OET Speaking Cards & Role-Plays

Practice OET speaking with 100+ exam-standard role-play cards for Medicine, Pharmacy, and Nursing. Act out clinical scenarios with peers, track your progress, and grade your performance with our OET score calculator.

OET Speaking Card Library

Card 1 Medicine First Visit

You see the spouse of a 75-year-old patient who is on intravenous (IV) therapy to treat acute pyelonephritis (a kidney infection) and dehydration. The patient is in a stable condition. The spouse just arrived at the hospital and has asked to speak to you. The patient is asleep and is not present for this discussion.

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Card 2 Medicine Follow-up Visit

This 32-year-old patient was diagnosed with adult-onset asthma one year ago. Dust mites were identified as a major trigger. You are seeing the patient for his/her annual asthma review.

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Card 3 Medicine After Examination

You see the parent of a two-year-old girl who has excessive cerumen (earwax). You have finished examining the child, who is now in the waiting room with the other parent and is not present for this discussion.

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Card 4 Medicine Emergency

This parent has brought in his/her four-year-old daughter with a ten-hour history of vomiting and fever. The child was triaged by the nurse and a urine culture was taken. Preliminary urinalysis indicates the presence of leukocytes. You have read the notes and are now going to talk to the parent. The child is not present during this discussion.

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Card 5 Medicine Breaking Bad News

Your patient is a 49-year-old accountant, married with two children. He/she presented three weeks ago with a one-month history of rectal bleeding, diarrhoea and 2kg weight loss. You requested a colonoscopy and today the patient is returning for the results. Unfortunately, the patient has a tumour in the descending colon and the biopsy result confirms cancer.

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Card 6 Medicine After Examination

Your patient is 28 years old and has a lump in his/her groin which is causing discomfort. You have just finished examining the patient. You diagnose an indirect inguinal hernia.

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Card 7 Medicine After Examination

This 21-year-old patient has a painful lump on his/her wrist. You have just finished examining the wrist. You diagnose a ganglion cyst.

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Card 8 Medicine After Examination

This 42-year-old patient has suffered from fatigue for the last three months. You have just finished examining the patient and have found no abnormalities.

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Card 9 Medicine After Examination

This 45-year-old patient has an atypical mole on his/her leg. You have examined the mole and observe that it is dark brown and asymmetrical with an 8mm diameter and an ill-defined margin. You suspect melanoma.

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Card 10 Medicine After Examination

This 19-year-old patient has a painful left big toe. You have just finished examining the toe. You diagnose an ingrown toenail.

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Card 11 Medicine After Examination

This 64-year-old patient has hypertension (high blood pressure) and dyslipidaemia (high cholesterol). You have just completed a basic cardiovascular risk assessment of the patient and found him/her to be at high risk of cardiovascular disease.

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Card 12 Medicine After Examination

This parent has brought in his/her two-year-old son with suspected conjunctivitis. You have just finished examining the child and found bilateral diffuse redness of the eyes with no foreign body. The child is now asleер.

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Card 13 Medicine After Examination

This 48-year-old obese patient is seeing you today to talk about foot pain. You have just finished examining the patient's feet. You diagnose plantar fasciitis.

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Card 14 Medicine After Examination

You see a 56-year-old overweight patient who has a sleep disorder. You have finished examining the patient and found no abnormalities. You suspect the patient has obstructive sleep apnoea (OSA).

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Card 15 Medicine After Examination

You see an 18-year-old patient who has had moderate acne vulgaris for several months. You have just finished examining the patient.

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Card 16 Medicine After Examination

Your patient is 38 years old and presented with acute shortness of breath. You have just completed a physical examination. You diagnose asthma.

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Card 17 Medicine After Examination

You see the parent of a six-year-old girl who has been brought in with a three-day history of rash and mild fever. You have just completed a physical examination of the child, which reveals obvious chickenpox (varicella zoster). Apart from the rash and mild fever, there are no signs of complications. The child is not present for the discussion.

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Card 18 Medicine After Examination

This 45-year-old patient presents with a five-day history of simple upper respiratory symptoms. This morning he/she noticed a vesicular rash on the upper left chest wall, on the skin over the fifth rib. He/she had chickenpox in childhood. You have just examined the patient. You diagnose herpes zoster (shingles).

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Card 19 Medicine After Examination

You see the parent of a two-year-old boy, who is worried about the child's poor appetite. The child has no significant medical history and is otherwise well. You have just examined the child. He is not present for the discussion.

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Card 20 Medicine After Examination

This 45-year-old patient presents with a five-day history of simple upper respiratory symptoms. This morning he/she noticed a vesicular rash on the upper left chest wall, on the skin over the fifth rib. On examination, the ears and throat are normal, and the rash has the classic appearance of herpes zoster. Other results of the physical examination are normal. The patient is otherwise in excellent health. He/she had chickenpox in childhood.

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Card 21 Medicine After Examination

A six-year-old girl has been brought in by her parent with a three-day history of rash and mild fever. Physical examination reveals obvious chickenpox (varicella zoster). Apart from the rash and mild fever, there are no signs of complications.

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Card 22 Medicine After Examination

You see a 42-year-old patient whose right eye has been twitching. You have just finished examining the patient. You diagnose eyelid myokymia (a repetitive, involuntary spasm of the eyelid muscles).

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Card 23 Medicine Follow-up Visit

This 58-year-old is a regular patient of yours and is normally fit and well. Today, the patient has come to talk to you because he/she is worried about the recent headaches he/she has been having.

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Card 24 Medicine Follow-up Visit

This carer has asked to speak to you about his/her 89-year-old mother, who is being treated for aspiration pneumonia. You first met this carer yesterday when you diagnosed his/her mother's illness. The mother is not present during this discussion.

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Card 25 Medicine Follow-up Visit

This 38-year-old patient has a recurrence of epigastric (stomach and abdominal area) pain. You ordered a barium meal test (the patient ingested a mixture to expand his/her stomach and duodenum and X-rays were taken to evaluate the stomach). The patient has returned for the results.

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Card 26 Medicine Follow-up Visit

You see the parent of an eight-year-old boy who you have recently diagnosed with mild eczema. The child is not present.

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Card 27 Medicine Follow-up Visit

Official Sample 2: You see the parent of a five-year-old boy who was diagnosed with asthma a couple of days ago, after attending the Emergency Department with a severe bout of coughing, breathing difficulty and wheezing. This is a follow-up appointment. The child is not present for the discussion.

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Card 28 Medicine Emergency

You are giving test results to a 50-year-old patient after they experienced severe chest pain. The patient believed he/she was having a heart attack, but the results do not show this. You believe he/she may have had a panic attack.

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Card 29 Medicine Emergency

Official Sample 4: The parent presented two hours ago at the Emergency Department with his/her four-year-old son. The child had a 36-hour history of recurrent vomiting and stomach pain which was diagnosed as viral gastroenteritis. He was given oral re-hydration fluids and observed for two hours. He is now ready to be discharged. The child is not present for your discussion with the parent.

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Card 30 Medicine First Visit

This concerned parent has brought his/her two-year-old son to see you. He has no significant medical history and is otherwise well.

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Card 31 Medicine First Visit

You are speaking to the parent of a 6-year-old girl. The child has severe abdominal pain and the parent is very concerned.

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Card 32 Medicine First Visit

A 56-year-old patient has come to your practice for a check-up because he/she has a strong family history of hypertension. He/she appears anxious and would like to start taking medication to reduce his/her blood pressure.

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Card 33 Medicine First Visit

You are speaking with the son/daughter of a patient (their father) who was admitted yesterday due to unexplained severe swelling of the knee and fever. Test results show that he has a staphylococcus aureus infection (golden staph), likely contracted after hernia surgery he underwent one week ago at the same hospital.

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Card 34 Medicine First Visit

Your patient is a 25-year-old student who has come in to discuss a recent onset of fatigue. He/she has generally experienced good health in the past.

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Card 35 Medicine First Visit

Official Sample 1: You see a 45-year-old patient who suffered a mild anterior acute myocardial infarction two weeks ago. Recovery was uncomplicated and the patient was discharged from hospital four days ago. He/she is now concerned about how much physical activity is appropriate during recovery.

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Card 36 Medicine First Visit

Official Sample 3: Your patient is a 45-year-old office worker who is complaining of fatigue and feeling unwell. The patient appears to be overweight and thinks he/she may have diabetes. Recent publicity about diabetes (on TV, in the newspaper) has made him/her decide to get a check-up.

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Card 37 Medicine First Visit

Official Sample 5: You see an 86-year-old patient who has limited mobility. He/she uses a walking frame, and attends regular chair exercise classes. He/she has come to see you about discomfort in his/her lower back. You suspect mild back strain.

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Card 38 Medicine Follow-up Visit

You inform your 42-year-old patient who came back for his/her recent fasting blood glucose test result (7.6 mmol/l) which confirms a diagnosis of diabetes mellitus Type II (DM). The test is the patient's second test this month. The patient challenges your diagnosis.

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Card 39 Medicine First Visit

A middle-aged patient presented with an episode of sudden, transient right-sided weakness and slurred speech (dysphasia). You suspect a transient ischaemic attack (TIA or "mini-stroke").

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Card 40 Medicine First Visit

A patient presents complaining of red, itchy eyes. You suspect viral or allergic conjunctivitis (pink eye).

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Frequently Asked Questions

What are OET speaking cards?

OET speaking cards (role-play cards) are the core material for the OET Speaking sub-test. Each card presents a clinical scenario — patient background, presenting complaint, and the healthcare professional's task — that candidates perform with an interlocutor. OET Ultimacy provides 100+ exam-standard cards across five scenario types.

What types of OET speaking cards are available on OET Ultimacy?

Five card types mirror the real exam: First Visit, Follow-up Visit, After Examination, Emergency, and Breaking Bad News. A full Medicine library is live now; Pharmacy and Nursing libraries are coming soon.

How can I practice OET speaking with a partner?

The Speaking Cards page links to dedicated Discord, Telegram, and WhatsApp communities where OET candidates find speaking partners, schedule sessions, and receive peer feedback — all free of charge.