CANDIDATE CARD NO. 1 barre s SETTING: Hospital Ward Pharmacist: A 70-year old patient who was in a hospital ward because he had a gastric bleeding and you will review his medications. Task: Ask how does he/she feel today Inform him about his medications (metoprolol to reduce heart rate, Simvastatin for high cholesterol) Advise him to cease aspirin because his bleeding (blood thinner—- worsening bleeding) Find out any other patient's concerns Stress on avoiding aspirin Encourage the patient to discuss with his doctor. Po NS loli ite \isklemed PHARMACY SETTING: Pharmacy Pharmacist: A 29-year-old patient who had a sore throat Task: Find out why he request to see you Ask patient about sore throat (duration/other syimptoms/cough), -Ask patient for any self medication. Fyplain to the patient sore thraat (caused by viral infaction, severity vary from one person to another). Refuse dispense Antibiotics (in viral infection they'te ineffective, need physician approval first) Recommend ibuprofen (100mg u to three time a day) Encourage patient to rest and hydrated (increase saliva secretion) Tell patient if have fever or symptoms continues 4-5 days, contact the doctorR CARD NO. 3 idles Pharmac , | schizophrenia (a severe d behaviours). You usually You are 21 years old and have been diagnosed with ave not Psychotic disorder that impairs thinking, emotions ani t take Clozapine, a drug for the treatment of schizophrenia in patients who ; responded wall to other antipsychotics. However, you must go to the doctor for a New prescription and blood test to check your white blood cell count every time you require a refill. You do not like doing these blood tests and feel that they are unnecessary, * Explain to the pharmacist that you have come to get more Clozapine. ¢ Express frustration that you must undergo blood tests and get a new Prescription before getting a refill, Ask the pharmacist if a prescription and blood test are really necessary, * Continue to push the pharmacist for a refill, Explain that this medication is necessary for your condition and it is not recommended that you skip doses. * Reluctantly accept that you cannot get Clozapine without a blood test and a new prescription. guage Assessmont a OCTOBER 2015 Pharmacy Your 21-year-old client has been diagnosed with schizophrenia (a severe psychotic disorder that impairs thinking, emotions and behaviours). The client has asked for Clozapine, a drug for the treatment of patients who have not responded well to other antipsychotics, but does not have a new prescription. The client is tequired to go to the doctor for a new prescription and blocd test each time he/she needs a refill. Repeat prescriptions of this drug are not permitted, * Ask the client why he/she has come to see you today, o ASK the Patek 32 ke hes a nas PresenpianD * Explain to the client that you cannot give Clozapine without a blood test being done and a new prescription being written. Explain that a new blood test is necessary to check for agranulocytosis (fallure of bone marrow to make white blood calls, leads to difficulty fighting off infection). * Maintain that you cannot dispense a medication without a prescription. * Persude tha Chent dows} tis] her tocler to Geb anes prescciphen ® Offer to call the client's doctor to arrange an appointment so he/she does not miss doses. ge Assessment OCTOBER 2015CARER ecambeage Boa Language Avsovemone ___* = SETTING PHARMACIST Pri o Osean ome ‘Suburban Pharmacy tet arm. Your You have a 16-year-old son Who, has arasy onhis upper 1 came in contact with sap from a tree he was camping: balsa es resthitt) ike lamps ah there # swelingin the area. You nave: tiseptic cream). = and treated it with SAVLON (@Rt + You ere worried that the rash meyigpreacl. Check that you have'done the right thing 50 far: + Ask about the difference between the eozema your son has had since @ baby and the eczema rash he has now. , « Explore what obo you can do to treat the rash. Should you use PAPAW ointment (on the rash and howe likely i to work? a ‘* Express that you are concerned about using 2 sterold-based eream and woul rather have other options if possible, OET Sample role-play ae PHARMACY Suburban Pharmacy ‘You have a parent whose 16-year-old son developed a rash on his arm when. climbing a tree, probably due to sap. He developed a rash that is red with small biister-like lumps and swelling, You believe the son has contact eczema. * Find out what the parent has done to'treat the rash. * Reassure the parent that bathing the area was the right treatment to remove residual sap. '* Explain that contact eczema is different to the atopic eczema experienced as a baby. Atopic eczema usually improves by the age of four and if it reappears will usually be on the eyelids, neck and wrist ‘¢ Explain that a moisturizing product with no fragrances should be applied. The Parent can also apply thin cloths dipped in water to the lesions for 30 minutes — four to six times a day. After the biisters have subsided, a topical corticosteroid would usually be applied, e.g., Hydrocortisone 1% ointment if itching persists (very weak, short term treatment is safe). Cambridge Boshi Language Assessment Sample role-play |OET OCTOBER 2014 OLEPLAYER CARD NO. 2 PHARMACY | SETTING Commurity Pharmacy PATIENT You are the parent of an 18-month-old boy who is known to have severe tantrums. You need advice on sedatives for the chid, as the two of you are about to embark on along plane fight. Friends with children have recammended that you use Phenergan, an antinistarnine with sedative effects. You feel that the flight will be unbearable without sedating your son. TASK * Tell the pharmacist your situation and request Pheneraan, + Explain your worries about the plane fight and your son's behaviour. * Become angry when the drug is refused (a six-month age difference should not matte’) + Threaten to purchase Phenergan from another pharmacy, but eventually agree to consider the pharmacist's advice. © Cambridge Soxhil Language Assosament OCTORER 2014 OET OCTOBER 2014 for Pde era lal a ears PHARMACY | SETTING Community Pharmacy PHARMACIST A parent seeks advice on sedatives for his/her son for a long plane flight. You ask the age of the child and discover that he is eighteen months old, too young for the drug, Pheneigan (promethazine), the pat is requesting, TASK * Be sympathetic to the parent's problem. * Inform the parent that you are Unable to recommend medicine for the child | because of the child's age (under two). | + Explain carefully the dangers of using the drug on someone so young (e.g. | slow/shallow breathing, increased risk of SIDS (sudden infant death syndrome}, etc) + Explain that there are no suitable medications for this purpose and advise the parent how to cope with the journey (e.g, book a flight that suits the boy’s sleep patterns, etc.). © Cambridge Boxhil Language Assessment octoER 2014 |ROLEPLAYER CARD OET OCTOBER 2015 EU SETTING Suburban Pharmacy CLIENT You visit the pharmacy complaining that your lip got sunbumed over the weekend and now your bottom lip is itchy, swollen and small blisters have appeared. You find the lip sore to touch. You want some cream for the sunburn. TASK * Ask the pharmacist to give you something to help your sunburnt lip. Explain that you have never had anything like this before. * Become aaitated when you are told that you have a cold sore and that treatment will take time, | * Be insistent that you want something else that works straight away as you have a mesting fo attend in three days, : * Finally agree to use the treatment. © Cambrega Boshi Language Assosemont __OcTOBER 2015 _ SETTING | PHARMACIST | TASK TaN) | C 1 dae OET OCTOBER 2015 Suburban Pharmacy The client is complaining that his/her lip got sunburned over the weekend and now his/her bottom lip is itehy, swollen and small bisters have appeared. He/she wants some cream for the sunburn. You inspect tho lip and see that the olient has herpes simplex type 1, commonly known as a cold sore. + Explain to the clent that he/she has a cold sore, probably triggered by the sunburn. * Reassure the client that the cold sore can be treated with acyclovir to lessen the discomfort. Explain that ones blisters appear it takes 8 to 10 days after they have scabbed over to fall off, * Explain that in future he/she should wear sun protection on lips to protect from further outbreak, * Explain that treating the area as soon as ‘tingling’ is felt can stop blisters from forming, (© Cambridoe Boshi Lanciase Assessment OCTORER 2015,OET SAMPLE TEST Poe) Ere ETT Sauron Prarac PARENT oe tn pare ofan H8-mort-kd boy who ts dvoid a bcc fav come ot shang Wp sane ak deh oeoreer rar (hs revi ey apn at AQP Tas When asked, excan ht. eastcoueofcs oarbaby has bee wahigun congested. couse a cre ‘ak he phar wht you ca ‘O&T SAMPLE TEST Coenen) Ee Sern Suourben Parma |PuaRMacist Th» parert oan 1Bsnenth-ot toy witha cok has core to your pharmacy The 2 atest he request fr cols madene ot eacarmend fr clo ha iraoceptebiike fr chore). tc) Mae recente en the arent Sel ook ecicalOET FEBRUARY 2015 | SETTING Suburban Pharmacy CLIENT You are 58 years old and have recently had a knee operation. The pain medication you have been prescribed (Endone) isn’t working and you want something stronger. You think your dostor is not taking your pain seriously, Try to get the pharmacist to convince your doctor to presoribe something stranger. TASK * Tell the pharmacist that your pain is stil severe (7 out of 10). * Desoribe the sharp stabbing pain and how it is worse when you move in bed * Explain that it is the medicine that is making you feel nauseous. * Insist on knowing about what other pain relef is available now. * Beplain that the doctor has not given you enough to give you relief from the agonising pain you are now experiencing. * Press the pharmacist to get the doctor to review your pain management plan and make him/her give you something stronger | © camoriige Boxut Language Asseserent FEBRUARY 2015 OET FEBRUARY 2015 eer ee RLU SETTING ‘Sulourban Pharmacy PHARMACIST The 68 year old cient has recently had a knee operation and Is clearly in pain despite having been prescribed Endone (oxycodone hydrochloride) on discharge from hospital, The client wants yau to talk to the doctor to get something stronger for the pain, but you cannot as this is the doctor's decision, TASK * Ask the client to rate the pain out of 10 and to describe the pain and what triggers it * Suggest the docior may be able to prescribe a slow release product (e.g., ‘Oxycontin SR) and explain that this can help the nausea. * When asked about the other pain relief available, palitely explain to the cliant that the doctor decides on the best form of pain relief. * Reassure the client (¢.g., people have different pain thresholds, pain after a knoo operation for a short time, etc.) © Cambridge Boxhill Language Assessment FEBRUARY 2015GET SAMPLE [EST ROLEPLAYER CARD NO. 1 aaron nunity Pharmacy PATIENT 10 the pharmacist igestant to treat your blocked ocked nose and have been using a decor weeks. Al first the nasal spray helped bul now it almost s tion ss worse ASK the pharmacist for anc je of nasal decangestant ant. You want to keep) it because OET SAMPLE TEST SETTING rin PHARMACIST nother be a sngestant 1 ecent cold. Heyshe has been using the that the blocked ne patty lieve th nencing rebound congestion be sed ther afew days iOET FEBRUARY 2015 ees weer ead aa SETTING ‘Suburban Pharmacy CLIENT ‘You are 16 years old. You have had acne on your face for six months, and It is | getting worse. School friends have experienced similar problems, but their acne —_| dears up more easily. You are sensitive about this because other students make fun of you. TASK © Ask the pharmaci for @ quick cure. You don’t understand why your friends have an easier time with their acne, as you have similar lifestyles. yourrfriends like potato chips and takeaway food when you go out together; you se soap and water to wash; you pick at your skin sometimes * Insist that you want a product to clear up your skin quickly — you are getting * Answer questions about your lifestyle: your mother wants you to eat salads but | | | embarrassad about going out. + Reluctantly agree to folow the proposed regimen, including the non-prescription medication, and to follow up with the pharmacist. © Cambridge Boxhil Language Assessment FEBRUARY 2015 OET FEBRUARY 2015 CANT isteaecoes PHARMACY SETTING Suburban Pharmacy PHARMACIST A teenager presents with acne on his/her face. He/she is extremely sensitive about this; friends at school seem to have an easier time coping with the condition. He/she wants medication that will quickly overcome the problem TASK * Check background details including when the condition started, diet, and habits, such as squeezing pimples ‘+ Explain what acne is and what can aggravate it. * Tak about available non-prescription products (@-g., may need a month to take effact; may be initial reactions lke burning or raciness of skin, etc) * Emphasise the importence of not irritating the skin by picking at spots. Sug an antibacterial face wash instead of soap. * Ask the client to return within four weeks. If the condition persists or becomes worse, a visit to a doctor for a prescription medication (antibiotic) may be helpful jest © Cambrtige Boxhil Language Assosement FEBRUARY 2015eee aera eee) PHARMACY SETTING Community Pharmacy | PATIENT You are a middle-aged person with sensitive skin and have recently returned from | work in a tropical area. You will shortly be returning there, You have noticed en increasing sensitivity to mosquito bites over the last few years, in which your bites 3 become harder lumps on the ankles and elsewhere on your bady. When knocked/iritated, the lumps bleed and get infected with pus. You want to know how to deal with this as your skin gets very sore: TASK * Describe your symptoms to the pharmacist (painful and very itchy lumps on your skin) and ask for a reliable treatment for the bites. * Ask about cortisone-based medications — you have heard good reports about them: | OET OCTOBER 2014 | | | | * Explain that you are concerned about the condition as you have to return to the tropics again shortly, and ask tor further advice gn prevention. © Cambridge Boshi Language Assossmon OET OCTOBER 2014 CANDIDATE CARD Ni ida eva eke SETTING Community Pharmacy | PHARMACIST A middle-aged client comes into the pharmacy complaining of a bad reaction to mosquito bites ~ large, itchy lumps on the skin. He/she has recently returned from the tropics and is ratuming there again soon for work. The client is very keen to avoid the problem in future and asks for a suitable product TASK * Ask about recent experience with mosquito bites and skin conditions. hydrocortisone cream, an oral antihistamine, etc.) * Stress that an effective prevention strategy is vital. Advise on how to avoid getting bitten in the first place: - covering of skin especially in the evening; avoidance of strong perfumes and colours that may attract mosquitoes; - using insect repellents of different types (2.9., DEET or Picaridin lotions or sprays, always read the label); | | | | | * Recommend simple treatments and products for the bites (e.g, cold compress, | | | | | | - using mosquito netting, etc. © Caminidce Boshill Language Assessment OCTOBER 2014OET AUGUST 2014 ROLEPLAYER CARD NO.3 PHARMA SETTING PATIENT y st iim for three tad. You oalong ions with your foot in this co diagnosed last year with Tyg ‘ow to cure the wart en told that the wart will resoh y jou are embarrassed to wear open shoes) e when told that thet diabetes r OQET AUGUST 2014 C7 Tye aon) eaucend SETTING munity Pharmacy PHARMACIST The client is a 25-year-old univ foot, Although the dlient na wart persists and the sole of to @ local swimming club and /ner toot in this conc last year with Type | diabetes me! managing his/her dist and insuli Reassure the clent that wart: and usually resolve slowly. Recommend that the client wofim and see the doctor i his/her foot gets any worse. ith salicylic acid (not indicated ot hygiene for diabetics. Camaridge Boxhil Lang AUGUST 2014OET AUGUST 2014 eee Ga ees PHARMACY SETTING ‘Community Pharmacy PATIENT You are a 54-year-old smoker (average 25 cigarettes/day) who has unsuccessiully attempted on numerous occasions to stop smoking. You have a history of high | blood pressure and high cholesterol. Last month, you were hospitalised for a mild heart attack. Today, you ask your pharmacist for Nicorette patches, as your friend has told you they are the most effective way to stop smoking. You are frightened of having anather heart attack and are desperate for support to stop smoking, TASK * Asi the pharmacist for Nicorette er the pharmacist’s ai © Cadibeloe Box OET AUGUST 2014 er ee tia Lidia al PHARMACIST 7 TASK 20 application (2.g., apply tod of ski sport to stop smoking | w-catnoriage Boxit Language Aasses AUGUST 2014OET AUGUST 2014 ROLEPLAYER CARD NO. 2 PHARMACY SETTING Sudurban Pharmacy D deficient. You are surprised as you did not think this was a problem in such a sunny country. You have come to the pharmacy to get the supplaments (30001U per day for the first month), end want further information. You cover up or use sunscreen wnen you go out in the sun. You are not aware of having any health | PATIENT You ara middle-aged and have just found out from the doctor that you are vitamin | | problems TASK © Ask: ~ What vitamin D does and wh; high important. OET AUGUST 2014 PHARMACY PHARMACIST min D and its importance. ons, symptoms and consequences caused by long-term osteomalicia (softening of the bones}, osteoporosis leading to stions about why deficiency is common (avoidance of sun , olothi ring the body) sure (before 10am, after Som, 15 mins/6 times wkiy). Uurces of vitarmin D (e.g,, fish, eggs), though It is rarely 1 Camaiidge BoxtOET AUGUST 2014 ROLEPLAYER CARD NO. 1 Lala Ug SETTING Suburban Pharmacy PATIENT Your uncle has been sneezing, has watery eyes and runny nose, He asked you to go to the pharmacy tor some antihistamines. You suggested something natural Ike garlie and horseradish, but he resisted. You know he is on blood pressure ji j you are unsure as to whether the two mix. He also Grinks alcohol ery day. You are not sure whether he has.a heart condition or not OET AUGUST 2014 fey eer PHARMACY PHARMACIST A ous jstamines for his/her uncle uneasy about giving know what medic: Gitshiirist ci all bout the actions of antihistamines, effic ictions, and other altematives. Find out the history and current medication of the customer's uncle. Find out about the uncle's alcohol intake. Answer questions about adverse drug and food interactions, and other contraindications. Explain how antinistamines work. Outline the potantial side-effects of antihistamines. Answer questions about the efficacy of over-the-counter products, compared with prescription medications. * Be prepared to suggest alternatives. = Cambiidge Boxhil Language AssessmentOET SEPTEMBER 2014 WS TVG enor) PHARMACY | SETTING mmunity Pharmacy | PATIENT You consider yourself a very healthy person apart from occasional episodes of indigestion and heartbum, for which you have used a number of non-prescription medications. In the last week, you have experienced twa or three episodes of ‘indigestion’ — fluttering sensations in the chest cavity, a lack of breath, and slight faintness, which have not gone away. These symptoms are not linked to mealtimes in any way. You hate going to doctors and rely on the local pharmacist for information and treatment TASK * Describe the new symptoms to the pharmacist. | * When the pharmacist indicates that you may ne: healthy you are — give details of what you e. that you have managed without a doctor for * Ask for non-pr ription medication. OET SEPTEMBER 2014 | SCE aa eh SETTING PHARMACIST TASK * Ask about recent symptoms. Explain that som mi indigestion — tactiuly give examples (e.g. attack, side effects from m: ts a doctor might recorCLIENT TASK Rome) CARD NO. 4 PHARMACY You are 34 years old and suffer from what you think is a peptic ulcer. Nothing seems to relieve your pain and discomfort. Your friend recommended Prilosec (omeprazoi), an over-the-counter medication. You have come to the pharmacy to 00 if this modication éan help, * Ask the pharmacist for Prilosec to teat a peptic ulcer. ‘ Answer the pharmacist’s questiors: You have Never taken this medication before and you have never been diagnosed with peptic uicer, but you are pretty ‘sure you have a peptic ulcer because your father suffered from the same condition. = + Tall the pharmacist your symptoms are indigestion and pain below the ribcage, The pain happens itreguiarly, usually alter a large meal. + Admit that ycu do not know very much about gastric reflux. * Confirm that you are not taking aspirin (because it didn't help the pair), andl confirm that you are not experiencing blood in your stool or vornt ‘= Agres to follow the pharmacist's ecvice, (© Canbrtige Bovhl Language Assessment SEPTEMBER 2015 Gunrsecnews And SETTING PHARMACIST TASK Pharmacy ‘This 34-year-old cient thinks he/she may have a peptic ulcor end has-oome to your pharmacy to request Prilosec (omeprazole), an over-the-counter proton pump inhibitor, You need to establish whether this medication would be sultable for the lent. * Ask about the Gient's history with this medication, diagnosis and symptoms. ‘ Explain that the cllent’s condition is more likely to be gasttic reflux. ‘+ Give the cliant information about the condition (e.g, more comtnon than peptic Ulcer, results from acid stomach contents rising upwards from stomach, etc). * Ensure the cliant is not experiencing blood in vomit or bowel motions or taking any blood thinning medications (@.g,, aspirin, etc.). * Recommend antacid medication and encourage the client to see a doctor if tha medicine does not relieve the symptoms, or ifthe episodes beccme mere frequent (e.g., may require ‘urthor investigation end/er prescription medication, etc.) © cantipe Bai Langa Asner sePrevcen 2015OET NOVEMBER 2014 ROLEPLAYER CARD alae SETTING Community Pharmacy CLIENT You are @ 42-year-old retail marketing manager who has a five-year history of mild _ | irritable bowel syndrome (IBS). In the last month, you have experienced symptoms Of diarrhoea, abdominal bloating and nausea. You ere concerned because symptoms are more severe than usual. You have recently moved house and commenced a new job. You do not want to take time off work and request Madication to relieve the nausea and diarrhoea. You are worried about the condition becoming worse, | Task * Ask the pharmacist to give you medication to relleve your symptoms. + Ask why the IBS is getting worse | * Seek advice on the management of IBS. * Express your concem about your condition becoming worse as you get oldar. ‘Asi ‘what can | do?", 1B Camoridgo Bowl Language Assessment NOVEMBER 2014 | OET NOVEMBER 2014 'E CARD NO. 4 daa ead Community Pharmacy PHARMACIST Your client is a 42-year-old retail marketing manager who has a five-year history of Mild irritable bowel syndrome (IBS). In the last month, the client has experienced symptoms of diarthoea, abdominal bloating and nausea, which are more sever than usuel. The client has recently moved house and commenced a new job. He/she requests medication to relieve the nausea and diarrhoea. The client is worried about the condition becoming worse and seeks your advice on the management of IBS, TASK * Reassure the cient that the condition can be managed (e.g, De-Gas or Peppermint oil: relief of bloating; loperamide: antidiarrhoeal, etc.) + Explain that stress factors (e.g., moving house, new job, etc.) may exacerbate IBS. * Stress the importance of diet and lifestyle in minimising symptoms (e.g., low-fat, low-sugar, high-fibre diat) and for long-term management (e.g., loperamide can only be used short-term). * Encourage the cliant to see a doctor if symptoms persist. (© Cambri¢ge Boxhl Language AssessmentROLEPLAYER CARD NO. Gna SETTING Pharmacy CLIENT You are @ 28-year-old who is always dieting despite being slightly undenweight. You are going to be on television in four weeks. You really want to lose two more kilograms because you hear the television ‘adds five Klos’. TASK + expiah that your weight has been hating Up and down by 1kg but you cannot lose more Wvaight, $0 you Would like some meal replacements or diet tablets, * Argumentatively tell the pharmacist that you know your own body. Insist that you wil be fine losing weight and did not come for dietary advice, * Be difficutt to convince {you want to lase weight quickiy). * Eventually agree to seek @ dietitian's advice and to take the iron supplement and calcium for now, SEPTENBER 20:5, Cun CARD Ni Tau NN SETTING Pharmacy PHARMACIST You are assisting a 26-year-old who admits to dieting despite being underweight. He/she is going to be on television In four weaks and wants to lose two more kilograms because he/she believes the television rhakes people look larger than ‘they actually are. The clisnt wants meal replacements oF diet tablets so he/she will look good, j TASK * Explain that meal replacements (or tablets) ara not a healthy way to lose weight | and highlight that a balanced healthy dict is always preferable. + Empathise with the patient, but inform hinvher that weight loss from diet tablets only works for a short period of time, * Recommend supplements for the cient (e.g., iron tablets, calcium, etc). ‘+ Suggest he/she seek a dictitian's advice. (© Canbsdge Sox Languste Assessment SEPTEMBER 2015,OET NOVEMBER 2014 ROLEPLAYER CARD NO. 3 PHARMACY SETTING ‘Suburban Pharmacy CLIENT You visit the pharmacist complaining of a sore throat, a blocked nose and headache with pain all over the head area. You also have a fever of 38°C. You are feeling hot and cold. You have aching muscles and joints, and have started coughing. TASK * Explain that you have been feeling unwell for the last 24 hours and want the pharmacist to give you something to help with the sore throat, aches and pains, and temperature, You are impatient and want a quick remedy. * Become agitated because you don't feel well and you need to be working, this iliness is an inconvenience. * Ask how the virus changes/worsens. * Tell the pharmacist that you need to drive a car for work; you are very busy so you need medication that will not affect your driving abilty, * Reluctantly agree to rest as you don’t want the virus to worsen. ©.Cambridge Bexhill Language Assessment NOVEMBER 2014 OET NOVEMBER 2014 CANDIDATE CARD NO. 3 PHARMACY SETTING Suburban Pharmacy PHARMACIST Your client has a fu and is complaining of a sore throat, blocked nose and headache, The client has a fever of 38°C, and is feeling hot and cold. He/she has aching muscles, joints and has a cough. TASK * Explain that rest and plenty of fluids are essential. You understand that work is important, but make it clear that feeling so unwell and work invoiving driving can be dangerous. * Explain that the flu virus will get worse before it gets better as the body's immune system fights the virus. White or slightly yellow mucus may develoo or if symptoms worsen, yollow or graen mucus may develop, * Suggest bed rest, fluids and paracetamol. Lozenges are a good idea and nasal spray may be used for a few days to avoid rebound congestion * Emphasise there are no quick remedies and rest is best advisable, If symptoms persist go to the doctor. (© Cambridge Boxhil Language AssessmentOET MAY 2015 ROLEPLAYER CARD NO. 1 PHARMACY SETTING Local Pharmacy CLIENT You are on a diving holiday at the beach. This is day four of a ten-day holiday that you have been saving up for all year. On the first day, you scraped against some coral and cut your leg. You thought the sea water would heal it up but it seams to be getting worse. You have come to the pharmagist to get something to put on the | cut. TASK * Tell the pharmacist what happened, * Answer questions regarding your care of the cut so far. * Insist on antibiotic powder or cream as you are sure it is not serious enough to seek medical attention. * Find out if there is anything you can do to treat the cut yourself, Yeu want to keep diving. * Eventually, reluctantly agree to see a doctor. le Boshi Language Assessment MAY 2015 OET MAY 2015 oN 2] y= eZ nal Lee Lda q | SETTING Local Pharmacy | | PHARMACIST This client has come in to the pharmacy with a cut on the leg that he/she sustained | a few days ago, when he/she scraped against some coral while diving. The client wants a topical application to heal it. On examination, you notice that itis ulcerated, with a septic sloughing base. You insist that the pationt needs to see a doctor immeciately. However, he/she is reluctant to do so, TASK * Ask about the history of the cut and treatment so far. * Recommend he/she seeks immediate medical attention, * Explain why this is necessary and outline signs and symptoms that the cutis worsening. * Explain that antibiotics/cream may be prescribed by a doctor. Instruct on proper care of coral cuts for future reference: - clean with fresh water; scrub to remove embedded caral particles: flush again with hydrogen peroxide in water and then water alone; - apply local antibiotic powder; keep dry. Insist that the olient sees a doctor and avoids diving until the wound heals. © Cambridge Boxhil Language Assessment ma 5Geena ay ROLEPLAYER CARD NO. 3 SETTING Community Pharmacy CLIENT ‘Your 5-year-old son commenced antibiotics three days ago for a chest infection. A ash Nes now appeared on his right arm (two ring-shaped lesions, one the size of a Gain, the other abcut Som clametey). You are envious as you are sure he is having an alargie reaction to antibiotics: Your fiend once experienced a severe allergic reaction to penicilin that required hospitalisation, TASK * Ask the phaimacist: “Should | ‘Stop giving my son antibiotics?" * When the pharmacist explains the rash is probebly ringworm, become more distressed. You have never heard of ringworm. Ask about treatment for your son. * * Seek reassurance, How can the pharmacist be sure the rash is not an allergie reaction? ‘Agree to follow the suggasted course of action. {© Cambidge Roxb Languoge Assessrent SEPTEVEER 2015, SETTING Community Pharmacy PHARMACIST ‘Your client has a 5-year-old son who recently commenced antibiotics for'a chest infection. A rash has appeared on his right arm (two ting-shapad lesions, one the 820 of a cain, the other Som diameter). You recognisa the rash as ringworm but your Client is worried the rash is due to an, allergic reaction to antbiotics. TASK * Explain that the diagnosis is not a reaction to antibiotics but ringworm, * Ansver:the client's question aboiit Whether or nict to stop giving antibiotics to his/her son. * Ge information about ringworm (e.g,, a fungal infection; will resove in 2-4 weeks; use topical ointment; take care of personal hygiene, etc), * Reassure the cllent that there are no signs of a serious allergic reacton (0.g., difficulty breathing, dizziness, swollen throattonguo, cto). * Explain that itis important to completo the course of antibiotics and advise him/her to consult the doctor ifthe rash persists after two Weeks of treatment. 2 Camtage Box Language Assessment +ee OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 1 Lda NS | SETTING Community Pharmacy | PATIENT The pharmacist has just filed your prescription for blood pressure medications He/she mentions that you haven't had the eye drops for your glaucoma lincreased pressure in the eye) clispensed in several months. You are still using the eye drops | as directed, but haven't had them replaced every month as recommended | TASK : Explain to the pharmacist that you don’t have the eye droy because there is still medication left in the bottle and it is a v Camiridge Borhll Language Assessment OET SEPTEMBER 2014 CANDIDATE CARD NO. 1 PHARMACY SETTING PHARMACIST | TASK © Find out why the patient hasn't had his/h | months. * Explain the importance of discarding the eye drops eac! h month and them with a new bottle, even if there is still some medication left. + Persuade the patient to have @ new bottle dispensed today and to bring t bottle back to the pharmacy to be discarded, Cambxidge Boshill Language AssecsrrertROLEPLAYER CARD. rr E} Ered SETTING CLIENT TASK ‘Suburban Pharmacy You had a mole on your left shoulder removed two days ago by a dermatologist. She applied a dressing, which was covered with a transparent adhesive tape to hold it in place and to keep it dry. You were aclvised to keep the wound covered and dry until an appointment next, week. However, it has been itchy and sore, and is feeling hot. You peeled the corner of the tape off and noticed the skin was red ‘and thickened. You are worried that the wound may be infected. * Explain your fears to the phatmacist and ask hifn/ner to look at it for you. * Ask if there is any altemetive to the current tepe. © Explain that you have bean instructed to keep the wound covered and dry. * Express concern about reacting to the new dressing he/she recommends. * Ask for advice on showering without getting the bandage wet if you do not have a waterproof tape covering it. * Ask what signs of infection you should look out for. © Cambridge Bovhill Language Ascostmant MARCH 2015 C72) Py UM o7 lal SETTING PHARMACIST TASK Suburban Pharmacy Acclient has come in to the pharmacy with large transparent medical adhesive tape securing a dressing on his/ner left shoulder following the excision of dn elevated mole (papule). He/she believes that the wound may be infected as it is itchy and sore. On. examination, you discoyer, evidence of-eniallergic contact dermatitis the shape and size. oF ne adhesive tape, + Explain to the lett that thers:is no evidence of infection, but there is evidence of a skinreaction to the adhesive tape (quite cofrimon). + Advise'immodiate removal of tho tape and using mild soap and water to clean the area Which had tape on it «Explain that there are no alternative adhesive tapes but recommend securing the dressing with a bandage instead. * Assure him/her that the hypoallergenic bandages are quite safe. * Discuss ways to shower without getiing the bandage wet untl it is removed (e.9., cover with plastic wrap, ouy a bandage cover, etc.). * Answer his/her questions about signs of infection (e.g., fever, nausea, etc.)SETTING CLIENT TASK ico] ee da Sor. e er OET NOVEMBER 2014 daa tea ‘Suburban Pharmacy You visit the pharmacy complaining that you have a flat, red, ring-shaped sore on your hand. You have been treating it with antiseptic cream, but it hasn't healed the sore. You are worried because it looks like it is getting bigger. Describe your condition to the pharmacist and explain how you have been treating it Ask the pharmacist to give you something else to treat it as what you have been using is not working * Become embarrassed when told that you have ringworm. Agree to try the antifungal cream on your hand. NOVEMBER2014 | OET NOVEMBER 2014 CANDIDATE CARD NO. 2 PHARMACY SETTING PHARMACIST TASK [© Cambridge Boxhill Language Assessment ‘Suburban Pharr u | The client visits your pharmacy complaining that he/she has a flat, red, ring-shaped sore on his/her hand. He/she tells you that he/she has been treating it with | antiseptic cream, but it hasn't healed. You inspect the lesion and see that it is | ringworm, * Ask the client to explain his/her condition and the treatment. * Explain to the client that he/she has ringworm and it needs an antifungal cream to treat it. * Reassure the client that ringworm is a common condition and anyone can get it. The condition has nothing to do with worms. * Tell him/her with correct treatment it wil go away, but that in the mean time it is highly contagious. Provide suggestions on preventing from spreading the infection (e.g., do not share clothing/towels, etc.).OET NOVEMBER 2014 eS eA ae oe PHARMACY SETTING Suburban Pharmacy CLIENT You visit the pharmacy wanting advice on treatment for head lice. You have a five-year-old child at home suffering with itchy scalp, and when you checked you found some eggs and lice in his/her hair. You have never had this problem before and have no idea how to deal with it, TASK * Explain the child's condition to the pharmacist * You feel embarrassed when you tell the pharmacist about your child's condition, Reinforce that you have never come across this situation before. * Ask what treatment the pharmacist recommends because you want instant results. * Insist on a non-insecticide based product. * Ask whether your child should stay horne from school, and how to prevent re-infestation. {© Cambridge Boxhil Language Assessment NOVEMBER 2014 OET NOVEMBER 2014 CANDIDATE CARD NO. 1 aon SETTING Suburban Pharmacy PHARMACIST A.cient visits the pharmacy wanting advice on treatment for head ica, He/she has achild at home sutfering with itchy scalp, and when the hair was checked, eggs and lice were found in the child's hair, He/she wants you to recommend treatment for the condition. TASK * Ask the client to explain the child’s condition © Reassure the client that head lice in children attending kindergarten and school is quite common. * Explain that you have a number of treatments on the shelf and that he/she should read and follow the directions carefully. * Explain the wet combing method using conditioner (requires a lot of patience) it non-insecticide based product is insisted upon. * Explain ways to prevent re-infastation (e.g., tying hair back, avoiding shering hair brushes, checking head weekly, etc.) * Explain the importance of the client washing the bed linen in 60 degree water © dry in dryer on hot cycle for 20 minutes. NOVEMBER 2014 © Cambridge Boxhil Language AssessmentROLEPLAYER CARD NO. 2 PHARMACY SETTING CLIENT TASK Suburban Pharmacy You are taking a two-week holiday at a beach resort in the tropics next month. You are making preparations and have come to ask the pharmacist for advice about skin protection, You plan to spend most of your time around the hote! pool and on tne beach, >reading and swimming. You normally. have little time to spend in the sun but are looking forward to sunbatring on your holiday. You want your colleagues to; Peis 6, the differenee in your skin colour when you get back to work. © Ask the pharmacist about wat skin protection from the sun you will need on your holiday, given your plans and preferences, Ask whether the sun really is stronger in tropical regions, and whether there's a safo time to sunbathe. * Reluctantly accept the phermacist's advice against your plans for extended sunbathing, 2 Cambridge Boshi Lenguage Assessment MARCH 2015 CANDIDATE CARD NO. 2 SETTING PHARMACIST TASK Lae Suburban Pharmacy Your client is planning a two-week beach holiday in the tropios next month. He/she has come to seek advice about protecting his/her skin from the sun. He/she plans to spend most of the holiday by the hotel pool or on the beach. * Find out about the client's Holiday plans (a g,, destination, activities, tre spent outside). + Explain to the cliant what skin, protection he/she will need (e.g., sunscreens, protective clothing, sunglasses, etc, ‘* Answer the client's questions about the sun and sunbathing: ~ sun is stronger near the equator; — strength of the sun varies through the day — greatest in the middle of the day: — longer exposure means greater risk of sun damage, regardless of how strong the sun is; — good skin protection is important on a tropical beach holiday, especially if a lot of time will be spent outside. * Caution the client about the links between sun-exposure and skin cancer, and recommend that he/she reconsider the plans to spend a lat of time in the sun.OET MAY 2015 eer ar eRe) PHARMACY SETTING Suburban Pharmacy CLIENT You visit the pharmacist complaining of sneezing (ofter), runny nose, and itchy, pully, watery and red eyes. You also have painful snuses. Yau suffer from hay fever every year at this time. TASK * Tell the pharmacist that you have used antihistamine tablets for years, but you think they no longer work. You want to know what medicines the pharmacist can suggest that may be more helpful, | * Ask about non-drowsy medications as you drive lang distances every day. * Find out if there is anything that will also treat your sinus pain (it is very painful). * Askif a preventer medication is available and if this could help yau in the future. * Find out what else you can do to help ease your symptoms. © Cambie Boxhill Language Assessment MAY 2015 OET MAY 2015 ENE ae oe) ea SETTING Suburban Pharmacy PHARMACIST Your client has come in complaining of sneezing (often), runny nese, and itchy, pulfy, watery and red eyes. He/she has painful sinuses. He/she has experienced hay fever (allergic rhinitis) every year at this time. The client has used antihistamine tablets for years, but he/she thinks they no longer work. TASK + Explain that the client should try a diferent antihistamine and suggest that changing the brand or type (@.g,, Teffast: fexofenadine, Clarityne: loratadine) may see a change in the effectiveness of the drug * Answer the client's questions about non-drowsy antihistamines but caution that he/she should test his/her reaction before driving. + Suggest paracetamol to relieve sinus pain. Explain not to use a nasal spray to avoid a rebound effect. If the sinus is very painful, suggest steam inhalation. * Suggest the use of a preventive medicine (e.g., a steroid nose spray), starting prior to the allergy season (may take a couple of days to work) ‘* Make suggestions to help prevent future attacks (e.g., keep windows in the house and cars closed during pollen season, remave plants that trigger hay fever from the garden, etc). © Cambridge Boxnll Language Assessment MAY 2015OET SEPTEMBER 2014 pele eae ees PHARMACY SETTING Community Pharmacy | PATIENT You wish to buy a bottle of St John's wort, a herbal preparation that you think may helo with depression. You have been experiencing low mood for some time and want to try something natural to help. You also take & medication called tramadol to help with severe back pain, and are collecting the script for this at the same time. TASK Explain to the pharmacist that you are experiencing low moads, and that you want to purchase St John's wort tablets as a natural antidepressant. Insist that you need something to improve your moods. You haven't heard of any interaction between St John’s wort and tramadol, and don't think the be very great. Make sure that the pharmacist explair Be hard low mi BER 2014 OET SEPTEMBER 2014 CANDIDATE CARD Ni de laa SETTING PHARMACIST mood for some tim TASK * Find out why the client wants to buy St John's wort, and what abo! * Explain that it would be dangerous to mix the herbal treatment with strong pain-reliaving medication. There is an interaction between tramadol and St John's wort that could lead to a serious reaction (e.g., tremors, seizures, possible death, etc.) * Answer any questions, and make sure that the client understands why you strongly advise against buying the herbal antidepressant. * Persuade the client to visit his/her doctor to discuss the low moods and possible treatment options, including non-drug treatments, secitnesna, | |OET AUGUST 2015 SETTING ‘Suburban Pharmacy CLIENT You ere 42 years old and have had a mid, but annoying headache all day. It | started behind your eyes and moved up into your forenead, You decided yesterday to give up tea, coffee, cola and chocolate, because you read that caffeine is bad | for you. You think that your headache might be a symptom of caffeine withdrawal, but you want to check that it is not a sign of something more serious. | =a & g Describe your headache and find out whether it could be a result of quitting coffee, Ask the pharmacist's advice on treatment for caffeine withdrawal Express your concern that it might be something more serious, such as a blood clot or brain cancer, and find out when you should see a doctor. {© Cambridge Boxhll Language Assessment AUGUST 2015 OET AUGUST 2015 CANDIDATE CARD NO. 2 PHARMAC SETTING Suburban Pharmacy PHARMACIST This 42-year-old reports a mild, but annoying headache which started today. In the past 24 hours, he/she has stopped consuming tea, coffee, cola and chocolate, after reading that caffeine |s bad for health. He/she seems anxious. TASK * Explain that headaches are a common consequence of stopping drinking tea or | coffee (.2., caffeine withdrawal). + Recommend possible courses of action (e.g,, taking over-the-counter painkllers to reduce headache symptoms, reducng the amount of caffeine gradually, maintaining overall fluid intake, waiting for the symptoms to pass in 2-3 days, | atc.) = Reassuro the cliont that a more serious cause is unlikely. Explain when to see a doctor (e.g., if the headache persists for more than 24 hours after starting painkillers; problems with balance; visual disturbances; memory loss; fever; joint or muscle pain, ete.). | © Cambridge Boxhill Language Assessment AUGUST 2015DN _$_$_ OOO ELL OET SEPTEMBER 2014 ROLEPLAYER CARD NO. 2 Ue SETTING Community Pharmacy | PATIENT You have come to the pharmacy with a prescription for dicloxacilin (a penicilin antibotio) for a skin infection on your right leg. You went to a new macical practice today, and dil not think to mention that, in the past, you experienced an allergic reaction to another antibiotic, amoxcilin, You are surprised that the pharmacist is reluctant to fil your prescription. TASK * Answer the pharmacist’s questions. You had an itchy rash all over your body when taking amoxicilin, and are pleased that the doctor has prescribed | something different. * Argus that the other reaction was a long time ago, and you didn't think it was important enough to tell your new doctor. You have a prescrigtion for something different, so it shouldn't matter. * Insist that the pharmacist explain why he/she doesn't want to fill the prescription * Evontually accept that both drugs are penicilin antibiotics, and agree to ask the | doctor about an alternative. Bovhill Language Assessment SEPTEMBER 2014 OET SEPTEMBER 2014 CANDIDATE CARD NO. 2 aang SETTING Community Pharmacy PHARMACIST This client has come to the pharmacy with a prescription for dicloxacillin (a penicillin antibiotic) to treat a skin infection on his/her right leg. Whilst discussing the medication, you discover that the client is allergic to penicillins. Last time this client had amox%cilin (another penicilin antibiotic), he/she experiencad an itchy rash all over the body. You tink the prescribing doctor is probably unaware of the allergy, and that the client should go back to discuss it. * Ask the client about his/her previous allergic reactions to medication, including penicillin. * Ask if the client has recently changed doctors. If so, has the new doctor been told about the previous allergic reaction to penicillin? * Explain that dicloxacilin and amoxicilin are both penicilins, and it is therefore highly likely that the client will be allergic to both. * Be tactful, but persuade the client to retum to the doctor for another consultation. Explain that there are other suitable antibiotics such as cefalexin which could be used to treat this skin infection. SEPTEMBER 2014Geena ay ROLEPLAYER CARD NO. 3 SETTING Community Pharmacy CLIENT ‘Your 5-year-old son commenced antibiotics three days ago for a chest infection. A ash Nes now appeared on his right arm (two ring-shaped lesions, one the size of a Gain, the other abcut Som clametey). You are envious as you are sure he is having an alargie reaction to antibiotics: Your fiend once experienced a severe allergic reaction to penicilin that required hospitalisation, TASK * Ask the phaimacist: “Should | ‘Stop giving my son antibiotics?" * When the pharmacist explains the rash is probebly ringworm, become more distressed. You have never heard of ringworm. Ask about treatment for your son. * * Seek reassurance, How can the pharmacist be sure the rash is not an allergie reaction? ‘Agree to follow the suggasted course of action. {© Cambidge Roxb Languoge Assessrent SEPTEVEER 2015, SETTING Community Pharmacy PHARMACIST ‘Your client has a 5-year-old son who recently commenced antibiotics for'a chest infection. A rash has appeared on his right arm (two ting-shapad lesions, one the 820 of a cain, the other Som diameter). You recognisa the rash as ringworm but your Client is worried the rash is due to an, allergic reaction to antbiotics. TASK * Explain that the diagnosis is not a reaction to antibiotics but ringworm, * Ansver:the client's question aboiit Whether or nict to stop giving antibiotics to his/her son. * Ge information about ringworm (e.g,, a fungal infection; will resove in 2-4 weeks; use topical ointment; take care of personal hygiene, etc), * Reassure the cllent that there are no signs of a serious allergic reacton (0.g., difficulty breathing, dizziness, swollen throattonguo, cto). * Explain that itis important to completo the course of antibiotics and advise him/her to consult the doctor ifthe rash persists after two Weeks of treatment. 2 Camtage Box Language Assessment +