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Reading Part C

OET Reading Part C: inference and distractors

Part C questions are built so that several options sound right. This guide gives you an evidence-led elimination method, then walks through an invented practice paragraph to show exactly why each wrong option fails.

By Dr Ahmed Hesham, medical doctor and founder of OET with Dr Hesham · Published

What OET Reading Part C is really testing

Candidates usually ask the same thing about Part C: why do I narrow it down to two options and then choose the wrong one? The answer is in what the questions are designed to measure.

The format, from OET

OET describes Part C as two texts of around 800 words each, similar to journal or review articles, usually presenting a range of opinions on a healthcare topic. Each text has eight multiple-choice questions with four options, and the questions follow the order of the text. Parts B and C share 45 minutes, and Part C carries 16 of the 42 Reading marks.

The skills, from OET

OET lists the skills as understanding explicit and implicit meaning, identifying main ideas and detail, recognising the attitude or opinion of the writer or people quoted, and understanding vocabulary and reference words such as “it” or “they” in context. You also need to follow how ideas relate across sentences and paragraphs.

What inference means here

Inference is what the text commits to without stating it directly. It is still based on the text. If you cannot point to the words that support your choice, you are guessing, not inferring. This matters for clinicians: your own medical knowledge may be correct and still not be what this writer says.

Why distractors work

OET notes that the options often share vocabulary with the text, so it is easy to pick one simply because its words look familiar. Wrong options are usually close to the text: slightly too strong, said by a different person, or true but not an answer to this question.

An evidence-led elimination method in six steps

Steps 2, 3 and 4 follow OET advice: questions come in order and often name the paragraph, you should answer in your mind before looking at the options, and you should look for evidence that an option is wrong as well as evidence that it is right.

  • 1. Classify the stem. Is it asking for a detail, a main idea, someone’s attitude, an implied meaning, or the meaning of a highlighted word or reference? Attitude questions need opinion words; detail questions need facts.
  • 2. Go to the right place and read it fully. Use the paragraph reference as your starting point, then read the sentence before and after. Attitude and main-idea questions often depend on how that paragraph connects to the writer’s wider argument.
  • 3. Predict in your own words. Before reading A to D, say the answer to yourself in a short phrase. This stops a well-written distractor from setting your expectation.
  • 4. Test each option against the text. For every option, ask: where is the evidence, who said it, and is it as strong or as general as the text? Tag each wrong option with a reason.
  • 5. Choose the survivor and mark the line. The answer is the option that still stands after testing. Marking the supporting line makes later review much faster.
  • 6. Respect the clock. OET suggests leaving at least 35 minutes for Part C, roughly two minutes per question. If you are still undecided, pick the best survivor, flag it and move on. Never leave a blank.

Practice example: why each distractor fails

Practice example only. The paragraph, the doctor quoted and the question were invented for teaching. They are not from a real OET paper and do not describe a real person or study.

Practice paragraph

Remote monitoring of patients with heart failure, in which weight, blood pressure and symptoms are sent daily from home, has attracted considerable investment. Early trials have been encouraging, although results across studies remain mixed. For cardiologist Dr Leila Okafor, the technology itself is rarely the problem. “A reading that sits unopened in an inbox helps nobody,” she says. “Where teams agree who reviews the data and how quickly they respond, we see fewer emergency admissions. Where they don’t, we simply generate more data.” Some nursing groups have warned that monitoring dashboards add to already heavy workloads, a concern Dr Okafor accepts is legitimate, though she believes it can be managed with proper staffing. She is clear, however, that monitoring should sit alongside clinic appointments rather than replace them.

Practice question

What is Dr Okafor’s view of remote monitoring? A) It has been shown to reduce hospital admissions for most patients. B) Its value depends on how clinical teams respond to the data it produces. C) It places an unreasonable burden on nursing staff. D) It could allow routine outpatient clinics to be reduced.

Walking through the options

  • Step 1, classify: an attitude question about one named person. Only Dr Okafor’s words and the reported views attributed to her count.
  • Step 3, predict: before reading the options, the prediction is “useful only if someone acts on the readings”.
  • A fails: overstatement and wrong source. The text says early trials are “encouraging” but results are “mixed”, and that is the writer’s summary, not Dr Okafor’s view. “Shown” and “most patients” go further than the text.
  • B survives: a paraphrase of her central point. “Where teams agree who reviews the data and how quickly they respond, we see fewer emergency admissions” means the benefit depends on the team’s response. It matches the prediction without sharing many words with the text, which is typical of a correct option.
  • C fails: wrong speaker and wrong strength. The workload warning comes from nursing groups. Dr Okafor calls the concern legitimate but manageable, which is not the same as “unreasonable”.
  • D fails: contradiction. She says monitoring should sit alongside clinic appointments rather than replace them. An option that sounds like sensible service planning can still be the opposite of what the text says.

Common Part C mistakes and how to fix them

Review your errors by type rather than by question number. These patterns appear again and again when candidates review a Part C paper honestly.

Matching words, not meaning

An option that repeats the text’s vocabulary is not automatically right. Ask what the sentence means, then look for the option that says the same thing in different words.

Ignoring hedging language

Words such as may, some, early, mixed and in some cases limit a claim. An option that drops the hedge usually overstates the text.

Confusing who holds the view

Part C texts often quote several people. Before answering an attitude question, underline whose opinion the stem asks about.

Choosing true but irrelevant

An option can be accurate according to the text and still not answer the question asked. Check it against the stem, not just against the paragraph.

Answering from clinical knowledge

Your experience may tell you an option is good practice. The question asks what this text says or implies.

Letting one question eat the clock

Spending five minutes on one item costs you easier marks later. Use the two-minute guide, flag it and return if time allows.

Key takeaway

In Part C, predict the answer before reading the options, then test all four against the text. Reject options that overstate, belong to a different speaker, contradict the text or do not answer the question. The answer is the option you can support with a specific line.

Official sources

Every test-format fact in this guide was checked against these official OET pages on 27 October 2026. OET can update its guidance, so check them again before your test date.

OET Reading Part C FAQ

Short answers to the questions candidates ask most about this part of the test.

How many questions are in OET Reading Part C?

There are two texts of around 800 words each, and each text has eight multiple-choice questions with four options. The questions follow the order of the text.

How long should I spend on Part C?

Parts B and C share 45 minutes. OET suggests leaving at least 35 minutes for Part C, which is roughly two minutes per question, and splitting the time evenly between the two texts.

Should I read the whole Part C text before the questions?

OET advises starting with the first question and reading to find its answer, rather than reading the whole text first. Read the relevant part carefully, because skimming will not answer Part C questions.

Why do I keep choosing between two options?

Usually because both share words with the text. Predict the answer before reading the options, then check each one for overstatement, the wrong speaker or a contradiction.

Reading practice

Practise elimination on full Part C texts

Use our Listening and Reading practice route to apply the six-step method under time and review each wrong answer by distractor type.

About the author

Dr Ahmed Hesham is a medical doctor and OET educator who has coached doctors, nurses and allied health professionals preparing for OET since 2018. More about Dr Hesham.