OET Reading Full Practice Test # 1 (Medicine/Doctor)

Instructions:
Read each short text carefully. Choose the best answer (A, B, or C) for each question.

Extract 1: Hospital Notice

"Due to a recent increase in Clostridium difficile infections, all staff must ensure strict adherence to contact precautions. Gloves and gowns must be worn when entering patient rooms. Hand hygiene using soap and water is mandatory, as alcohol-based rubs are ineffective against spores."

Q1. What is the main reason for the change in hand hygiene protocol?

"Patients presenting with chest pain should undergo ECG within 10 minutes of arrival. Troponin levels must be checked at presentation and repeated after 3 hours. Risk stratification should guide further management."

Q2. What is the first diagnostic step for chest pain?

"Please ensure all refrigerated medications are stored between 2°C and 8°C. Temperature logs must be updated twice daily. Any deviation should be reported immediately to pharmacy services."

Q3. What should staff do if the fridge temperature is outside the recommended range?

"Include patient demographics, diagnosis, treatment summary, discharge medications, and follow-up plan. Avoid abbreviations and ensure clarity for primary care providers."

Q4. What is emphasized in the discharge summary instructions?

"Staff must not wear wristwatches or rings during patient care. These items harbor microorganisms and compromise hand hygiene. Compliance will be audited monthly."

Q5. Why are staff advised to avoid wearing rings and watches?

"In case of cardiac arrest, activate the code blue system immediately and begin CPR. The crash cart must be brought to the bedside. Document the time of arrest and interventions performed."

Q6. What is the first action during a cardiac arrest?

Instructions:
Read the two long texts below. Each is followed by 8 multiple-choice questions. Choose the best answer (A, B, or C) for each.
Text 1: The Role of Artificial Intelligence in Radiology
Artificial Intelligence (AI) is transforming radiology by enhancing image interpretation, reducing diagnostic errors, and improving workflow efficiency. AI algorithms, particularly those based on deep learning, can detect abnormalities in X-rays, CT scans, and MRIs with accuracy comparable to experienced radiologists.
Despite its promise, AI is not without limitations. It may struggle with rare conditions or atypical presentations. Moreover, ethical concerns arise regarding accountability, data privacy, and the potential deskilling of clinicians. Experts emphasize that AI should augment, not replace, human judgment.
Integration into clinical practice requires rigorous validation, regulatory approval, and clinician training. Institutions adopting AI tools must ensure transparency and maintain patient trust. Ultimately, AI is expected to serve as a decision-support tool, enhancing diagnostic confidence and patient outcomes.

Questions (Text 1)

Q1. What is a key benefit of AI in radiology?

Polypharmacy, defined as the use of five or more medications, is common among older adults due to multiple chronic conditions. While necessary in many cases, it increases the risk of adverse drug reactions, hospitalizations, and medication non-adherence.
Deprescribing is a structured process of tapering or stopping medications that may no longer be beneficial. It requires careful review of the patient’s medication list, consideration of life expectancy, and shared decision-making. Tools like the Beers Criteria and STOPP/START guidelines assist clinicians in identifying potentially inappropriate medications.
Communication is crucial. Patients may resist changes due to fear of symptom recurrence or misunderstanding the rationale. Clinicians should explain the benefits of deprescribing and involve caregivers when appropriate. Regular medication reviews are essential to ensure ongoing appropriateness of therapy.

Questions (Text 2)

Q9. What is a major risk associated with polypharmacy?