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:
You are a cardiothoracic surgeon.
Patient name: Ms Janet Pristiely
DOB: 19/07/1947
Age : 72
Social History:
widow - retired accountant
care of 5 grand children
non alcoholic – smokes 35 cigarrates/d
Past medical history:
Hypertension – DM II
Depression , Nephropathy
Ischemic heart disease
Acute myocardial infarction (2018)
Medications
Aspirin 75 mg
Beta blockers 10 mg
Citalopram 10 gm
Insulin 50 IU
Statins 40 mg
02/08/2019
Non-critical coronary artery bypass cancelled
Procedure not done due to smoking prior admission
On admission BP was 180/100 , Betablockers
BP fall to 140/80
Psychiatrist Counselling:
smoking cessation.
social and financial status including grand children
diagnosed as moderate depression
03/08/2019
Discharge Plan:
Lisinopril 8 mg , monitor BP& electrolyte 1w
Nicotine patches 25 mg
Citalopram 20 mg
Aspirin 150 mg , stop on re-admission
Re-admission advice on 19/10 :
Respite care for grand children
Contact me if SOB , chest pain
Writing Task
Using the information in the case notes , write a letter of a discharge to the
patient’s GP including history ,medication and advice . Address the letter to
Dr Peter Harvey ,Newtown Clinic , 62 Ville Road , Newtown.

In your answer:
• Expand the relevant notes into complete sentences.
• Do not use note form.
• Use the letter form.
The body of the letter should be approximately 180 – 200 words.