OET Reading mock test 1 Part A
In this free OET Reading mock test 1 Part A, you will find 4 texts and 20 questions to answer within 15 minutes.
For now, you can start this OET reading test and you will be able to check your answers after finishing the test.
OET Reading mock sample test 1 Part A
TIME: 15 minutes
Look at the four texts, A – D, in the Text Booklet.
For each question, 1 – 20, look through the texts, A – D, to find the relevant information.
Write your answers in the spaces provided in this Question Paper.
Answer all the questions within the 15-minute time limit.
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1. Question20 point(s)
Procedural sedation and analgesia for adults in the emergency department
Patients in the emergency department often need to undergo painful, distressing or unpleasant diagnostic and therapeutic procedures as part of their care. Various combinations of analgesic, sedative and anaesthetic agents are commonly used for the procedural sedation of adults in the emergency department.
Although combinations of benzodiazepines and opioids have generally been used for procedural sedation, evidence for the use of other sedatives is emerging and is supported by guidelines based on randomised trials and observational studies. Patients in pain should be provided with analgesia before proceeding to more general sedation. The intravenous route is generally the most predictable and reliable method of administration for most agents.
Local factors, including availability, familiarity, and clinical experience will affect drug choice, as will safety, effectiveness, and cost factors. There may also be cost savings associated with providing sedation in the emergency department for procedures that can be performed safely in either the emergency department or the operating theatre.
Levels of sedation as described by the American Society of Anesthesiologists
- Minimal sedation and analgesia: essentially mild anxiolysis or pain control. Patients respond normally to verbal commands. Example of appropriate use: changing burns dressings
- Moderate sedation and analgesia: patients are sleepy but also aroused by voice or light touch. Example of appropriate use: direct current cardioversion
- Deep sedation and analgesia: patients require painful stimuli to evoke a purposeful response.
Airway or ventilator support may be needed. Example of appropriate use: major joint
- General anesthesia: patient has no purposeful response to even repeated painful stimuli.
Airway and ventilator support is usually required. Cardiovascular function may also be
impaired. Example of appropriate use: not appropriate for general use in the emergency
department except during emergency intubation.
Dissociative sedation is described as a trance-like cataleptic state characterised by profound analgesia and amnesia, with retention of protective airway reflexes, spontaneous respirations,
and cardiopulmonary stability. Example of appropriate use: fracture reduction.
Drug administration: General principles
International consensus guidelines recommend that minimal sedation – for example, with 50% nitrous oxideoxygen blend – can be administered by a single physician or nurse practitioner with current life support certification anywhere in the emergency department. Guidelines recommend that for moderate and dissociative sedation using intravenous agents, a physician should be present to administer the sedative, in addition to the practitioner carrying out the procedure.
For moderate sedation, resuscitation room facilities are recommended, with continuous cardiac and oxygen saturation monitoring, non-invasive blood-pressure monitoring, and consideration of capnography (monitoring of the concentration or partial pressure of carbon dioxide in the respiratory gases).During deep sedation, capnography is recommended, and competent personnel should be present to provide cardiopulmonary rescue in terms of advanced airway management and advanced life support.
Drugs used for procedural sedation and analgesia in adults in the emergency department
Correct 20 / 20 PointsIncorrect / 20 Points
OET Reading 1 Part A Questions
For each question, 1-7, decide which text (A, B, C or D) the information comes from. You may use
any letter more than once.
In which text can you find information about
1 the point at which any necessary pain relief should be given?
2 the benefits and drawbacks of specific classes of drugs?
3 financial considerations when making decisions about sedation?
4 typical procedures carried out under various sedation levels?
5 measures to be taken to ensure a patient’s stability under sedation?
6 reference to research into alternative sedative agents?
7 patients’ levels of sensory awareness when sedated?
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.
8 What class of drug is traditionally administered together with opioids for the purpose of
9 What level of sedation is appropriate for changing burns dressings?
10 What is the only emergency department procedure for which it is appropriate to use
11 What procedure may be carried out under dissociative sedation?
12 What class of drugs is unsuitable for patients who have a history of psychosis?
13 What opioid drug should be administered using specific equipment?
14 What is the maximum overall dose of Midazolam which should be given?
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 The majority of sedative drugs are administered via the .
16 General anaesthesia is the one form of sedation under which patients may have reduced .
17 Patients under minimal sedation will react if they are given .
18 Care should be taken when administering Etomidate to patients who are likely to have .
19 It may be helpful to use capnography to keep track of patients’ levels during moderate sedation.
20 Fentanyl, Morphine and Midozolam each have a , which is used to cancel out the effects of the drug.