Sample Test 4

READING SUB-TEST – TEXT BOOKLET: PART A

CANDIDATE NUMBER:
LAST NAME:
FIRST NAME:
MIDDLE NAMES: Passport Photo
PROFESSION: Candidate details and photo will be printed here.

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VENUE:

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TEST DATE:

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test or sub-test content. If you cheat or assist in any cheating, use any unfair practice, break any of the rules or regulations, or ignore any advice
or information, you may be disqualified and your results may not be issued at the sole discretion of CBLA. CBLA also reserves its right to take

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malpractice, their personal details and details of the investigation may be passed to a third party where required.

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© Cambridge Boxhill Language Assessment – ABN 51 988 559 414

[CANDIDATE NO.] READING TEXT BOOKLET PART A 01/04

 Managing diabetic foot ulcers: Texts

Text A

Assessing a diabetic foot ulcer

The clinical management of a diabetic foot ulcer (DFU) will depend on what type it is, and this must be
determined before a care plan is put into place.

Neuropathic Ischaemic Neuroischaemic

Sensation sensory loss painful degree of sensory loss

Callus/necrosis callus present and often necrosis (dead tissue) minimal callus
thick common prone to necrosis
Wound bed pink and granulating pale and sloughy, poor poor granulation
granulation

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Foot temperature and warm with bounding cool with absent pulses cool with absent pulses
pulses pulses

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Other dry skin and fissuring delayed healing high risk of infection
Typical location weight bearing areas tips of toes, nail edges margins of the foot and

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of the foot such as and between the toes under toe nails
metatarsal heads, and lateral borders of
the heel and over the the foot

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dorsum of clawed toes
Prevalence 35% 15% 50%

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Text B

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Applying dressings to DFUs:
• Avoid bandaging over toes as this may cause a tourniquet effect (instead, layer gauze over the toes
and secure with a bandage from the metatarsal heads to a suitable point on foot)
• Use appropriate techniques (e.g. avoiding creases and being too bulky) and take care when dressing
weight-bearing areas
• Avoid strong adhesive tapes on fragile skin
• Avoid tight bandaging at the fifth toe and the fifth metatarsal head (trim the bandage back)
• Ensure wound dead space is eliminated (e.g. use a dressing that conforms to the contours of the
wound bed)
• Remember that footwear needs to accommodate any dressing. Wounds should be cleansed at each
dressing change and after debridement with a wound cleansing solution or saline. Cleansing can
help remove devitalised tissue, re-balance the bioburden and reduce exudate to help prepare the
wound bed for healing.

For infected or highly exuding DFUs, inspect the wound and change the dressing daily, and then every
two or three days once the infection is stable. A different type of dressing may be needed as the status
of the wound changes. Patients should be encouraged to look out for signs of deterioration, such as
increased pain, swelling, odour, purulence or septic symptoms. In some cases (e.g. in the first few days of
antibiotic therapy) it is a good idea to mark the extent of any cellulitis with an indelible marker and tell
the patient to contact the footcare team immediately if the redness moves substantially beyond the line.

[CANDIDATE NO.] READING TEXT BOOKLET PART A 02/04

 Text C

Debridement of DFUs

The first priority of management of foot ulceration is to prepare the surface and edges of a wound to
facilitate healing. If foot pulses are present, non-viable tissue should be removed from the wound bed
and surrounding callus removed. If foot pulses are absent, assessment and management of the peripheral
vasculature is mandatory before removal of non-viable or necrotic tissue is considered. Referral to a vascular
surgeon is suggested in this situation. Removal of non-viable tissue can be quickly and effectively accomplished
by local sharp debridement.

Sharp debridement should be carried out by experienced practitioners (e.g. a specialist podiatrist or
nurse) with specialist training and the plan and expected outcome discussed with the patient in advance.
Debridement should remove all devitalised tissue, callus and foreign bodies down to the level of viable
bleeding tissue. It is important to debride the wound margins as well as the wound base to prevent the ‘edge

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effect’, whereby epithelium fails to migrate across a firm, level granulation base. Practitioners must explain
fully to patients the risks and benefits of debridement in order to gain their informed consent.

Text D
Dressings for DFUs Advantages

P L Disadvantages

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Low-adherence simple, hypoallergenic, inexpensive minimal absorbency

Hydrocolloids absorbent, can be left for several concerns about use for infected

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days, aid autolysis wounds, may cause maceration,
unpleasant odour

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Hydrogels absorbent, aid autolysis, donate may cause maceration
liquid
Foams thermal insulation, good occasional dermatitis with
absorbency, conform to contours adhesive
Alginates highly absorbent, bacteriostatic, may need wetting before removal
hemostatic, useful for packing
deep wounds
Iodine preparations antiseptic, moderately absorbent iodine allergy, discolours wounds,
cost, not suitable in case of thyroid
disease or pregnancy
Silver-impregnated antiseptic, absorbent cost

END OF PART A
THIS TEXT BOOKLET WILL BE COLLECTED

[CANDIDATE NO.] READING TEXT BOOKLET PART A 03/04

 Sample Test 4

READING SUB-TEST – QUESTION PAPER: PART A

CANDIDATE NUMBER:
LAST NAME:
FIRST NAME:
MIDDLE NAMES: Passport Photo

E
PROFESSION: Candidate details and photo will be printed here.
VENUE:

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TEST DATE:

P
CANDIDATE DECLARATION
By signing this, you agree not to disclose or use in any way (other than to take the test) or assist any other person to disclose or use any OET
test or sub-test content. If you cheat or assist in any cheating, use any unfair practice, break any of the rules or regulations, or ignore any advice

M
or information, you may be disqualified and your results may not be issued at the sole discretion of CBLA. CBLA also reserves its right to take
further disciplinary action against you and to pursue any other remedies permitted by law. If a candidate is suspected of and investigated for
malpractice, their personal details and details of the investigation may be passed to a third party where required.

A
CANDIDATE SIGNATURE:

TIME: 15 MINUTES

INSTRUCTIONS TO CANDIDATES
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DO NOT open this Question Paper or the Text Booklet until you are told to do so.
Write your answers in the spaces provided in this Question Paper.
You must answer the questions within the 15-minute time limit.
One mark will be granted for each correct answer.
Answer ALL questions. Marks are NOT deducted for incorrect answers.
At the end of the 15 minutes, hand in this Question Paper and the Text Booklet.
DO NOT remove OET material from the test room.

www.occupationalenglishtest.org
© Cambridge Boxhill Language Assessment – ABN 51 988 559 414

[CANDIDATE NO.] READING QUESTION PAPER PART A 01/04

 Part A

TIME: 15 minutes

• Look at the four texts, A-D, in the separate 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.

• Your answers should only be taken from texts A-D and must be correctly spelt.

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Managing diabetic foot ulcers: Questions

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Questions 1-7

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For each question, 1-7, decide which text (A, B, C or D) the information comes from. Write the letter A, B, C or D
in the space provided. You may use any letter more than once.

In which text can you find information about

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1 how often to change a dressing?

A
2 ensuring patients understand the consequences of tissue removal?

3 reasons for not choosing certain products?

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4 the need to monitor a wound?

5 how common each kind of DFU is?

6 how good a dressing is at soaking up fluid?

Questions 8-13

Answer the following questions, 8-13, with a word or short phrase from one of the texts. Each answer may include
words, numbers or both. You should not write full sentences.

7 What kind of DFU is it if a patient has lost all sensation?

8 If a patient’s DFU is beneath the nail, what kind is it likely to be?

9 What type of dressing should you avoid if a patient’s wound is infected?

[CANDIDATE NO.] READING QUESTION PAPER PART A 02/04

 10 If you need to fill a cavity, which dressing is best?

11 Which types of dressing may cause an inflammation of the skin?

12 If cost is an issue, which dressing is best?

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13 Which two types of DFU often show signs of necrosis?

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14 Which type of dressing provides moisture to a wound?

Questions 15-20

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Complete each of the sentences, 15-20, with a word or short phrase from one of the texts. Each answer

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may include words, numbers or both.

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15 Check that will still go on after the dressing has been applied.

16 The dressing should follow the shape of the wound so that there

is no .

17 Draw a line around any and ask the patient to get in touch if it

worsens.

18 You might need to involve a in the patient’s care if you cannot

detect a pulse in the foot.

19 To maintain good blood flow, leave free of tight bandages.

20 Make sure the wound is level, otherwise the won’t be able to

grow across it.

END OF PART A
THIS QUESTION PAPER WILL BE COLLECTED

[CANDIDATE NO.] READING TEXT BOOKLET PART A 03/04

READING SUB-TEST – ANSWER KEY

PART A: QUESTIONS 1-20

1 B
2 C
3 D
4 B
5 A
6 D
7 neuropathic
8 neuroischemic
neuroischaemic
9 hydrocolloid(s)
10 alginate(s)
11 foam(s)
12 low(-)adherence
13 ischemic and neuroischemic
ischaemic and neuroischaemic
14 hydrogel(s)
15 footwear
16 dead space
17 cellulitis
18 vascular surgeon
19 toes
20 epithelium