OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: MEDICINE

SAMPLE RESPONSE: LETTER OF REFERRAL

Dr Grantley Cross
Consultant Endocrinologist
City Hospital
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Newtown

24 February 2018

Dear Dr Cross,

Re: Brett Collister

DOB: 21 December 1973

Thank you for seeing Mr Brett Collister, a patient at this practice, who presented today complaining of
sore eyes and worsening vision. I am concerned that he has been experiencing symptoms consistent
with Type 2 diabetes.

Mr Collister has had several infections in the past. On 4 February 2018, he presented with low blood
pressure (108/61), fatigue, intermittent dizziness (possibly orthostatic hypotension) and sore eyes. As a
result, I organised blood tests. The results showed elevated readings in random glucose, fasting glucose
and HbA1c levels, which are also consistent with Type 2 diabetes.

Mr Collister is overweight (BMI 28.4) and his hobbies are mainly sedentary. He has been seeing a
physiotherapist for an exercise program and management of his shoulder and knee. However, he has not
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Mr Collister has no known allergies and he contracted infectious mononucleosis in 2006.

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and, if appropriate, recommend a management plan.

Yours sincerely,

Doctor

74 PRACTICE TEST 1