Tag Archives: oet role play

Transesophageal echocardiogram (TOE)

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Asked for 12 Sep 2020  OET speaking session

PATIENT. Role play. SETTING Hospital outpatient Clinic
You are 52 years old and have been given information about the transoesophageal echocardiogram (an ultrasound of the heart using four small cameras going down the throat) that you are going to have next week. 
Task: 
•When asked, say that you have never had an echocardiogram before and are feeling quite nervous.
•Ask if there is anything you should do before you have the procedure.
•Say that you hope you feel okay afterwards as you are planning to go out with friends.
•When asked, say that you have arranged for a friend to come with you and she’ll stay with you afterwards too. Also, mention that you don’t want to have to wait for long for the results.
•Say that the information provided is clear, but you will be glad once the procedure is over.
NURSE. Role play. SETTING Hospital outpatient Clinic
You are giving a 52-year-old patient information about a transoesophageal echocardiogram (TOE) he/she is going to have next week. 
TASK: 
•Confirm the patient is scheduled to have a transoesophageal echocardiogram. Find out if the patient has had one before.
• Explain the function of transoesophageal echocardiogram (e g. provide detailed images, check structure of heart, analyse blood flow, enable planning of surgery/treatment, etc.)
• Outline pre- TOE requirements (e.g., avoid food/drink 6 hours before. etc. Describe preparation at the hospital (e.g.,anaesthetic spray, light sedation, mouth-guard etc)
•Advise patient about the after-effects e.g., possible discomfort/soreness drowsiness, etc)
• Outline post-procedure steps (pre-discharge: observation period; post-discharge accompanied, no driving for 24 hours, etc.). Find out if the patient has someone to support him/her post-discharge
•Give information about results [scan analysed. probably 1-2 weeks, subsequent follow-up appointment with GP).

Catarrh

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Asked for 11 OCT 2020  OET speaking session

PATIENT. Role play. SETTING Community Health Centre 
You are 22 years old and have had a cold which has left you with a build-up of mucus (catarrh) and & constant need to clear your throat. You have come for advice on treatment.

TASK
§ When asked, say you have had a cold for a couple of weeks and it’s left you with a build-up of mucus, which means you need to clear your throat a lot. This is quite unpleasant for you and people around you. Say you want some advice on treatment.
§ Say you don’t have a runny nose, but you are coughing up lots of white mucus and your face and neck hurt as a result. Your senses of smell and taste are fine.
§ Say you were hoping the nurse would give you a prescription for something which would be more effective than over- the-counter medication.
§ Say you will try over-the-counter medication, but you are worried the problem might carry on for a long time.
Say you It follow the nurse’s advice and will make an appointment with your GP if there is no improvement
NURSE. Role play. SETTING Community Health Centre 
You see a 22-year-old patent who has had a cold and as a result has a build-up of mucus (catarrh) and a constant need to clear his/her throat. He/she wants some advice on treatment.

TASK
§ Find out the reason for the patient’s visit
§ Find out more details of symptoms (runny nose, colour of mucus, facial pain, reduced sense of smell/taste, etc.)
• Ouitline ways to relieve catarrh (e.g., drink cold water before clearing, saline nasal rinse. avoid warm dry atmosphere, stay well-hydrated, etc.), Suggest over-the-counter medication (e.g., decongestants, antihistamines, etc.).
• Resist request for prescription (e.g., not necessary. not your role, etc.).
• Reassure patient about catarrh (e.g., usually temporary, not harmful, self-limiting, etc.). Advise need to see GP if problem persists for more than six weeks {e.g., rule out any underlying condition/unidentified food sensitivity etc)

Pneumococcal Polysaccharide Vaccination (PPV)

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Asked for 26 Sep 2020 OET speaking session

PATIENT. Role play. Setting: Suburban Clinic 
You are 62 years old and have rheumatoid arthritis. You are attending an appointment to get information about the Pneumococcal Polysaccharide Vaccination (PPV) which you have been advised to have.

Task
§ When asked, say that the clinic sent a letter to say you had to have the vaccination. Say that you don’t think you need to have it.
§ Say that you always get an annual flu jab; you thought that would be enough protection.
§ Ask if you are likely to feel unwell after you have the vaccination.
§ Say you had an annual flu vaccination two weeks ago so maybe it is better to wait before you have another vaccination.
§ Say you felt fine after the flu vaccination; it didn’t cause any problems at all.
§ Agree to have the vaccination.
NURSE. Role play. Setting: Suburban Clinic 
You see a 62-year-old patient who has rheumatoid arthritis. He/she is attending an appointment to get
information about the Pneumococcal Polysaccharide Vaccination (PPV) which he/she has been advised to have.

Task:
• Confirm the reason for the patient’s visit (PPV).
• Explain the need for the vaccination (e.g., rheumatoid arthritis patients at higher risk of pneumococcal infections/compromised immune systems, etc.). Stress the importance of immunisation against pneumococcal infections (e.g., pneumonia, septicaemia, etc.).
• Give details about the vaccines: PPV (bacterial, remains the same, given every three years, etc.) and flu (viral, strain constantly changes, given yearly, etc.).
• Outline possible temporary mild side effects (e.g., slight temperature, redness/swelling at injection site, etc.). Recommend making an appointment with a GP if not well.
• Ask the patient about any reaction to the flu vaccination (e.g., high temperature, muscle aches, fatigue, etc.).
• Reassure the patient about having the PPV today (e.g., no adverse reaction to flu vaccine, suitable interval since earlier vaccine, etc.). Establish the patient’s consent to have the PPV.

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Malaria prophylaxis

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Asked for 23 JAN 2021 OET speaking session

PATIENT. Role play. Setting: Community Heath Centre.
You are 35 years old and are going on a rip soon. You know that you need to take Malaria medication but are concerned as you have suffered from depression in the past, and you’ve read that there is some malaria mediation you shouldn’t take.

Task:
§ When asked, say you’re going on a trip around southeast Asia soon. Say you know you need to take malaria medication but you’ve had depression in the past and you’ve read that there is some malaria medication you shouldn’t take.
§ Say you’re going to be traveling for a month and will be mainly in rural areas, but plan to visit some cities too.
§ Say you’d rather not take medication for so long when you return, so maybe you can just try to avoid getting bitten.
§ Say you don’t want to take medication for a long time because you’re worried about the side effects.
§ Say you don’t want to have those problems. Agree to take the medication.
Nurse. Role play. Setting: Community Heath Centre.
You see a 35-year-old patient who is going on a trip soon and needs to take malaria medication. He/she is concerned about taking this medication as he/she has suffered from depression in the past, and has read that there is some malaria medication he/she shouldn’t take.

Task:
• Find out reason for patient’s visit.
• Find out relevant details about trip (length of visit, rural/urban, etc.),
• Recommend doxycycline for malaria prophylaxis (no contraindications for patients with history of depression, etc). Give details of dosage (100mg daily with food, Iwo days before trip, during trip and four weeks after return, etc).
• Stress the need for both medication and bite prevention measures (e.g., high-risk area visited, length of visit etc). Give reasons for long dose of doxycycline (e.g.: reluctance to take medication over long period of time).
• Give details of possible side effects (e.g., Heartburn, upset stomach, increased risk of sunburn etc.) Warn patient of risks of not taking medication if malaria is contracted (e.g.: heart/kidney problems, etc).

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