A variation of the official sample of an OET writing task that could be rated Grade A in the Writing Section of the OET.
Assume that today's date is 18 May 2022
You are a practitioner examining a 45-year old female patient, Ms Jamie Joyce.
Name: Jamie Joyce (Ms)
DOB: 19 Sep 1977
Details:
Height: 163cm Weight: 75kg BMI: 28.2 (overweight 18/6/18)
Social History:
Teacher (Secondary – History, English)
Divorced, 2 children at home (born 2008, 2010)
Non-smoker (since children born)
Social drinker – mainly spirits
Substance Intake: Nil
Allergies: Codeine; dust mites; sulphur dioxide
Family history:
Mother – hypertension; asthmatic;
Father – peptic ulcer
Maternal grandmother – died heart attack, aged 80
Maternal grandfather – died asthma attack
Paternal grandmother – unknown
Paternal grandfather – died ‘old age’ 94
Previous medical history:
Childhood asthma; chickenpox; measles
1985 tonsillectomy
1992 hepatitis A (whole family infected)
1994 sebaceous cyst removed
1997 whiplash injury
2008 depression (separation from husband); SSRI – fluoxetine 11 mths
2010 overweight – sought weight reduction
2012 URTI (Upper Respiratory Tract Infection)
2014 dyspepsia
2016 dermatitis; prescribed oral & topical corticosteroids
18 May 2022
Presenting complaint: dysphagia (solids), onset 2 weeks ago post-viral (?) URTI
URTI self-medicated with OTC (over-the-counter) Chinese herbal product - contents unknown
No relapse/remittent course
No sensation of lump No obvious anxiety
Concomitant epigastric pain radiating to back, level T12 Weight loss: 1-2kg
Recent increase in coffee consumption
Takes aspirin occasionally (2-3 times/month); no other NSAIDs
Provisional diagnosis: gastro-oesophageal reflux +/- stricture
Plan:
Refer gastroenterologist for opinion and endoscopy if required
Ôcoffee/alcohol intake
Cease OTC product
Pantoprazole 40mg daily
Using the information in the case notes, write a letter of referral for further investigation and definitive diagnosis to the gastroenterologist, Dr Thor Odinson, at Saragasso Hospital, 007 The One Street, Saragasso.
In your answer:
● Expand the relevant notes into complete sentences
● Do not use note form
● Use letter format
The body of the letter should be approximately 180–200 words.
Dr Thor Odinson
Saragasso Hospital
007 The One Street
Saragasso
18 May 2022
Dear Dr Odinson,
Re: Ms Jamie Joyce, DOB 19.9.1977
Thank you for seeing Ms Joyce, a 45-year-old secondary school teacher, who presented today with a two-week history of gastro-oesophageal reflux with possible stricture. I am referring Ms Joyce to you for further investigation and an endoscopy if required.
Ms Joyce’s symptoms follow a constant course and include dysphagia for solids, epigastric pain radiating posteriorly to T12 level, and concomitant 1-2kg weight loss. The problem commenced after an upper respiratory tract infection two weeks ago for which she self- prescribed an over-the-counter Chinese herbal product with unknown ingredients. There are no apparent signs of anxiety, and no sensation of a lump.
Ms Joyce has recently increased her coffee consumption and takes aspirin 2-3 times a month. She has a history of dyspepsia (2014), and dermatitis for which she was prescribed oral and topical cortisone. She ceased smoking 15 years ago. She drinks socially (mainly spirits), has a family history of peptic ulcer disease and is allergic to codeine. Her BMI is currently 28.2.
I have recommended that Ms Joyce reduces her coffee and alcohol intake and immediately stops taking the over-the-counter product. In addition, I have prescribed Pantoprazole 40mg daily.
I would be grateful if you could provide Ms Joyce with a definitive diagnosis. If you require any further information, please do not hesitate to contact me.
Yours sincerely,
Dr.Dougie Houser
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