OET Writing Sample Test 3

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OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST:   Medicine 


TIME :                                READING: 5 MINUTES
                                           WRITING : 40 MINUTES

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

Notes:

Your patient, an 81-year-old woman, recently had a right total knee replacement (R.TKR) on 25/02/2015.
She is being discharged today.

Patient details: 

Name: Ms Betty Johnson


Address:12 Merry Street, Stillwater
Marital Status: Widowed
Past Medical History:

Aortic valve replacement & pacemaker 2010


Osteoarthritis since 2011 -pain & immobility ↑ past 3yrs
For R.TKR Feb 2015: full blood work, typing & cross matching, X-rays, ECG etc

Regular Medication (25/2/15):

Paracetamol 665mg 2 tabs tds


Warfarin 3mg mane – ceased 5 days preoperative , started Clexane (enoxaparin sodium –
anticoagulant)

Social Background: Widowed 1986. Lives alone. 4 children

Post-op:

25/02/15  11:30am

Returned to ward following R. TKR.


Vital signs-BP 115/70, P 82, R 16,T36.9″C.
Circulation observation good, knee ↑ on pillow.
Hb 80g/l → IVT Transfusion.
IV cephalothin 1g qid for 24 hours.
Increase regular oral paracetamol (1g qds).
Patient Controlled Analgesia (PCA) – morphine ✓ effective.
Wound -nil ooze

26/02/15

Wound -good, sponged.


Restart warfarin 5mg today.
s/c Clexane 80mg given for anticoagulation.
Cease PCA. Start oxycodone 5 – lOmg prn.
Pathology: FBE, U&Es, Liver Function Tests (LFTs), Hb.
Path results ✓ Hb 100g/l → commence Feratab (iron sulphate) 300mg mane

27/02/15

s/c Clexane 80mg.


Start warfarin 5mg nocte.
Removal of (R/O) dressing, wound good, R/O alt. clips on 03/03/15

28/02/15

Crutches, short walks. Wound good, afebrile.


s/c Clexane 80mg given.

01/03/15: s/c Clexane 80mg given.

02/03/15

X-rays, bloods ✓, INR – 3.0, Hb 111g/l, ECG – no abnormalities.


Managing w/ min assistance.
Cease Clexane.

03/03/15 – 05/03/15: Wound clean, R/O alt clips tomorrow. Mobility good. Obs ✓.

06/03/15: R/O remaining clips. Pathology ✓. Transfer to rehab today

Rehab:

07/03/15: Admission complete – stable. Circ ✓. Mobility, crutches good

08/03/15 – 13/03/15: 

Mobility, frame use, trial stick, pool, gentle exercises = good. Showering w/ min assistance.
Path & X-ray

14/03/15

Path ✓, INR -3.8.


 ↓ warfarin 4mg nocte, Hb -112g/l, ↓ Feratab 150mg mane

15/03/15 – 19/03/15

Uneventful – gradually ↑ independence.


Wound good. Obs ✓. Physio exercises good. Home list provided.

21/03/15

No cardiac issues.
Discharged w/ home nursing assistance (personal hygiene, home care). Wound exposed, shower w/
min assist. Stick / frame prn.
Discharge medication: warfarin 4mg nocte, Feratab 150mg mane, paracetamol 1g qds, oxycodone
5-1 Omg prn.
Rehab appt in 2 weeks.
Advised to see local doctor in 1 week, referral for local doctor – suggest repeat FBE, INR.

WRITING TASK

Using the information given in the case notes, write a letter of referral to Ms Johnson’s local doctor, Dr
Tony Jones, to update him on her condition following her recent surgery and discharge from rehab.
Address the letter to Dr Tony Jones, Private Practice, 12 New Street, Stillwater.

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.

Write your answer Here

Finish Test

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