OET

SPEAKING | SAMPLES
March 2025 Edition

NO EXAM CASES DISCUSSED

ALL THE SCENARIOS ARE FICTITIOUS AND
FOR STUDY PURPOSES ONLY

OCCUPATIONAL

TEST

ENGLISH

MEDICINE
NURSING

Medical Adviser:
Dr Mahdi A Sani Free Resources
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ALL THE SPEAKING MOCK TESTS AND WRITING

CORRECTIONS ARE CONDUCTED BY MEDICAL DOCTORS WITH
ENGLISH PROFICIENCY
 No exam cases discussed, all the scenarios are fictitious and for study purposes only

 Recommended structure for information gathering tasks:

1. Permission taking:
 I would like to find out more about your problem to better understand how
to help you, so do you mind if I ask few further questions?
2. Polite sentences to ask a question:
 Could/would you please tell me when the pain started?
 Do/would you mind telling me what happened before that?
 Could you elaborate more on your pain?
 Could you possibly tell me what your job is?
 Can/could I ask you to describe your headache for me?

 How to show empathy to your patient

1. I understand it must have been difficult for you!

2. I can see that you are worried/upset about this!
3. I’m so sorry to hear about that!
4. I understand, anyone in your place would feel the same!
5. It is understandable to feel worried/anxious in this situation!
6. It seems to me that this has been a big worry for you!
7. I know this is a lot to take in (for breaking bad news scenarios).
8. I can see that this is a huge shock for you (for breaking bad news scenarios).
9. I can’t imagine how hard this is for you (for breaking bad news scenarios).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

 Check patient understanding

 Is it clear for you? (when explaining a diagnosis to the patient)

 Is it understandable? (when explaining a diagnosis to the patient)
 Am I making sense? (when explaining a diagnosis to the patient)
 Does it make sense to you? (when explaining a diagnosis to the patient)
 Are you following me (can be used in every information giving task)
 Do you think you can do that? (when giving advice to the patient)
 How does it sound? (when giving advice to the patient)
 How do you feel about that? (when reassuring a stressed patient)
 Does it sound like an acceptable plan? (when talking about management plan)
 Am I explaining clearly? (when explaining a procedure or a disease)

 Common idioms to use, in order to boost your linguistic criteria score

 Just to make sure – to emphasize certainly

 Along with - to indicate addition
 Moreover - to add information
 On top of that - to add information that supports a previous statement
 Indeed/in fact - to confirm a statement
 Just to clarify - to make something clear for the patient
 In other words - to explain something in a different way
 Without a doubt – to express certainty
 Just In case - to prepare patient for a possible situation
 For instance – to provide an example

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

 Recommended sentences for Breaking Bad News scenarios

 I'm sorry to have to tell you that I don't have very good news for you...
 I’m sorry to tell you that the test results are more serious than we had hoped…
 I’m sorry to say that the news we have is quite serious…
 I’m here to discuss some results that may be difficult to hear…..
 I’m afraid I have to discuss some serious findings with you today….
 Unfortunately, I have some disappointing news that I must convey…

 Recommended structure for giving advice,

Remember that you are not ordering!

 I suggest you talk to your boss…

 It is advised to…
 It is recommended to…
 It is a good idea to eat foods with more fiber.
 It is necessary to…
 It is crucial to…
 It is very important to…
 It would be better if…
 If this happens, you need to see your GP.

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 3

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

your notes:

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 4

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Suburban Clinic

PATIENT You are a 55-year-old retiree who is having low back pain for two days. The pain alleviates
when you lie down, but physical activity makes it worse. You searched the internet and
became concerned about possible spinal injury.

 When asked, say you have weakness and tingling (in you left leg). The pain radiates down
the back your leg. Say you lifted a heavy object which you believe is the main cause.
 When asked, say you took paracetamol, but it wasn’t helpful.
 When hear about the diagnosis, become anxious; because you know this could lead to
permanent disability for you.
 Seek information about the treatment options available.
 Say you understand doctor’s advices and intend to follow it completely.

OET Speaking role-play

Role Player Card Medicine

SETTING Suburban Clinic

DOCTOR Your 55-year-old patient presents with low back pain that has persisted for two days. The
pain is consistent, but physical activity exacerbates it. He/she is worried and is concerned
about spinal injuries.

 Explore further related symptoms (tingling, numbness, radiation, etc.) and inquire about
possible triggers (heavy lifting, injury, intense physical activity, etc.).
 Ask if the patient has tried any treatment (analgesics, massage, exercise, etc.).
 Discuss the possible diagnosis of “sciatica” (e.g., irritation/compression of sciatic nerve;
nerve from lower back to feet, etc.). Find out any concern.
 Reassure the patient about symptoms (e.g., manageable, usually self-limited; a few weeks
or months, permanent disability is unlikely, etc.). Describe next steps (physical
examination: back palpation, knee reflex, etc.).
 Outline management if diagnosis is confirmed (e.g., normal activity; gentle exercise, strong
analgesics: Ibuprofen, heat pack, not sitting for long periods, etc.).
 Obtain the patient’s consent for conducting physical examination.

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 5

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

PATIENT You are a 30-year-old vegan and experiencing long-term fatigue that interferes with your
daily activities. You sleep all day and drink three cups of coffee, but you still don’t feel
refreshed. You believe vegan diet is healthy; therefore, are following it for years.

 When asked, say you have recently omitted dairy foods and eggs from your diet and
become a vegan; you think your symptoms started after this.
 When asked, you have ulcers in your mouth but didn’t notice any weight change. You don’t
take any supplements.
 When hear about management, say you agree with having a blood test but don’t want to
eat meat or dairy products, as that is your belief. Explore any other treatment options.
 Say you’ll attend the appointment for the blood test.

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

DOCTOR You see a 30-year-old patient who is experiencing consistent fatigue and tiredness. He/she
has been following a vegetarian diet for three years. He/she is concerned because the
tiredness interferes with routine activities.

 Find out patient’s idea about possible triggers of symptoms (recent disease, change in diet,
mental stress, etc.). Ask if the patient has any associated symptoms (weight loss, skin
lesions, mouth ulcers, etc.) or taking any medications (e.g., supplements, etc.).
 Explain the possible cause of the symptoms (B12 deficiency; risk factors: vegetarian diet;
meats, eggs, dairy products contain this vitamin; etc.). Outline next steps (e.g., blood test;
serum B12 level, etc.).
 Describe treatment (e.g., short-term: B12 injection; improve symptoms immediately, long-
term; regular use of B12 supplements; maintain sufficient B12 reserves, etc.).
 Establish patient’s consent to schedule appointment with nurse for taking a blood sample.

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 6

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Suburban Clinic

PATIENT You are a 60-year-old and experiencing a chronic pain and stiffness in your neck throughout
the day. You are worried about arthritis as your father and sister have been diagnosed with
rheumatoid arthritis.

 When asked, explain that you are an IT engineer which involves working with computers
for several hours every day.
 When asked, your symptoms started a long time ago (three years) but it has never been
this severe. You don’t have any other symptoms.
 Express concern when the doctor mentions an x-ray. You think starting arthritis treatment
is the best option.
 Eventually, accept the doctor’s advice.

OET Speaking role-play

Role Player Card Medicine

SETTING GP Practice

DOCTOR This 60-year-old has been experiencing chronic pain and stiffness in his/her neck. The patient
is concerned about the possibility of rheumatoid arthritis as there is a strong family history of
RA in his/her family.

 Explore the patient’s job. Find out more about the pain (onset, exacerbating factors,
radiation, etc.) and possible associated symptoms (fever, weight loss, dry eyes, etc.).
 Discuss the significance of symptoms (e.g., possible causes: muscular pain; bad posture,
arthritis, trauma, nerve injury, etc.). Advise on next steps (e.g., physical examination; check
tenderness and range of motion, x-ray; definitive diagnosis, etc.). Recommend
physiotherapy as the final step (alleviate discomfort, restore mobility, etc.).
 Persuade the patient that arthritis treatment can be provided if the diagnosis is confirmed,
but suggest taking other measures in the meantime (e.g., neck exercises, heat/ice pack,
analgesics, use a low firm pillow, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 7

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP Practice

PATIENT You are the son of an 86-year-old woman who was diagnosed with dementia. You are
attending an appointment as you find it challenging to be the only caregiver of your mother
and to work as an accountant. You did not bring your mother to clinic today.

 When asked, say your mother forgets recent events, names and faces. She gets anxious and
starts crying sometimes. She was diagnosed with dementia 5 years ago, but she was able to
manage on her own in the beginning. Now, she needs someone to help her in routine
activities.
 When asked, say your mother has diabetes which has affected her eyes, so she cannot walk
independently at nights.
 When hear about the need for a visit, say you don’t think it is necessary, as you can
completely describe your mother’s condition to the doctor. Express reluctance about
bringing her to the clinic as she has difficulty walking, and you don’t have a car.
 Say the information has been helpful, but you need more time to decide about a care home.

OET Speaking role-play

Role Player Card Medicine

SETTING GP Practice

DOCTOR You see the son of an 86-year-old woman who is suffering from dementia. The son has
presented as he is concerned about his mother’s condition. The son is the only care giver and
has difficulty caring his mother and working part time. The patient is not present for the
discussion.

 Explore the patient’s condition (memory status, onset of symptoms, dependency, etc.).
Find out any medical background (diabetes, disability, vision problem, etc.).
 Give information about dementia (collection of symptoms; due to brain damage, can affect
patient’s behavior, memory, lifestyle, etc.). Recommend a visit at the clinic.
 Stress the importance of clinical assessment (necessary for arranging a care plan;
determining memory status, disease stage, physical check-up, etc.). Reassure the son
regarding his concern (home visit available, etc.).
 Give recommendation on how to manage patient’s condition (communication: speak
slowly, short sentences; diet: enough time for meals, smaller portions, etc.).
 Offer transfer to a care home (e.g., 24-hour mental and physical support, communicating
with other residents, regular visits by skilled nurses, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 8

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Local Clinic

PATIENT You are a 53-year-old retired man, and have been having pain and swelling in your big toe for
the past four days. The pain started gradually and did not respond to simple pain killers. You
are in severe pain and would like a stronger pain killer.

 When asked, say there is redness over the affected joint; however, you do not feel feverish.
 When asked, say you have never experienced such pain before and you do not remember
any injury to your leg. You drink alcohol every day and do little exercise at home. Your
appetite is good and you usually eat three large meals every day.
 Ask how the doctor treats your condition.
 When asked, say you are concerned about having another attack, so you would like to
know about how you can reduce the risk of future attacks.
 Say the information has been helpful and that you will try to modify your lifestyle.

OET Speaking role-play

Role Player Card Medicine

SETTING Local Clinic

DOCTOR You visit a 53-year- old patient who is complaining of a four-day history of pain and swelling
in his/her big toe. The patient is overweight and appears to be in severe pain. He/she has
taken OTC medications that did not improve the pain.

 Find out details about the symptoms (skin changes, fever, etc.). Explore the patient’s
medical background (previous attacks, trauma, injury, etc.), and lifestyle (alcohol use,
exercise habits, smoking, etc.). Establish the patient’s consent for a physical examination.
 Discuss the possible diagnosis of gout (e.g., arthritis, uric acid deposition in joint, etc.).
Briefly explain the risk factors (e.g., overweight, drinking alcohol, high cholesterol, etc.).
 Recommend anti-inflammatory medications for acute pain (Ibuprofen, Colchicine, etc.).
Make further recommendations for acute attacks (e.g., keep the joint cool, using ice pack;
raise the limb, keep bedclothes off affected joint at night, etc.). Find out any concern.
 Provide suggestions for prevention of future attacks (diet: vegetables, whole grains, low-
fat; lifestyle: alcohol cessation, quit smoking, physically active; etc.). Schedule a follow-up
visit to monitor the condition.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Community Health Centre

PATIENT You are 18 years old and having frequent belching for a few months. Today you have come to
see the doctor as they are happening more frequently and you feel embarrassed by it. You
expect the doctor to prescribe a medication today.

 When asked, say you also have a stomachache after eating. Your bowel habits did not
change and there is no other problem.
 When asked, say you study hard and drinking energy drinks help you to stay awake at
nights. You have a stressful life and usually eat your meals quickly when doing another
activity. You do not smoke.
 Ask how the doctor treats your condition.
 When hear about investigations, say you want a medication because it is embarrassing for
you. You don’t have time to have all the tests.
 Accept the doctor’s suggestions.

OET Speaking role-play

Role Player Card Medicine

SETTING Community Health Centre

DOCTOR You see an 18-year-old patient who is suffering from frequent burping. He/she has had this
problem for a couple of months, but it has been happening more often recently. He/she is
embarrassed about this issue and has come to seek treatment.

 Find out more about the problem (e.g., associated symptoms: changes in bowel habits,
regurgitation, stomach upset, etc.).
 Explore the patient’s diet (carbohydrate consumption, energy drinks, etc.), and lifestyle
(e.g., stress, smoking, eating or drinking too fast, etc.).
 Provide information about possible causes of burping (e.g., bacterial infection;
Helicobacter pylori, certain foods/drinks: carbonated beverages, gas-producing, mental
stress, etc.). Outline the next steps (e.g., physical examination, stool test, blood test; to
determine underlying causes, etc.). Find out any concern.
 Persuade the patient that medication is not indicated at this stage (e.g., underlying causes
should be ruled out, decision is made based on test results, etc.). Discuss the need for a
follow-up appointment for reviewing the results.

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 10

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Local Medical Clinic

PATIENT You are the parent of a 15-month-old boy. Your son had common cold symptoms, which you
managed with paracetamol; however, he has developed a cough and noisy breathing today.
You are attending an appointment with your son’s doctor to get an antibiotic prescription for
your son.

 When asked, say your son’s symptoms started three days ago but are getting worse. He had
a temperature of 38℃ this morning. He has blocked nose but feeds normally.
 When asked, say your son was born premature (at 36th week of pregnancy), but has no
underlying diseases.
 Say you understand the diagnosis but; seek information about the treatment.
 When hear about symptomatic treatment, show reluctance: you think he needs antibiotics.
 Reluctantly agree to follow the doctor’s advice regarding treatment.

OET Speaking role-play

Role Player Card Medicine

SETTING Local Medical Clinic

DOCTOR You are talking to the parent of a 15-month-old boy who had common cold symptoms for
three days, and has now developed coughing and wheezing. The parent looks worried and has
come to get an antibiotic prescription for his/her son. The child is not present for the
discussion.

 Find out more details about the child’s symptoms (onset, associated symptoms: fever,
blocked nose, decreased feeding, etc.). Explore relevant details about the child’s birth
(maturity, birth weight, congenital lung disease, etc.).
 Explain the possible diagnosis of bronchiolitis (small airways pathology:
swelling/inflammation due to viral infection; risk factors: prematurity, long-term lung
condition, weakened immune system; etc.).
 Describe management (e.g., symptomatic treatment: saline nasal drops, paracetamol
drops, drinking lots of fluids, etc.). Find out any concerns.
 Resist the request to prescribe antibiotics (e.g., antibiotic is not effective in viral infections,
risk of antibiotic-related side effects, etc.). Establish parent’s willingness to bring the child
for examination

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 11

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Sub-urban Clinic

PATIENT You are a 23-year-old lawyer, and have difficulty sleeping. You have a busy lifestyle and find it
difficult to cope with the stress. You have come to see the doctor to get sleeping pills.

 When asked, say you go to bed at 12 but fall sleep two hours later. Your bedroom is quiet
but you need to handle few things with your phone before sleep.
 When asked, say your job is stressful; you drink three cups of coffee to stay fresh during
the day and cope with sleepiness.
 When you hear about non-medical treatment, say you cannot change your life and want
sleeping pills!
 Reluctantly agree to follow sleep hygiene measures and attend a follow-up visit.

OET Speaking role-play

Role Player Card Medicine

SETTING Sub-urban Clinic

DOCTOR You see a 23-year-old patient who has insomnia. He/she works as a lawyer and has stressful
lifestyle. He/she has come to see you to request sleeping pills.

 Find out relevant details about patient’s problem (time going to bed, time falling asleep,
bedroom environment, using phone in bed, etc.). Explore patient’s lifestyle (stress, late
coffee consumption, daytime sleepiness, etc.).
 Give information about insomnia (e.g., common condition; manageable with life style
modifications, risk factors: anxiety/caffeine intake, inappropriate sleeping habits, etc.).
 Emphasize the importance of sleep hygiene (e.g., bedtime routine; sleeping and waking on
the same time, improve bedroom conditions; quiet/dark room, exercise during day, etc.).
 Politely refuse to prescribe sleep medication (e.g., not effective without sleep hygiene, risk
of dependence, side effects: daytime drowsiness, etc.). Discuss a follow-up appointment in
one month (monitoring improvement, medication if needed, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 12

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING General Practice

PATIENT You are a 19-year-old athlete, and have been having muscle cramps, and tiredness recently.
You have come today to get a medication to relieve your symptoms.

 When asked, say you have had muscle cramps before, but they happen more frequently
these days. You are on a football team and exercise every day. You drink water only when
you feel thirsty!
 When asked, say you take vitamin tablets every other day, and there are no muscle-related
disorders in your family members.
 When you hear about non-medical treatment, say the episodes are painful and you really
need medication!
 Reluctantly agree to follow the doctor’s advice.

OET Speaking role-play

Role Player Card Medicine

SETTING General practice

DOCTOR Your patient is a 19-year-old athlete who is complaining of muscle cramps and tiredness. The
patient appears to be underweight and has come to get a medication for his/her symptoms.

 Find out more about muscle cramps (duration, intensity, frequency, etc.).
 Explore the patient’s lifestyle (exercise/rest balance, water intake, etc.). Find out further
relevant details (any family history of muscular disorders, drug history, etc.).
 Give information about muscle cramps (common in active people, not serious condition;
due to overexertion, and electrolyte imbalance, etc.). Describe the management (e.g., heat,
massage, stretching after exercise, increasing water intake, etc.). Find out any concerns.
 Resist the request to prescribe medication (e.g., medication is not effective; it is not a
disease, lifestyle changes can improve the symptoms, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 13

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient clinic

PATIENT You are 35 years old and have new-onset symptoms on your face. Your face has become
asymmetrical, including a drooping eyebrow and eyelid. You have come to see the doctor
because you are concerned about stroke.

 When asked, say your symptoms started two days ago but have progressed gradually. You
had a common cold last week that was controlled with over-the-counter medications. You
don’t take any medication, but your father had a stroke when he was 60; you are
concerned about having stroke.
 Say you understand the diagnosis but don’t know what to do next.
 Say you’ll come back for follow-up.

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient clinic

DOCTOR You see a 35-year-old patient who has neurological symptoms. He/she has developed a
drooping eyelid, drooping at the corner of his/her mouth, and inability to wrinkle his/her eye
brow, on one side of his/her face. You suspect Bell’s palsy.

 Find out more about the problem (onset, progression, limb weakness etc.). Explore
possible flu-like symptoms in the past weeks. Question about any related medical and
family history.
 Give possible diagnosis of Bell’s palsy (temporary weakness affecting one side of face; viral
infection may affect facial nerves: not a cause for concern, etc.). Reassure the patient about
the outcome (e.g., self-limiting condition; recovery takes a few weeks in most cases, etc.).
 Give information about treatment (10-day course of steroid, eye drops to prevent drying
out, etc.). Recommend using surgical tape (at bedtime; to close the affected eye, prevent
irritation, etc.).
 Outline next steps (e.g., follow-up appointment; checking the disease progression; consider
investigations if needed, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 14

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient clinic

PATIENT You are a 32-year-old woman with recurrent episodes of flushing and redness on your face.
You have come to visit the doctor because the rashes are happening more frequently.

 When asked, say you have experienced two bouts of a similar problem in the past year;
each attack takes several weeks to improve. You also have eye irritation and swelling in
your nose.
 When asked, say whenever you are more stressed the symptoms tend to occur. Your
mother was diagnosed with rosacea a few years ago.
 Ask the doctor about treatment methods.
 Request a referral to dermatologist; you are tired of your current situation and want quick
relief.

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient clinic

DOCTOR You are visiting a 32-year-old woman who has flushing and swollen bumps on her face. The
patient has had similar symptoms before, but this time she has come to see you as it’s more
severe. You have just examined the patient and suspect rosacea.

 Find out more details about the problem (frequency, duration, etc.), and associated
symptoms (eye irritation, facial edema, burning sensation, etc.).
 Explore any triggers for attacks (stress, use of skin products, sun exposure, etc.). Explore
the patient’s medical and family history.
 Explain the possible diagnosis of rosacea (e.g., inflammatory skin condition, lifelong
condition, not curable; but can be managed, etc.). Mention the possible causes of rosacea
(e.g., unknown; genetic background is important, possibly auto-immune, etc.).
 Give recommendations for symptom control (antibiotics to reduce bumps, Brimonidine gel
to control redness, avoidance of certain foods; spicy, etc.). Find out any concern.
 Reassure patient about her concerns (e.g., it takes several weeks to feel better; if no
improvement referral can be considered, follow up visit in two weeks, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 15

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Same day emergency care

PATIENT You are 65 years old and are experiencing a cough in addition to noisy breathing. You have
been feverish recently, which you managed with paracetamol. You are concerned about
serious infections.

 When asked, say you have been feverish for the past two days, but the cough started
yesterday; you don’t have shortness of breath.
 When asked, Say you have never been diagnosed with any medical condition, but you
smoke a pack of cigarettes a day.
 Seek information about treatment.
 Say you think it’s necessary to be hospitalized for a few days.
 Say you’ll follow the advices.

OET Speaking role-play

Role Player Card Medicine

SETTING Same day emergency care

DOCTOR Your patient is 65 years old and is complaining of a cough and wheezing. He/she has been
feverish for the past two days. You have just examined the patient and suspect pneumonia.

 Find out more details about the symptoms (duration, fever, dyspnea, etc.). Explore
patient’s medical background (asthma, COPD, allergy, etc.). Ask if the patient smokes.
 Give possible diagnosis of pneumonia (infection and inflammation of the lungs:
viral/bacterial/fungal, etc.). Advise on the next steps to confirm the diagnosis (e.g., chest x-
ray, sputum test, blood sample, etc.).
 Outline treatment options (e.g., paracetamol, inhalers; possible antibiotic, using a
humidifier, drinking plenty of fluids etc.). Stress the importance of smoking cessation (e.g.,
prevention of further lung injury, shorter recovery, decreased long-term risk of cancer).
 Reassure the patient about the safety of out-patient treatment (e.g., low risk condition,
admission is not indicated; risk of hospital-acquired pneumonia, etc.)
 Explain red flags for returning to the hospital (ongoing fever, dyspnea, confusion, etc.).

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 16

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP clinic

PATIENT You are the parent of a four-year-old girl. Your daughter suddenly developed a rash on her
face after having flu symptoms for a few days. She is no longer feverish, but the rashes are
getting bigger. She is happy now and eating normally, but you are worried about the rash.

 When asked, say the rash started to develop this morning; it is light pink in color, and is
limited to both of her cheeks. She had a high temperature, a runny nose, and was crying for
a few days, but she is better now.
 When hear about the disease, express your worry about meningitis.
 Ask if you can send your daughter to kindergarten.
 You are concerned about taking her home; ask if you should bring her back to the clinic if
she gets worse.
 Thank the doctor for the clear explanations; you feel better and calmer now.

OET Speaking role-play

Role Player Card Medicine

SETTING GP Clinic

DOCTOR You are talking to the parent of a 4-year-old girl, who has had a rash on her face since today.
The girl appears to be well and has a temperature of 37℃. The parent is concerned about the
possibility of meningitis. You just examined the patient, and the rashes are blanchable.

 Find out further relevant details about the rash (Duration, color, distribution, etc.), and
possible associated symptoms (rhinorrhea, irritability, fever, etc.).
 You suspect “Slapped cheek syndrome” (a common viral infection in children, self-limiting,
clears up in one to three weeks, etc.). Find out any concern.
 Reassure parent about child’s condition (meningitis presents with a widespread, non-
blanchable rash, altered level of consciousness, etc.). Describe the management of slapped
cheek syndrome (e.g., rest; continue normal feeds with plenty of fluids, moisturizing lotion,
etc.), advise against giving aspirin. Explain that there is no need for isolation of the child.
 Advise when to seek medical advice (e.g., pale skin, shortness of breath, lethargy, etc.).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient Clinic

PATIENT You are 22 years old and suffering from severe depression. Two weeks ago you presented
with lack of motivation, low mood, and sleeping difficulty and were diagnosed with
depression, receiving sertraline as treatment. You are returning today because you have been
experiencing new symptoms that you believe are related to the sertraline.

 When asked, you have been feeling dizzy, nauseous, and have had headaches since starting
the medication. These symptoms prevented you from attending university yesterday.
 When asked, you are still feeling unhappy and tired. You have no desire to go outside and
spend time with your friends.
 When hear about continuing the medication, say you want another safer option; you friend
has been taking fluoxetine for a long time and is happy with it.
 Reluctantly agree to continue with sertraline until the next appointment.

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient Clinic

DOCTOR You see a 22-year-old patient who is suffering from depression. He/she presented two week
ago with low mood, sleeping difficulty, and lack of interest in daily activities. You prescribed
sertraline, but today the patient is returning with medication side effects and wants another
treatment.

 Confirm the reason for today’s visit.

 Find out more details about the patient’s symptoms (nausea, dizziness, duration, etc.).
Explore any improvement in depression symptoms.
 Reassure the patient about the symptoms (e.g., most of the side effects subside after 1
month, etc.). Remind the patient about efficacy of sertraline (e.g., depression medications
start to effect after 3 to 4 weeks, regular use of pills is the key, etc.).
 Resist the request to change the medication (e.g., fluoxetine can worsen insomnia,
dizziness and nausea is common with fluoxetine as well, etc.).
 Advise on a follow-up visit in 4 weeks (assess sertraline side effects/efficacy). Give
recommendation on patient’s life style which can improve depression symptoms (e.g.,
regular exercise, healthy diet, meditation, etc.).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient Clinic

PATIENT You are a 31-year-old construction worker who has been experiencing sneezing, watery eyes,
and a runny nose for the past 7 days. You are seeing the doctor because these symptoms have
been keeping you up at night and making you feel sleepy all day. You believe it is just a
common cold.

 When asked, you mention that you have been feeling more tired recently but have not
experienced any fever. You have no pain in any part of your body. You started a new job
last month, which you plan on keeping until the end of the year.
 When asked about any medication you have taken, you explain that you tried paracetamol
but it did not help alleviate your symptoms. You feel that you may need stronger
medications to feel better.
 Seek information about treatment.
 When the doctor mentions nasal spray, you express reluctance as you are aware of the side
effects that can come with using nasal sprays.
 When asked about quitting your job, you explain that you cannot do so as it is your only
source of income.

OET Speaking role-play

Role Player Card Medicine

SETTING Out-patient Clinic

DOCTOR You are visiting a 31-year-old construction worker who has been experiencing coryza
symptoms (sneezing, rhinorrhea, and watery eyes) for a week. You just examined the patient
and suspect allergic reaction.

 Find out more about patient’s symptoms (Fever, Sore throat, myalgia, etc.), and possible
triggers (new environment, pets, etc.).
 Ask the patient if he/she has already taken any medication for the symptoms.
 Give possible diagnosis of allergy (when the immune system mistakes a harmless
substance for something harmful). Explain common triggers for allergic reactions (pollen,
food, animals, etc.). Advise on next steps (avoiding pollen and dust in the workplace, using
nasal spray to control nasal symptoms, and getting allergy tests if symptoms persist).
 Reassure the patient about the safety of nasal spray (systemic absorption is low, he/she
needs to take it for a short period). Find out any concern.
 Suggest using a face mask while working, minimizing contact with pollen, discussing
potential changes in work positions with the employer.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP Clinic

PATIENT Your 14-year-old son is having trouble sleeping, feeling stressed, and becoming isolated. He
frequently cries and is showing aggression towards his siblings at home, which is concerning.
You are worried about his well-being.

 When asked, you noticed that his behaviors started about a year ago and have been getting
worse. You did not notice any specific trigger for his actions, and everything seems fine at
home. You tried talking to him, but it didn't seem to help. You are worried about his
current situation.
 When asked, say your son is fit and healthy and does not take any medication.
 Say you don’t think it is a good idea to bring the child here as it may maye cause him more
stress.
 Reluctantly agree to bring the child to the GP surgery for a visit.

OET Speaking role-play

Role Player Card Medicine

SETTING GP Clinic

DOCTOR You see the parent of a 14-year-old boy who has difficulty sleeping, is aggressive with his
siblings, and is isolated at home. The son is having problems with his lessons at school as well.

 Find out further relevant details (onset, progression of symptoms, etc.) and explore
possible triggers of the child's situation (such as arguments at home, new environments
like moving to a new home or school, or the death of loved ones). Ask the parent what
actions have been taken so far to address the child's behaviors.
 Find out if the child has any serious illnesses (such as epilepsy or mental disorders) or is
taking any medications..
 Reassure the parent that stress and anxiety are common in teenagers as they grow and
face new challenges. Ask the parent to bring the child for another visit so that you can
determine the root cause of the symptoms. Find out any concern.
 Explain that you are well-trained to discuss the child's problems in a gentle manner that
does not cause unnecessary worry.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP Clinic

PATIENT You are a 27-year-old office worker who presented to the clinic 7 days ago with weakness on
the left side of your face. You were diagnosed with Bell’s palsy and prescribed medication.
Today you have returned with new symptoms and are concerned about the possibility of a
stroke.

 When asked, now you have drooping eyelid, eye irritation, and drooling in addition to
previous problem. You don’t have any problem in your hands and feet.
 When asked, say you took the prescribed medication for first few days but they did not
work, so you stopped taking them. You think your condition is quite serious.
 Say you think it is stroke. Request a referral letter to specialist for brain CT scan.
 Reluctantly agree to attend another follow up visit.

OET Speaking role-play

Role Player Card Medicine

SETTING GP Clinic

DOCTOR You are visiting a 27-year-old patient for the second time in the past 7 days. He/she first
presented with unilateral weakness on his/her face, and you made the diagnosis of Bell’s
palsy. Now the patient returns with new symptoms and is feeling anxious.

 Find out reason for today’s appointment.

 Obtain more details about the patient's new symptoms (speech problem, limb weakness,
impaired balance, etc.) Ask if he/she is taking the prescribed medications regularly
(steroids, antivirals).
 Reassure patient about his/her new symptoms (Symptoms tend to progress in the first few
days, after 2-3 weeks they start to improve and full recovery may take up to 6 months).
Emphasis the importance of taking medications on time (they can speed up recovery, etc.).
 Resist request to refer the patient to specialist (His/her symptoms are typical for Bell’s
palsy, Stroke presents with hemi-paralysis, and speech problem. CT scan exposes the
patient to unnecessary radiation). Suggest a follow-up appointment in one week to
monitor symptoms.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

PATIENT You are 18 years old and have gained 10 kg over the past 3 months due to difficulties in
controlling your eating habits. You feel embarrassed about your body shape and are seeking
help regarding your weight. You have heard that there are medical treatments for obesity.

 When asked, mention that you enjoy having fast food at night after work. You recently
received a promotion at work, which has been stressful for you, and you are also
experiencing issues at home. You believe that these factors are the main causes of your
altered eating habits.
 When asked, say some time when you eat too much you have to induce vomiting with your
finger. You do not take any medication.
 Seek information about treatment options.
 Be reluctant to change your life style. One of your friends is taking pills which have helped
her to lose significant amount of weight. You want the same medication.

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

DOCTOR You are visiting an 18-year-old patient who is suffering from obesity as a result of binge
eating. He/she has put on 10kg of weight during the past 3 months and is seeking help to
control his/her weight.

 Find out more about patient’s eating habits and possible triggers for uncontrolled eating
episodes (Stress, etc.). Ask the patient about possible self-induced vomiting or diuretics
use.
 Advice against self-induced vomiting, describe harmful effects of self-induced vomiting
(dental problems, mineral imbalances, esophagus and throat damage, etc.)
 Outline next steps of management; physical examination, and blood tests (to rule out
medical causes of weight gain, to assess possible side effects of obesity, etc.)
 Explain treatment options; the most important component is life style modification (Diet,
exercise, etc.), relaxing techniques for stress management.
 Convince the patient to modify his/her lifestyle. Medications are not recommended as first
line treatment (side effects, decreased efficacy without life style changes).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP clinic

PATIENT You are a 25 years old tour leader, married with a 1-year old son. You presented two weeks
ago with a long-lasting history of skin lesions and joint pain. The doctor requested blood test
and today you are returning for the results. Unfortunately, the doctor tells you that you have
Lupus erythematous, and recommends referral to specialist.

 Argue that you are young and healthy; no one in your family has similar condition. You
don’t think it is necessary to see the specialist.
 Ask how the specialist will treat your disease. Is it curable?
 Express concern, you did not expect that at all. You are worried if you can cope with that.
 Reluctantly agree to see the specialist, you feel better after the doctor’s explanations.

OET Speaking role-play

Role Player Card Medicine

SETTING GP clinic

DOCTOR Your patient is a 25-year-old tour leader, married with one child. She/he presented two
weeks ago with a long-lasting history of skin rash and joint pain. You requested blood tests
and today the patient is returning for the results. The results are compatible with Lupus
erythematous.

 Discuss the results with patient: blood test shows anemia, impaired kidney function, and
positive antibody for Lupus erythematous. Explain “Lupus erythematous” (When immune
system mistakenly attacks healthy tissues) and recommend referral to Rheumatologist.
 Persuade the patient to visit Rheumatologist (Lupus erythematous is common in young
age, negative family history does not rule out Lupus erythematous, etc.).
 Say the disease is not curable but it can be treated. Give information about treatment
options; Symptomatic treatment for joint pain (NSAIDs, Paracetamol, etc.),
Immunosuppressant and anti-inflammatory treatment to weaken immune system, and
biological treatment which targets triggers of inflammation in immune system (Rituximab,
etc.). Find out any concern.
 Reassure the patient that with proper treatment and regular follow up, his/her disease can
be kept under control.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Sub-urban clinic

PATIENT You are 29 years old. You have noticed bleeding from your back passage when you pass
motion. There is also extreme pain associated with the bleeding. A recent TV show has made
you concerned about bowel cancer.

 When asked, say you have constipation most of the times, but you did not notice any
abdominal pain or weight loss. Your uncle died of bowel cancer, that’s why you are
worried about it.
 When asked, say you eat fast foods every day; you don’t drink much water, and have no
time to exercise.
 Express concern, you’ve heard that bleeding from back passage is a sign of bowel cancer;
you think the doctor is not taking it seriously.
 Seek information about treatment options.

OET Speaking role-play

Role Player Card Medicine

SETTING Sub-urban clinic

DOCTOR Your patient is a 29-year-old office worker who is experiencing pain around his/her anus
associated with bleeding. A recent TV show about colon cancers has made him/her worried
about malignant causes. You examined the patient and suspect anal fissure.

 Find out more about patient’s problem (e.g., abdominal pain, weight loss, constipation,
etc.), and any family history of colon cancer.
 Explore patient’s lifestyle (diet, water intake, exercise, etc.).
 Discuss possible diagnosis of anal fissure (a tear or open sore in the lining of the large
intestine, near the anus). Explain possible causes (e.g., constipation, low fiber intake,
straining, etc.).
 Reassure the patient about his/her symptoms (e.g., bowel cancer is rare at this age,
examination findings shows fissure, absence of red flags, etc.). Outline management,
including medications (anti spasmodic cream, pain killer) and avoiding constipation
(having a balanced diet rich in fruits and vegetables, consuming 2 to 3 liters of water per
day, regular exercise, etc.).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Private clinic

PATIENT You are 37 years old. You have been diagnosed with epilepsy few years ago, for which you are
taking two different medications. This is your annual follow-up visit, but you are not happy
with your condition.

 When asked, say you had three attacks during the past 10 days; each attack took about 5
minutes.
 When asked, say you had your final exams this month which was a major stress for you.
Also, you always forget to take your medications on time, as you work and study at the
same time.
 Say you want a permanent treatment like surgery; you are tired of taking medications.
 Say the information was helpful; you try to control your stress and take your medications
on time!

OET Speaking role-play

Role Player Card Medicine

SETTING Private clinic

DOCTOR Your patient is 37 years old who has been diagnosed with epilepsy few years ago. Patient
attends his/her annual follow-up visit today, while he/she has been experiencing frequent
seizures and wants a better treatment. He/she is not happy with the current medications.

 Confirm the reason for visit.

 Find out more about seizures (duration, frequency, etc.). Explore any change in the
patient’s life style (Sleep, anxiety, diet, regular use of medications, etc.).
 Explain possible triggers for epileptic attacks (e.g., stress, lack of sleep, irregular
medication use, etc.). Emphasize on regular taking of anti-epileptic medications
(medications should reach a specific concentration in blood to be effective), offer
medication box (plastic boxes with small compartments that show proper time for taking
each pill).
 Explain possible side effects of brain surgery (disability, speech problems, loss of vision,
etc.); discuss indications for surgery (more frequent seizures, severe side effects of anti-
epileptic drugs, drug-resistant epilepsy).
 Reassure the patient that surgical option is not suitable at this point; adjusting drug
dosage, regular using of medications and life style adjustment can control the condition.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

PATIENT You are a 57-year-old gardener. You are concerned as you feel a mass in your tummy. You
first noticed it two weeks ago. You are worried about possible internal origin of the mass.

 When asked, say moved your house this month which included lifting heavy objects. You
noticed mild pain at the area but you are not experiencing any other symptoms. You are a
gardener which includes straining and heavy lifting.
 Say if the diagnosis is confirmed, what will be the treatment.
 Say if heavy lifting has triggered hernia, you won’t repeat such an activity so that it heals
by itself!
 Seek information about when you can get back to work, as it’s the only way that you earn
money.

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

DOCTOR You see a 57-year-old patient who is concerned about a mass in his/her abdomen. You
examined the patient, which shows a soft mass around the umbilicus. You suspect umbilical
hernia.

 Find out about possible triggers for the problem (heavy lifting, trauma, etc.), and
associated symptoms (constipation, vomiting, fever, etc.). Explore patient’s job.
 Give possible diagnosis of umbilical hernia (when a part of internal organs protrudes
through the abdominal wall). Explain risk factors (heavy lifting, straining, etc.). Discuss
further steps to confirm the diagnosis (abdominal ultrasound).
 Explain surgical options, including open and laparoscopic surgery (in open surgery a long
incision is made to push the hernia back to the abdomen, laparoscopy includes inserting
surgical instruments into abdomen through three small incisions). Explore any concerns.
 Convince the patient to undergo investigation and adhere to the treatment plan; hernia
increases the chance of strangulation (interruption of organs blood supply due to
increased pressure from abdominal wall, which results in tissue necrosis).
 Reassure the patient about when he/she can start working (e.g., 2-3 weeks of rest, severe
exercise should be avoided for a month, etc.). Routine change of the wound dressing and
attending follow-up visits are crucial to get a proper outcome from surgery.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

PATIENT You are a 27-year-old secretary. You have been experiencing pain and stiffness in your wrists
since 4 months ago. Your pain has increased recently when you got a new job. You are
concerned about your wrist and have difficulties at work as you can’t complete your tasks.

 When asked, you feel more tired and sometimes you start sweating. When, asked, say you
did not lose weight and did not notice any fever.
 When asked, say you smoke 10 cigarettes per day, but you don’t drink alcohol. Your job is
demanding and you recently engaged, which does not leave you any time to exercise. But
you need to move your wrist frequently at work.
 Say you want to know the diagnosis now; you don’t have time to do all these tests.
 Say you don’t know how you got this problem. Seek information about possible causes.
 Reluctantly agree to do the tests and to take the recommended precautions.

OET Speaking role-play

Role Player Card Medicine

SETTING GP surgery

DOCTOR You see a 27-year-old secretary who has pain and stiffness in his/her both wrists. He/she is
seeing you as the pain stops him/her from doing tasks at work. You examined the patient
which showed tenderness in joint lines.

 Find out more about patient’s condition (e.g., tiredness, weight loss, fever, etc.), ask about
his/her life style (e.g., smoking, alcohol intake, activity, etc.).
 Outline next steps in patient’s management, including blood test (rule out inflammatory
conditions, etc.), wrist x-ray (assess bone health, etc.). Mention that you start proper
treatment based on the test results.
 Persuade the patient that he/she needs to have the tests (joint pain can be due to a variety
of underlying conditions). Reassure the patient that blood sample is taken by the clinic
nurse today, and x-ray will be done in few days.
 Explain possible underlying causes of patient’s joint pain (e.g., auto-immune diseases,
overuse of joint, soft tissue injury etc.).
 Highlight non-medical management, including ice pack, rest, and splint at nights. Say you
manage follow-up visit after getting the results.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING GP practice

PATIENT You are 32 years old. You have noticed a swelling in front of your neck which is getting bigger.
It’s not painful but you feel uncomfortable while swallowing. You have searched on the
internet and found out that swellings in neck can be related to blood cancers. You are
worried.

 When asked, say your symptoms started two months ago, your clothes are getting tight but
you have not measured your weight recently. You sleep more than usual.
 Say you understand the diagnosis but you don’t know what to do next.
 Say you don’t know how you got this problem. Seek information about causes.
 Say you will do the ultrasound and blood test and attend follow-up appointment to discuss
the results.
 When asked, say you are concerned if it’s a serious condition.

OET Speaking role-play

Role Player Card Medicine

SETTING GP practice

DOCTOR You are visiting a 32 year old patient in your general practice. He/she has noticed a bulging
in anterior part of his/her neck which is gradually increasing in size. You just examined the
patient which shows generalized thyroid enlargement. You suspect goiter.

 Ask the patient about his/her symptoms (onset of symptoms, weight change, pain, etc.).
 Explain the likely diagnosis of goiter (thyroid is a gland at the base of the neck which
produce hormones to regulate metabolism rate, hypo activity of thyroid can cause
enlargement). Give information about hypothyroidism (decreased production of thyroid
hormone) and its features (tiredness, weight gain, skin changes, etc.).
 Explain the need to do blood test (thyroid hormone levels in blood), and ultrasound of
his/her neck (visualizing thyroid). Recommend follow up appointment (review test
results, start treatment).
 Explain possible causes (iodine deficiency, autoimmune disease, thyroiditis, etc.). Find out
any other concerns.
 Reassure the patient about his/her symptoms (with proper treatment symptoms will
improve and swelling will go away, etc.).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Emergency department

PATIENT You are 39 years old. You have been experiencing a severe pain in right upper side of your
tummy, for the last 8 hours. You took some paracetamol but it did not help with the pain. You
have had this pain before but this time it’s continuous and more severe in nature. You are
concerned about stomach ulcer.

 When asked, say the pain is below your ribs on the right side and it started after lunch. You
have been feverish and nauseous since two hours ago.
 When asked, say your GP says you have gallbladder stone but you think its indigestion. You
never had a surgery. Your father has stomach ulcer but you don’t have any stomach
problem.
 Say you can tolerate the pain; you only want stronger painkillers to go home. You are
afraid of operating room. You’ve heard that surgery is painful.
 Reluctantly agree to undergo surgery for gallbladder removal.
 Seek information about precautions you need to take after the surgery.

OET Speaking role-play

Role Player Card Medicine

SETTING Emergency department

DOCTOR You are visiting a 39-year-old patient in emergency department who presented with severe
abdominal pain in right upper quadrant. The patient has had similar episodes before but this
time the pain is continuous and more severe. You just examined the patient which shows RUQ
tenderness. You suspect cholecystitis.

 Explore further relevant details (exact location of pain, associated symptoms, etc.),
 Find out about patient’s medical history (abdominal surgery, stomach ulcer,
cholelithiasis,etc.). Explore any drug (NSAIDs, etc.) history.
 Give possible diagnosis of cholecystitis (inflammation of gallbladder due to obstruction of
bile ducts with stones). Explain treatment steps; IV fluids, analgesics, and antibiotics to
control the inflammation. Surgical removal of gallbladder is the main treatment.
Recommend the patient to be nil by mouth (to take the stress off from the inflamed
gallbladder, etc.). Find out any concerns.
 Try to convince the patient to undergo surgery (risk of recurrence and possible
complications like abscess formation, perforation, etc.). Reassure the patient about his/her
concern (e.g., painkiller after surgery, anesthetics during surgery, etc.).
 Provide recommendations for prevention of surgical site infection (regular change of the
wound dressing, keep the wound dry and clean, take prescribed antibiotics on time, etc.).

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Private Clinic

PATIENT You are a 55-year-old lawyer. You have been experiencing heart burn, nausea and food
regurgitation recently. You had these symptoms before but they are getting worse now. You
are seeing the doctor because you are now having dry cough at nights which wakes you up
frequently.

 When asked, say your symptoms started few years ago but it was on and off, now it
happens every day. You don’t have any other problems.
 You drink three cups of coffee every day. You smoke a packet of cigarettes every day and
enjoy having fast foods on weekends.
 Seek information about the next steps.
 When hear about treatment, be resistant! You think it is more complicated than
indigestion as you are having cough as well. Ask for specialist referral.
 Reluctantly agree on starting treatment. Say you try to cut down alcohol and to stop
smoking.

OET Speaking role-play

Role Player Card Medicine

SETTING Private Clinic

DOCTOR You are visiting a 55-year-old patient who complains about heart burn, nausea, and acid
reflux. Recently, the patient’s problem deteriorated and he/she is having dry cough at nights.

 Find out about patient’s complaint (duration, frequency, etc.), associated symptoms
(weight loss, cervical lymphadenopathy, etc.), and life style (coffee, alcohol, smoking, etc.).
 Explain possible diagnosis of gastro-esophageal reflux disease “GERD” (When food travels
upward toward the throat, it is related to multiple factors in life style and stomach acid
production).
 Discuss treatment options. Proton pump inhibitors “PPI” twice a day. Stress the
importance of life style modifications (coffee, smoking, and alcohol can increase stomach
acid production). Advise about seating upright for 30 minutes after each meal.
 Resist request to specialist referral. Cough can be related to regurgitation of foods toward
the throat and subsequent irritation of larynx. If symptoms persist, referral can be
considered.

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 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

`
Role Player Card Medicine

SETTING 24-hour Clinic

PATIENT You are 49 years old and were diagnosed with high blood pressure disease two years ago. You
presented one week ago with complaint of increasing swelling in your legs. The doctor
requested a blood test and today you are returning for the results. Unfortunately, the doctor
tells you that your kidney function has dropped significantly.

 When hear the diagnosis, you feel upset as you’ve that heard kidney failure may need
kidney transplant!
 Ask about methods of preventing further harm to your kidney you are much stressed.
 Ask what happens if first line treatment fail.
 Say you feel reassured. You try your best to control your blood pressure and adhere with
other treatment strategies.

OET Speaking role-play

Role Player Card Medicine

SETTING 24-hour Clinic

DOCTOR Your patient is 49 years old. He/she presented one week ago with a one-week history of leg
edema. You requested a blood test to rule out underlying disorders and the patient is
returning today for his/her results. The blood test shows early stages of chronic kidney
disease (CKD). He/she is a known case of hypertension: today’s BP reading is 170/100.

 Discuss test results with the patient. The diagnosis is Early stages of chronic kidney disease
but the kidney function is slightly decreased which can cause fluid overload in lower limbs.
Ask about any concerns.
 Reassure the patient that based on blood tests there is only minor damage to the kidneys
and with proper treatment, further damage can be prevented.
 Highlight next steps which includes referral to nephrologist, blood pressure control (the
patient should check his/her blood pressure at home and make a diary, change of
medications, diet modification to decrease salt), and diuretics to control edema.
 Explain other options may be considered if further damage happens; Hemodialysis (using
an external machine to remove excessive fluid and waste product from blood), and kidney
transplant will be the last resort.

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 31

 No exam cases discussed, all the scenarios are fictitious and for study purposes only

OET Speaking role-play

Role Player Card Medicine

SETTING Local Clinic

PATIENT You are a 29-year-old office worker, and have been having bloody diarrhea for the last three
months. Sometimes you experience abdominal cramps, nausea and dizziness. You are worried
about colon cancer, as your father died of bowel cancer five years ago.

 When asked, say you have lost 5 kg recently, sometimes you feel feverish; you’ve been
feeling that you need to pass stools, even though your bowels are empty.
 When asked, say you don’t smoke and only drink occasionally. You don’t have time for
cooking so you eat fast foods frequently. You go to gym for 1 hour every other day.
 Ask how the doctor can be sure that it’s not cancer!
 Say if it is ulcerative colitis, you’d like to know the treatment.
 Say you agree to see specialist to have your diagnosis confirmed and to get proper
treatment.

OET Speaking role-play

Candidate Card Medicine
SETTING Local Clinic

DOCTOR Your patient is a 29-year-old office worker who is complaining of bloody diarrhea for the
past three months. The patient has been experiencing abdominal cramps as well as fever.
You just examined the patient which revealed generalized abdominal tenderness. The
patient’s father died of bowel cancer few years ago.

 Find out about patient’s symptoms (weight loss, fever, etc.).

 Explore patient’s life style (diet, exercise, etc.), find out further relevant details (any family
history of colorectal cancer, previous gastrointestinal problems, etc.).
 Discuss possible diagnosis of “ulcerative colitis” (inflammation of colon which results in
ulcer formation in mucous, it can also interrupt food absorption in gastrointestinal tract,
etc.)
 Outline next steps (referral to gastrointestinal specialist to perform colonoscopy, take
biopsy for tissue examination, blood tests, and stool test, etc.)
 Describe ulcerative colitis treatment, including pain killers, anti-inflammatory
medications, immuno-suppressant treatment, life style modification.

*Speaking mock tests & feedback: Email: [email protected]/Telegram: @OetMedics Page 32