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    The letter refers Ms. Anne Hall, a 45-year-old teacher, to a gastroenterologist for further investigation and possible endoscopy. Ms. Hall has been experiencing dysphagia, epigastric pain, and weight loss for two weeks following an upper respiratory infection. The letter provides details on her medical history and current symptoms and treatment plan. The gastroenterologist is asked to provide a definitive diagnosis for Ms. Hall's condition.

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    The letter refers Ms. Anne Hall, a 45-year-old teacher, to a gastroenterologist for further investigation and possible endoscopy. Ms. Hall has been experiencing dysphagia, epigastric pain, and weight loss for two weeks following an upper respiratory infection. The letter provides details on her medical history and current symptoms and treatment plan. The gastroenterologist is asked to provide a definitive diagnosis for Ms. Hall's condition.

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    The letter refers Ms. Anne Hall, a 45-year-old teacher, to a gastroenterologist for further investigation and possible endoscopy. Ms. Hall has been experiencing dysphagia, epigastric pain, and weight loss for two weeks following an upper respiratory infection. The letter provides details on her medical history and current symptoms and treatment plan. The gastroenterologist is asked to provide a definitive diagnosis for Ms. Hall's condition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5K views5 pages

    Oet

    Uploaded by

    hitesh
    The letter refers Ms. Anne Hall, a 45-year-old teacher, to a gastroenterologist for further investigation and possible endoscopy. Ms. Hall has been experiencing dysphagia, epigastric pain, and weight loss for two weeks following an upper respiratory infection. The letter provides details on her medical history and current symptoms and treatment plan. The gastroenterologist is asked to provide a definitive diagnosis for Ms. Hall's condition.

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    The patient is a 45-year-old female teacher presenting with dysphagia and reflux symptoms. She has a family history of hypertension and peptic ulcer disease.

    The patient has been experiencing dysphagia for solids and epigastric pain for the past 2 weeks.

    The patient has a history of asthma, tonsillectomy, hepatitis A, sebaceous cyst removal, whiplash, depression, overweight issues, URTI, dyspepsia and dermatitis.

    MEDSAMPLE01

    WRITING SUB-TEST – TEST BOOKLET

    INSTRUCTIONS TO CANDIDATES
    You must write your answer for the Writing sub-test in the Writing Answer Booklet.

    You must NOT remove OET material from the test room.


    Occupational English Test

    WRITING SUB-TEST: MEDICINE


    TIME ALLOWED: READING TIME: 5 MINUTES
    WRITING TIME: 40 MINUTES

    Read the case notes and complete the writing task which follows.

    Notes:

    You are a practitioner examining a 45-year old female patient, Ms Anne Hall.

    PATIENT DETAILS:

    Name: Anne Hall (Ms)


    DOB: 19.09.72
    Height: 163cm Weight: 75kg BMI: 28.2 (overweight 18/6/18)

    Social History: Teacher (Secondary – History, English)


    Divorced, 2 children at home (born 2002, 2004)
    Non-smoker (since children born)
    Social drinker – mainly spirits

    Substance Intake:
    Nil

    Allergies: Codeine; dust mites; sulphur dioxide

    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


    Childhood asthma; chickenpox; measles
    1983 tonsillectomy
    1990 hepatitis A (whole family infected) 1992 sebaceous cyst removed
    1995 whiplash injury
    2006 depression (separation from husband); SSRI – fluoxetine 11/12
    2008 overweight – sought weight reduction
    2010 URTI (Upper Respiratory Tract Infection)
    2012 dyspepsia
    2014 dermatitis; prescribed oral & topical corticosteroids
    18/6/18 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

    Writing Task:

    Using the information in the case notes, write a letter of referral for further investigation and definitive diagnosis to
    the gastroenterologist, Dr Jason Roberts, at Newtown Hospital, 111 High Street, Newtown.
    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.
    Any answers recorded here will not be marked.

    N K
    L A
    B
    MEDSAMPLE01
    Occupational English Test

    WRITING SUB-TEST: MEDICINE


    SAMPLE RESPONSE: LETTER OF REFERRAL

    Dr Jason Roberts
    Newtown Hospital
    111 High Street
    Newtown

    18.06.18

    Dear Dr Roberts,

    Re: Ms Anne Hall, DOB 19.9.1972

    Thank you for seeing Ms Hall, 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 Hall to you for further investigation and
    an endoscopy if required.

    Ms Hall’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 Hall has recently increased her coffee consumption and takes aspirin 2-3 times a month. She has a history of
    dyspepsia (2012), 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 Hall 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 Hall with a definitive diagnosis. If you require any further information,
    please do not hesitate to contact me.

    Yours sincerely,

    Doctor

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