Is there a magic to guess the L and R answers? For 80% questions, there is! Let me explain so that today’s L and R tests will return you a high score.
Let it be Listening or Reading, most answers are answers to what! Yes, Part A, B and C questions always ask you a “what?” question in the first place and then “which?” and “who?”
Here is an example from the OET official sample test paper:
Answer each of the questions, 8-14, with a word or short phrase from one of the texts. Each answer may include words, numbers or both.
08. What should be used to elevate a patient’s fractured leg?
09. What is the maximum dose of morphine per kilo of a patient’s weight that can be given using the intra-muscular (IM) route?
10. Which parts of a limb may need extra padding?
11. What should be used to treat a patient who suffers respiratory depression?
12. What should be used to cover a freshly applied plaster backslab?
13. What analgesic should be given to a patient who is allergic to morphine?
14. What condition might a patient have if severe pain persists after splinting, elevation and repeated analgesia?
Complete each of the sentences, 15-20, with a word or short phrase from one of the texts. Each answer may include words, numbers or both.
15. Falling on an outstretched hand is a typical cause of a ___ of the elbow. (Cause of a “what?” of the elbow?)
16. Upper limb fractures should be elevated by means of a ___. (By means of “what?”)
17. Make sure the patient isn’t wearing any ___ on the part of the body where the plaster backslab is going to be placed. (Any “what?”)
18. Check to see whether swollen limbs are ___ or increasing in size. (Limbs are “what?”)
19. In a plaster backslab, there is a layer of ___ closest to the skin. (Layer of “what?”)
20. Patients aged ___ and over shouldn’t be given the higher dosages of pain relief. (“What” age?)
Now, the question is, how does “what” help a candidate?
The answer is, look for “what” throughout the texts! I mean, while you read, fix your focus on “subjects” (Discussed on Day 1) of each sentence. Subjects are mostly “what, which, who.” You will get your answer immediately, without losing time. That also means, do not waste much time with a sentence if it is discussing “why, when, where, how” etc.
With best wishes to keep your heart strong,
Biju John and Team, English Melon.
In Reading Section, you have the following tasks:
- A complete test (mock test)
- Summarization of at least 1 part of the given test.
NB: Make sure you complete the mock test in the exact time given in the question paper.
How many reading tests have you done since you started preparation? I know people who have practiced 100 reading tests – official and unofficial. Now, do you practice Karate without learning this? What I mean is, there is no practice without learning a skill. Unfortunately most of you complete tests after tests without learning the methods!
Summarization Method. How to?
- Read each text and start summarizing the relevant information
- Do not write what you already know (Medical professionals, you already know 70% of the texts)
- Include only:
- What you have not heard.
- What you have never understood.
- What looks new and interesting
- Repeated information
- Impressive words and sentence modifiers that have no special information
Abbreviations you can use:
- → Leads to / causes something /
- × No / Never / Little / Few
- ↑ Increases / rises / upward /
- ⇑ Improves
- ← Backward / recuperate / recover
- ∴ Which means / for example
- ⊕ Medicine / medication / treatment
- ⊥ Admitted
- ⋅ Died / Ended /
- ≤ Less than or equal
- ≥ More than or equal
- ° Degree / temperature
- … Continue
- ” Said / say / opinion
- ¿ Not diagnosed
- ⁄ Or / Uncertain
NB: Invent your own kind of abbreviations or use popular abbreviations like:
- AM Morning
- PM for evening
Or medical abbreviations like:
- AB Abortion
- AEM Ambulatory electrocardiogram monitoring…
How will it Help?
For any medical professional, 60 to 80% of each text / paragraph is already known, no doubt. While only 20% questions are expected from this 80%, almost 80% answers are coming from the 20% text. Summarization helps you take note of all the “hard” stuff in your reading texts.
NB: You can summarize sample Reading test materials that you already have.
If you wish, summarize on This Page so that every participant can see!
DMT (N,N-Dimethyltryptamine) is a hallucinogenic tryptamine drug that occurs naturally in many plants and animals. It is also referred to as the “spirit molecule” due to the intense psychedelic experience. Although lesser known than other psychedelics such as LSD or magic mushrooms, DMT produces a brief but intense visual and auditory hallucinogenic experience.
DMT is a Schedule I controlled substance in the United States; this means that it is illegal to manufacture, buy, possess, or distribute the drug. The substance has a high potential for abuse, no recognized medical use, and a lack of accepted safety parameters for the use of the drug. DMT has no approved medical use in the United States but can be used by researchers under a Schedule I research registration that requires approval from both the Drug Enforcement Administration (DEA) and the Food and Drug Administration (FDA).
Despite its illegal status, DMT is used in some religious ceremonies and various settings for an “awakening” or to obtain deep spiritual insight. DMT is a white crystalline powder that is derived from certain plants found in Mexico, South America, and parts of Asia, such as Psychotria viridis and Banisteriopsis caapi.
It is typically consumed in the following ways:
- Vaporized or smoked in a pipe
- Consumed orally in brews like ayahuasca
- Snorted or injected on rare occasions
The chemical root structure of DMT is similar to the anti-migraine drug sumatriptan, and it acts as a non-selective agonist at most or all of the serotonin receptors, particularly at the serotonin 5-ht2a receptor. Serotonin is a neurotransmitter that has a large effect on the majority of our brain cells. There is some evidence that DMT is also produced endogenously, in other words, it is produced naturally in the body, specifically in the pineal gland in the brain.
When smoked, the average dose of DMT is believed to be somewhere between 30 to 150 milligrams (mg), and the onset of action can be felt almost instantly. The effects peak and plateau for 3 to 5 minutes, and gradually drop off with the duration of effect totaling 30 to 45 minutes. When consumed as a brew, the dose is between 35 to 75 mg. Effects begin after 30 to 45 minutes, peak after 2 to 3 hours and are resolved in 4 to 6 hours.
The use of DMT can be traced back hundreds of years and is often associated with religious practices or rituals. The drug is the active ingredient in ayahuasca, a traditional South American brewed tea. DMT is used illicitly for its psychoactive, hallucinogenic effects. “Spiritual insight” is one of the most commonly reported positive side effects of the drug. The vast majority of new DMT users are already experienced with using psychedelic drugs, and as is the case with other illegal hallucinogens, users often obtain the drug through the Internet.
Research from the Global Drug Survey carried out in 2016 reported 2.24 percent of people used DMT in the last 12 months. It was among the least used drugs overall, with only kratom and modafinil used less. The main effect of DMT is psychological, with intense visual and auditory hallucinations, euphoria, and an altered sense of space, body, and time.
Many users describe profound, life-changing experiences such as visiting other worlds, talking with alien entities known as “DMT elves” or “machine elves,” and total shifts in the perception of identity and reality. When smoked, DMT produces brief yet intense visual and auditory hallucinations that have been described by users as an alternate reality, otherworldly, or a near-death experience. In comparison to other psychedelic drugs, such as LSD, ketamine, and magic mushrooms, recreational users of DMT consider it to have the lowest side effect profile.
Possible side effects of DMT include:
- Increased heart rate
- Increased blood pressure
- Chest pain or tightness
- Dilated pupils
- Rapid rhythmic movements of the eye
- When taken orally, DMT can cause nausea, vomiting, and diarrhea.
Depending on the individual user, the DMT experience can range from intensely exciting to overwhelmingly frightening. The experience can be so powerful that users may have difficulty processing and integrating the “trip” into their real life. Mental side effects may linger for many days or weeks after ingestion of the drug.
In Listening Section, you have the following tasks:
- A complete test (mock test)
- Transcription of at least 1 part of the given audio.
NB: Make sure you complete the mock test in the exact time given in the question paper.
What is Transcription Task?
Go ahead and transcribe listening task audios that you have received in the learning folder. Listen as many times until you got all the words!
NB: Transcription Method will bore you and it takes a lot of time but this will change your listening experience! You will have to do this exercise only for 10 Days.
How to Complete “Transcription Task?”
- Find out today’s transcription audio from the learning folder you have received.
- Get your headphone, pen, notebook and the device to play back the audio.
- Start playing back and listen carefully.
- As you listen to the audio, start writing down the conversations in the notebook.
- You will have to pause, stop, rewind and forward the playback head many times.
- Complete the transcription.
NB: When you play back large audio files, listen continuously till the end and write the transcription, leaving blank spaces whenever you fail to understand a particular word. After reaching the end of the audio, replay and fill the blanks.
In Speaking Section, you have the following tasks:
- Reading a warm up question with sample answer.
- Writing your own answer to the warm up question.
- Complete a quiz of the given role play!
- Find someone who has recently passed OET exam. Request him/her to be your speaking partner for a while. If needed, offer to pay!
- If you are under training under someone, speak to him/her.
- Read as many OET Speaking books and refer to OET Official website, E2 Language, Odin English, Swoosh, etc.
- Listen to OET official videos.
- Watch medical interviews.
- Buy a Speaking Plan from us. Mail “Please Help me Speak/OET” to email@example.com
Warm up questions are asked under a friendly atmosphere. These are interview questions and you can easily answer them.
Today’s Warm up Question:
Speak about a patient who has appropriately acknowledged the service that you once extended to him / her.
It is hard to get acknowledgement in most of the professions, especially in nursing. What happens is, patients forget to return a word of gratitude to their doctors and nurses once they recover from a dreadful disease that had kept them in the critical list. However, I still remember Mr Richard who was in my care for three days in a hospital in the Middle East where I worked for six months.
Mr Richard was a postoperative patient in the cardiac ICU and I was one of the duty nurses. He had a strong family support but during that time all his family members were touring the Americas. He was an independent man but after the surgery, he developed dependence. He could not manage his daily activities without one of us. Whenever he had pain in the incision areas, he used to call me to his side and speak. Soon I saw that this gentleman was surrounded by a strong family that didn’t make him strong – I mean, he was in an abandoned state. I felt pity for him and that was the starting of an attachment between the two of us. When he got discharged, he got my contact details. After a month, a year ago, I had a call from him asking if I would like to work in one of the leading hospitals in Dubai as nursing superintendent but I declined the offer with fond love. After all, I will not be comfortable in the Middle East. We still communicate.
While reading your cue-card, ask and find out these questions:
- What is my role?
- Who is the patient / person who is going to talk to me?
- What is the patient’s / person’s mood?
- What is the problem I am going to consulted with?
- What does this person want from me?
- What shall I call him / her?
- How can I make him / her happy?
Cardiac catheterization – Discharge
Cardiac catheterization involves passing a thin flexible tube (catheter) into the right or left side of the heart. The catheter is most often inserted from the groin or the arm.
When You’re in the Hospital
A catheter was inserted into an artery in your groin or arm. Then it was carefully guided up to your heart. Once it reached your heart, the catheter was placed into the arteries that deliver blood to your heart. Then contrast dye was injected. The dye allowed your doctor to see any areas in your coronary arteries that were blocked or narrowed. If you had a blockage, you may have had angioplasty and a stent placed in your heart during the procedure.
What to Expect at Home
You may feel pain in your groin or arm where the catheter was placed. You may also have some bruising around and below the incision that was made to insert the catheter.
In general, people who have angioplasty can walk around within 6 hours or less after the procedure. Complete recovery takes a week or less. Keep the area where the catheter was inserted dry for 24 to 48 hours. If the catheter was inserted into your arm, recovery is often faster.
If the doctor put the catheter in through your groin:
- Walking short distances on a flat surface is OK. Limit going up and downstairs to around twice a day for the first 2 to 3 days.
- DO NOT do yard work, drive, squat lift heavy objects, or play sports for at least 2 days, or until your health care provider tells you it is OK.
If the doctor put the catheter in your arm:
- DO NOT lift anything heavier than 10 pounds (4.5 kilograms). (This is a little more than a gallon of milk).
- DO NOT do any heavy pushing, pulling, or twisting.
For a catheter in your groin or arm:
- Avoid sexual activity for 2 to 5 days. Ask your doctor when it will be OK to start again.
- You should be able to return to work in 2 to 3 days if you DO NOT do heavy work.
- DO NOT take a bath or swim for the first week. You may take showers, but make sure the area where the catheter was inserted does not get wet for the first 24 to 48 hours.
You will need to take care of your incision.
Your provider will tell you how often to change your dressing.
If your incision bleeds, lie down and put pressure on it for 30 minutes.
Many people take aspirin, often with another medicine such as clopidogrel (Plavix), prasugrel (Efient), or ticagrelor (Brilinta), after this procedure. These medicines are blood thinners, and they keep your blood from forming clots in your arteries and stent. A blood clot can lead to a heart attack. Take the medicines exactly as your provider tells you. DO NOT stop taking them without talking to your provider.
You should eat a heart-healthy diet, exercise, and follow a healthy lifestyle. Your provider can refer you to other health experts who can help you learn about exercise and healthy foods that will fit into your lifestyle.
When to Call the Doctor
Call your provider if:
- There is bleeding at the catheter insertion site that does not stop when you apply pressure.
- Your arm or leg below where the catheter was inserted changes color, is cool to the touch, or is numb.
- The small incision for your catheter becomes red or painful, or yellow or green discharge is draining from it.
- You have chest pain or shortness of breath that does not go away with rest.
- Your pulse feels irregular — it is very slow (fewer than 60 beats a minute) or very fast (over 100 to 120 beats a minute).
- You have dizziness, fainting, or you are very tired.
- You are coughing up blood or yellow or green mucus.
- You have problems taking any of your heart medicines.
- You have chills or a fever over 101°F (38.3°C).
Today’s Writing Tasks are:
- Read the case note carefully (because most of them are modified or new).
- If you are a member of today’s Group, Type / write the letter and post in the premium “OET30” Telegram Group.
- If you are not a member of today’s group and still want regular letter correction, buy a writing package right now and submit your letters for correction.
- If you have a personal Take your note book and write down your letter.
- Attend the 7.00 pm Live Correction sessions.
- In case you missed the Live Correction, you can view the same Offline. That doesn’t make much difference.
- Also, attempt the unsolved tests.
What should you do?
NB: Check if you can join Live Corrections (Live/Offline). If this doesn’t work, you should not enroll for OET30 Programs.
Decide on what platform you will join the Live Sessions.
- Mobile / Android Tabs: ⇒ Click Here and see if this link opens in your Google Docs app.
- PC / Laptops: Click Here
If clicking opens a page with “Welcome to OET30 Live Page!,” you can join my Live Sessions. You can join OET30 Programs.
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: Nursing
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Read the case notes below and complete the writing task which follows.
Ms Zeenat is a patient in your care. She is now ready for discharge and will be transferred to a rehabilitation hospital.
- Name: Ms Zeenat John
- Age: 27 years
- Admitted: 15/11/19
- Diagnosis: Dislocated knee
- Discharge: 26/11/19
- Reason for admission: Dislocated knee due to a fall.
Diagnosis & Treatment
- X-ray, confirmed dislocated left knee.
- Mild tears of both ACL and PCL
- Knee rested and strapped.
- Topical heat and cold applied.
- Ms Zeenat is a young woman with a mild intellectual disability.
- She is a large woman, and the extra strain her weight has put on her leg has made her progress very slow.
- She lives alone in a council flat.
- As she is still unable to walk confidently with crutches, it has been decided that, at present she will not be able to cope living alone.
- Her mother is willing to help her, but is not able to help Zeenat into and out of the shower by herself.
- Ms Zeenat is experiencing less pain but has little strength in her leg.
- She is using a frame at present.
- She lacks confidence with crutches and requires at least one nurse to assist when she is using them.
- Transfer to rehabilitation centre.
- Ms Zeenat needs to continue to be seen by a physiotherapist and to have water aerobics to build up strength and stamina.
- She needs to progress from the frame, to crutches, and then to a walking stick.
- Domiciliary care needs to be contacted.
- A ramp and bathroom aids will need to be placed in Ms Zeenat’s home before she returns.
Using the discharge summary, write a nursing letter about Ms Zeenat to the Director of Nursing at HRCC Rehabilitation Hospital, Stirling Hwy, Nedlands WA 6009, Australia.
In your answer:
- Expand the relevant notes into complete sentences.
- Do not use note form.
- Use letter format.
- The body of the letter should be approximately 180–200 words.
I would be happy to get involved in the care of Mr Reno by furnishing any other information that would help you render the best home care for him.
Writing Marking Criteria!
On this Day 5, let me explain the 7 criteria upon which OET assesses your letters. If you focus only on a few but not all, you will not B!
- Purpose – What action do you want the recipient take after reading this letter?
- Content – What should you write and what not?
- Conciseness and Clarity – Relevant or irrelevant?
- Genre & Style – Do you know to whom you are writing?
- Organization and Layout – Does it look like a letter?
- Language – Does your language confuse or clarify?
Not official but very much crucial – Handwriting! Can the assessor read you?
We assess and correct each day’s 5 letters, live!
- Time of Live Correction – 7.00 PM – 09 PM and 10 AM – 11 am, Indian Standard Time (IST)
- Number of sample corrections – Up to 5
- Whose letters are corrected? – A list of participants will be published on the telegram group “OET30”
- Can I get my letter corrected? – Yes but you get a chance only twice or thrice!
Go to the Live Page.
Followed by – Following
Followed by + A (A happened second)
Following + A (A happened first)
- The child was admitted to the emergency following a snake bite.
- Following the diagnosis, the child was referred to Dr Egmore.
- The surgery was followed by a week’s intensive care.