How to Prepare for OET Listening

OET Listening takes about 40 minutes and has three parts, with 42 questions in total. You hear each part once only. To do well, read the questions before each extract and predict the kind of answer you need. While you listen, write the words you hear, and use the checking time to correct spelling and grammar.

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Key facts about OET Listening

Based on the official OET Listening information. Check oet.com before your test, as details can change.

  • Time

    About 40 minutes

    Three parts

  • Questions

    42 in total

    Part A 24, Part B 6, Part C 12

  • Audio

    Played once

    Write your answers as you listen

  • Grade B

    About 30 out of 42

    Changes slightly by test version

  • Accents

    Mainly Australian, British, American

    Others are possible

Do this today (30 minutes)

  1. Do one Part A extract with the timer on

    Before the audio starts, read the note headings and guess what kind of word fills each gap: a number, a time, a symptom or a medicine.

    Open Listening practice
  2. Mark your answers and sort your mistakes

    Put each wrong answer into one of three groups: I didn't hear it, I heard it but wrote it wrongly, or I misspelled it.

  3. Fix the biggest group

    If most mistakes are spelling, write out the medical words you missed ten times each. If you didn't hear them, listen to the same extract again in Practice mode and pause at each answer.

The three parts of OET Listening

All three parts use healthcare settings, and Listening is the same for every profession. Each part tests a different kind of listening, so it helps to practise them separately before you put them together.

OET Listening at a glance
Part What you hear Questions How you answer
Part A Two consultations between a health professional and a patient 24 (12 per consultation) Complete a health professional's notes with words from the recording
Part B Six short extracts from the healthcare workplace, such as handovers or team briefings 6 (1 per extract) Multiple choice, three options
Part C Two longer extracts: presentations or interviews on health topics 12 (6 per extract) Multiple choice, three options

Part A: note completion

In Part A you listen to a consultation and complete a set of notes, like the notes a health professional would write during the appointment. OET says you must complete the notes with the same words you hear on the recording. Each gap usually needs one word or a short phrase.

Before the audio starts

You have time to read the notes before each extract. Use it to read the headings, such as presenting complaint, medical history or lifestyle, because the consultation usually follows the same order. For each gap, decide what kind of word fits: a number and unit, a time, a body part, a symptom or a medicine. This tells you what to listen for.

While you listen

Write the answer as soon as you hear it, even if it is untidy, and move to the next gap. The speakers will not wait for you, and if you stop to think about one answer, you can miss the next two. Patients often correct themselves ("about two weeks, no, nearer three"), so listen to the end of the sentence before you decide.

Part A worked example

This short extract and set of notes are fictional and written by our team. Read the notes first, as you would in the test, then read the transcript.

Transcript (shortened)

The numbers match the notes below the transcript.

Doctor: So, Mrs Silva, how long have you been having these headaches?

Patient: About three weeks now. At first I thought it was just stress at work.

Doctor: And is there a time of day when they're worse?

Patient: Definitely in the mornings. By lunchtime it usually eases off a bit.

Doctor: Are you taking anything for them?

Patient: I take paracetamol, two tablets twice a day.

Doctor: And how much coffee do you drink?

Patient: Probably five or six cups. I know that's a lot.

  1. Answer: three weeks

    Include the unit. "Three" on its own does not tell the reader anything. The patient first mentions stress, which is not the answer to this gap.

  2. Answer: mornings

    The notes already say "Pain worse in the", so write only "mornings". OET says you lose marks for repeating words that are already in the notes.

  3. Answer: paracetamol

    Spell common medicines correctly. Listening allows a little flexibility with spelling, but a well-known word like this should be right.

  4. Answer: 5–6

    Write what she says. Don't round it to 5 or 6, and don't add your own opinion, such as "too many".

Rules for Part A answers

OET lists several things that lose marks in Part A. In short, your answer should be the speaker's words and nothing else.

What loses marks in Part A, according to OET
What loses marks What to do instead
Repeating words that are already in the notes Write only the missing word or phrase.
Adding information that is not in the recording Write what you hear. Don't explain or interpret it.
Contradicting yourself, for example writing two possible answers Choose one answer.
An answer whose meaning is unclear Use the speaker's words and check that your answer makes sense in the note.
Spelling and grammar mistakes Spell common healthcare words correctly and check word forms, such as plurals.

Part B: short workplace extracts

In Part B you hear six short extracts from the healthcare workplace, such as a handover, a team briefing or a conversation between colleagues. Each extract has one multiple-choice question with three options. The question usually asks about the main point or the purpose of what someone says.

Read the question and all three options before the extract starts. Wrong options often use words from the recording, so an option that repeats what you heard is not always correct. Choose the option that means the same as what the speaker says.

Part C: presentations and interviews

In Part C you hear two longer extracts. Each is a presentation or an interview on a health topic, and each has six multiple-choice questions. The questions follow the order of the recording, and many ask about the speaker's opinion, attitude or reasons as well as facts.

Before each extract, read the questions to get an outline of the talk. As you listen, keep track of which question the speaker is answering, so that you move on even if you miss one. When a speaker gives an opinion, listen for how strongly they hold it. A speaker who says "it may help some patients" is less certain than one who says "it clearly works".

Common OET Listening mistakes

Missing the unit

Before

Headaches for: 3

After

Headaches for: three weeks

Without the unit, the answer does not complete the note.

Repeating words from the notes

Before

Pain worse in the: pain worse in the mornings

After

Pain worse in the: mornings

OET says you lose marks for repeating words that are already in the notes.

Adding your own words

Before

Drinks: too many (5–6) cups of coffee a day

After

Drinks: 5–6 cups of coffee a day

Write only what the speaker says. Extra information can lose the mark.

Choosing the option that repeats the audio

Before

Choosing "It will be removed today" because you heard "cannula out today"

After

Choosing "It should stay in until the blood results are back"

In Parts B and C, the right option matches the speaker's meaning, which may use different words.

Improving between tests

Practice tests show you where you lose marks. These habits help you improve between tests:

  • Keep a list of medical words you misspell, grouped by topic, and test yourself on it twice a week.
  • Listen to health talks and interviews in English with different accents, and write down the main point of each one in a sentence.
  • After a Part A extract, listen again with the transcript, if one is available, and underline the moments you missed.
  • Read our OET medical vocabulary guide for word groups that come up often in consultations.

OET Listening checklist

  • I read the questions before each extract and predicted the type of answer.
  • I wrote answers as I heard them and moved on after a missed answer.
  • My Part A answers use the speaker's words, without words already in the notes.
  • I included units with numbers.
  • I did not add my own information or write two possible answers.
  • In Parts B and C, I chose the option that matches the speaker's meaning.
  • I used the checking time to fix spelling, grammar and plurals.

Practise on OET Practice

  1. Practise one part at a time

    Open a Listening test and choose Practice mode. Select only the part you want to work on, such as Part A, and choose a time limit: start with extra time if you need it, then move to the standard time.

    Open the exam library
  2. Use the audio controls while you learn

    In Practice mode you can pause the audio and skip back 5 seconds, which is useful for finding the exact words you missed. Use this when you review, then try the next extract without pausing.

  3. Check your answers straight away

    Listening is marked instantly. Open your result to see each question with your answer and the correct answer, and add the words you missed to your spelling list. Your dashboard also keeps a list of wrong answers to review.

    Go to your dashboard
  4. Take the full sub-test under exam conditions

    When each part feels comfortable, choose Simulation test mode. The audio plays straight through with no controls, as in the real test.

For a full study routine across all four sub-tests, read how to prepare for OET.

Sources

Written by OET Practice team. Last reviewed: 27 October 2026. Read our editorial policy .

FAQ

Frequently asked questions

Straight answers about this guide and how practice on OET Practice works.

How many times is the audio played in OET Listening?

Once. OET plays each part of the Listening sub-test once only, so you need to write your answers as you listen.

Does spelling matter in OET Listening?

Yes, but there is a little more flexibility than in Reading. You can still lose marks for spelling mistakes, so spell common medical words such as diabetes or cholesterol correctly. Grammar mistakes can also cost marks.

How many marks do I need for grade B in Listening?

OET says test-takers awarded grade B (a scale score of 350) typically score at least 30 out of 42. The exact number changes slightly from one version of the test to another.

What accents will I hear?

Mainly Australian, British and American English, according to OET. You may also hear other accents, such as New Zealand, Irish, Canadian or South African English.

Do I get time to check my answers?

On the paper test there are two minutes at the end of the Listening sub-test to check your answers. On computer and OET@Home, there is a short pause at the end of each question instead.

Is my OET Practice Listening grade official?

No. Practice grades are learning feedback. OET Practice is independent and not affiliated with OET or Cambridge Boxhill Language Assessment.

Practise one part today

Choose Part A, B or C, set your time and get your answers marked instantly. Practice grades are feedback, not official OET scores.

Start Listening practice

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