blackheads on their nose and chin for several days. The patient has tried over-the-counter treatments without success and is now seeking professional advice TASK * Find out the reason for the patient's visit * Reassure the patient about blackheads (common, not serious, treatable, etc) Find out the details of the patient's condition.  * Explain the potential causes (e.g. excess oil production, clogged pores, hormonal fluctuations, etc). Give recommendations for treatment. (e.g., prescription retinoids, topical creams containing benzoyl peroxide or salicylic acid, professional treatments like extractions, etc) * Discuss adjusting skincare routine (eg., avoiding over-exfoliation, using non-comedogenic products etc) .  Explore lifestyle factors, (eg.,  diet, stress levels, skincare habits, etc) * Suggest lifestyle changes to minimise blackheads through diet(eg., balan...