Order of letters for correction :

1-Adam knowles

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2-Marjorie Jackson

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3-Karen Conway
4-Doris White
5-08/08/2020 Task - Sally Meadows

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6-Peter Ludovic
7-22/08/2020 Task - GP to GP
8-21/11/2020 Task - Jane Sheldon
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TEMPLATE SAMPLE 1
1 MEDSAMPLE04

WRITING SUB-TEST – TEST BOOKLET

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INSTRUCTIONS TO CANDIDATES
You must write your answer for the Writing sub-test in the Writing Answer Booklet.
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You must NOT remove OET material from the test room.
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www.occupationalenglishtest.org
© Cambridge Boxhill Language Assessment – ABN 51 988 559 414 (2020)
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:

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You are a GP in a city clinic. Mr Knowles is a new patient in your surgery.

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PATIENT DETAILS:
Name: Mr Adam Knowles
DOB: 22/08/1951 (age 68)

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Social background:
Married, two grown-up children
Recently retired management consultant
Physically active, plays tennis/walks dog
Non-smoker for past 10 years
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Social drinker
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Family history: Nil significant
Medical background:
Severe childhood eczema
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2008: gall bladder removed due to gallstones

History of depression past 4 years

Medication: 2016: started SSRI (fluoxetine)

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02.08.19
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Discussion: Heartburn/indigestion – OTC antacids – ineffective

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Pt concerned ?hernia

Objective exam: Full exam performed: NAD

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Wt: 94kg
Omeprazole PPI 20 mg 2x/day for 8wks
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Ordered FBC and liver function test

Review 4 wks
30.08.19 No improvement in reflux symptoms
Pt’s main concern is now back pain
New symptoms: diarrhoea, pale stools, abdominal pain on eating, fatigue
Wt Ô2kg since last appointment (now 92kg)
Abdomen tender on palpation, slightly swollen
Yellow discolouration skin and eyes

Pathology report:

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Bilirubin 9mg/dL (high)
Amylase 400 u/L (high)

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ALT 60 u/L (slightly high)
Albumin 6 g/dL (high)
Alkaline phosphatase 120 u/L (slightly high)

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Discussion: Discussion of examination findings and blood results with Pt

Plan: Urgent referral to gastroenterologist for assessment and endoscopy

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?Pancreatic malignancy – patient aware of possibility
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Writing Task:
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Using the information given in the case notes, write a letter of referral to Dr Desai, a gastroenterologist at City
Hospital, for assessment of Mr Knowles. Address the letter to Dr Dev Desai, Gastroenterologist, City Hospital,
Easton.
In your answer:
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● Expand the relevant notes into complete sentences

● Do not use note form
● Use letter format
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The body of the letter should be approximately 180–200 words.

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 Vi
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2

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150
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151
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 3

TIME ALLOWED: READING TIME: 5 MINUTES Task 23

WRITING TIME: 40 MINUTES

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

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Today's Date 15/3/17
Patient Details:

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Mrs Karen Conway
Age 32
Occupation: Solicitor

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Husband William - age 33 - Accountant
Karen: previous pregnancy 10 years ago, terminated. William does not know about this.
William: no previous pregnancies.
15/2/17
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Subjective
Karen reports:
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Neither she nor William has any significant medical problems.
Neither smokes
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William drinks quite heavily. Also travels regularly with his job.
Married for 3 years, and decided to try for a pregnancy in May 2014, when Karen stopped the
pill
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Was on Microgynon 30 for the previous 5 years.

Periods are regular
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No history of gynaecological problems, or sexually transmitted diseases.

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Objective
Karen overweight BMI 28
Pulse and BP normal
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Abdo exam normal

Vaginal examination normal
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Cervical smear taken

Assessment
Trying to conceive for only 18 months but Karen clearly anxious
Further investigation appropriate
Action Plan
Order blood tests to confirm that hormone levels are normal and that Karen is ovulating
Explain it is necessary to see her husband, William
Make a joint appointment
Note - Karen anxious that her history of a termination of pregnancy is not revealed to William.

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15/3/17

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Karen re-attends, accompanied by her husband William Conway.

Subjective

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Karen states recent home ovulation-prediction test showed positive- likely that she is
ovulating.
William has no significant medical problems
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Contrary to Karen’s opinion he states only drinks 10 units per week
William says works away from home approximately 2 weeks out of 4 - not concerned that
Karen hasn’t conceived -thinks they haven't been trying long enough.
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Not keen on being investigated
Objective
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Karen's baseline blood tests normal

Ovulation test borderline
Smear test result negative
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William refuses to be examined - doesn't think there is a problem.

Assessment
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Karen more anxious than before - wants to be referred to an infertility specialist. Her sister
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recently had IVF treatment.

William is quite reluctant.
Action Plan
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Suggest William do a semen analysis – pressured by Karen he agrees

Reassure Karen no obvious risk factors - not unusual to take up to 2 years to conceive
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Karen requests referral to fertility specialist, while waiting for semen analysis results
Give general advice regarding timing of intercourse
Suggest Karen lose some weight
Check Karen taking folic acid, 400 micrograms daily.
Writing Task:
You are Dr Claire Black, GP. Karen Conway has come to consult you as she and her husband have
been trying to conceive for about 18 months without success. She is becoming concerned that
there may be something wrong. Write the referral letter to Dr John Expert MBBS FRANZCOG,
Gynaecologist and IVF Specialist, St Mary's Infertility Centre, Wickham Terrace, Brisbane.

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In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form

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● Use correct letter format

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The body of your letter should be approximately 200 words. Use correct letter format.
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 4
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: MEDICINE
TIME ALLOWED: READING TIME : 5 MINUTES

WRITING TIME : 45 MINUTES

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

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Notes:
You are a plastic surgeon at Newtown Hospital. Doris White a 64 years woman.

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Patient: Doris White
Adress: 5 Woods St, Stillwater, Newtown city
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D.O.B. 01.04.1955
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Social history: lives alone with her cat
Independent use frame
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On social service registry ( for laundry and cleaning ) Good mental health
Past medical history: type 2 diabetes
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Chronic renal failure on regular haemodialysis Ischaemic heart disease ,

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hypertension
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Peripheral vascular disease , hyperpigmented skin area

Medications: Aspirin 75 mg once
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Atorvastatin 40 mg once
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Insulin 50 iu 2 times
Beta blockers 5mg 2 times
Linezolid 600mg
Nitroglycrin 4mg PND

Calcium 300 mg 2 times

Multivitamins 2 tablets

25/03/2019

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Hospital admission, neglected traumatic leg injury (slip in bathroom)
Treated with analgesics (paracetamol), antibiotic (amoxicillin) and topical

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pressure therapy

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10/04/2019
Unhealed wound , so surgical debridement done Ankle Brachial index = 60

17/04/2019
No improvement
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Skin graft with flap under general anaesthesia. 25/04/2019
Graft healing 40% ( with epithelium growth ) Wound is hyperbaric oxygen.
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ABI = 70

03/05/2019
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Graft healing 50%

Negative pressure dressings used.
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18/05/2019
Graft healing 70% ,so plan for discharge. ABI = 70
Plan : discharge
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Attach list of meds

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Writing task
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Using the information in the case notes, write a letter to Mrs Lucy Walters ,
a Community Nurse , requesting for wound dressing. Address the letter to
Mrs Lucy Walters, Newtown Nurse Clinic, 10 Stillwater St, Newtown.
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 5
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:

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You are a doctor in the Emergency Department. Mrs Meadows has been admitted due to suspected PE.

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PATIENT DETAILS:

Name: Mrs Sally Meadows

DOB: 33 years old

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Social background:
Married, two children
Occupation : Insurance broker

Family history:
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mother died of heart attack - Father: unknown history
Medical background:
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history of Crohn's disease.
gout
10/02/2017
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Subjective: diarrhea - blood in stool

abdominal pain

Objective: BP 90/60 - P 90 - Temp 37.5

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Tender abdomen - no rebound tenderness - no rigidity

Hospital admission
IV corticosteroids
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Discharged - dose of steroids

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15/08/2017 Attack of Crohn’s

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05/07/2019 Attack of Crohn’s

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 07/08/2020

Subjective: SOB attacks for 2 months, not with exercise

vomiting
general lassitude - lethargy
Feeling Fluttery and faint feeling (like low blood sugar)
trembling
HbA1c done several weeks: normal

Objective: BP 120/80 - P 75
chest x-ray: NAD

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Na, K

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Plan: Admission to ED
Overnight observation & investigations

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Assessment: likely endocrinal problem, related to Crohn's disease
auto-immune disease ??

08/08/2020 Plan : discharge to GP rA

refer to endocrine clinic for further assessment and management.
details of her app will send to her
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Writing Task:

Using the information given in the case notes, write a letter of discharge to Mrs Sally Meadows’ GP, notify her GP
the cause of your referral to endocrinologist. Address the letter to Dr Dev Desai, General practitioner, City
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Hospital, Easton.
In your answer:
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● Expand the relevant notes into complete sentences

● Do not use note form
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● Use letter format

The body of the letter should be approximately 180–200 words.

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 6

TIME ALLOWED: READING TIME: 5 MINUTES Task 18

WRITING TIME: 40 MINUTES

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

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notes:
Peter Ludovic, 8 years old

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22/12/06
Complains of sore throat. Mother reports fever, irritable.
Voice hoarse

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O/E:
enlarged tonsils, exudate
Tender, large cervical nodes
T 39.5°

Assessment: Tonsillitis
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Plan: Penicillin v 250mg qid 7 days
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15/01/07 Mrs.
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Ludovic reported son’s urine brown 4 days previously.

Says Peter is lethargic, no report of frequency, trauma or dysuria.
O/E: tonsillar hypertrophy
BP 90/60
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Urinalysis – macroscopic haematuria

Assessment:
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? post streptococcal nephritis

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? urinary tract infection

Plan:
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R/V 2 days
Fluids, rest
Tests:
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Full Blood Examination (FBE), urea and creatinine

[U&E], electrolytes, mid stream urine [MSU]
micro/culture/sensitivity [M/C/S], Antistreptolysin-O Titre [ASOT] and cell morphology
18/01/07
Peter asymptomatic
O/E: BP 110/90
macroscopic haematuria

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Test results:

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FBE normal
U&E↑
ASOT↑+++

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MSU – 4X 10 # RBC [red blood cells ] of renal origin

Assessment:
post streptococcal nephritis with early renal failure

Plan: Refer to paediatrician

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WRITING TASK
Using the information in the case notes, write a letter of referral to Dr Xavier Flannery, a
paediatrician at 567 Church St Springvale 3171.
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In your answer:
● Expand the relevant case notes into complete sentences
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● Do not use note form

● Use correct letter format
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The body of your letter should be approximately 200 words. Use correct letter format.
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TEMPLATE SAMPLE 1
7

WRITING SUB-TEST – TEST BOOKLET

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Dr Ashgan,
I would like to express my thanks to:

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Dr Wesam, for her great efforts.

Dr Iman.

Dr Munir.
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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.
y
or
ct
Vi
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:

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You are a GP in a Newtown City Clinic. Mrs Karen Jackson is your patient for 10 years. Now

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they are planning for moving to Park Ville.
PATIENT DETAILS:
Name: Mrs Karen Jackson

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Age: 36 years

Patient history:
occupation - hairdresser salon manager.
married - has 1 child ( 28 months daughter )
non-smoker.
drinks alcohol. not during pregnancy
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participates in recreational sports.
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BMI: normal

Family history:
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father - died at age 70, cancer. mother -

HTN
brother - diabetes mellitus
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Medical History:

1998:
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painful period till first miscarriage.

1999:
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clavicle fracture.
April 2008:
first miscarriage on 9 week.
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August 2008:
second miscarriage on 10 week.
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July 2018:
daughter born after long labor
( Episiotomy - forceps delivery )
normal weight
gestational diabetes.
July 2018 to June 2019:
mild anxiety
pt refuse medications ( due to breast feeding )
anxiety improved when baby started sleeping 6 hr/night

01/08/2020:
mild anxiety
pt refuse medications also
planning for another child
counselled, lifestyle changes - pt refuse

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10/08/2020:
confirmed pregnancy
anxious - how to cope with baby

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22/08/2020:
anxiety - due to moving to Park Ville
anxious reg loss her work, family, relatives
Poor sleep, poor appetite
pregnancy w/o complication
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pt requested home delivery - not recommended due to previous pregnancy complications
taking OTC multivitamins to prevent miscarriage
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Writing Task:
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Using the information given in the case notes, write a letter of referral to patient’s new GP in

Park Ville, mentioning her relevant medical history and request further management for her
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anxiety. Address the letter to Dr Dev Desai, General practitioner, Park Ville.

In your answer:
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● Expand the relevant notes into complete sentences

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● Do not use note form

● Use letter format

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The body of the letter should be approximately 180–200 words.

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TEMPLATE SAMPLE 1
8

WRITING SUB-TEST – TEST BOOKLET

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Dr Ashgan,

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I would like to express my thanks to:

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Dr Mohammad S

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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.
y
or
ct
Vi
 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:

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ga
You are a GP in the Newtown Clinic, Mrs Jane Sheldon is a patient at your general
practice.
PATIENT DETAILS:
Name: Mrs Jane Sheldon

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AGE: 31/07/1969 - 71 years old

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Patient history: occupation - primary school teacher - retired early at 50.
married - has 3 children ( 30-34-37).
lives with husband.
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Non-compliant with medications
Missed appointments at her GP
BMI 22
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non-alcohol drinker
non-smoker

Family history: Father: Depression from war - ex soldier

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Mother: myocardial infarction

Medical history: Arrhythmia - Atenolol
Bipolar depression - Lithium
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31/10/2020:

Subjective: Muscle cramps - muscle pain - muscle spasm

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Dry, scaly skin

Brittle nail
Sensitivity to cold
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Weight gain: BMI 24.8

Carpal tunnel syndrome:
numbness , intermittent pain in both hands
pain worse at night

Her symptoms started 3 years ago

Plan: Order: Thyroid function tests

Routine blood investigations

review after 2 weeks

 14/11/2020 no anaemia

21/11/2020 Generalized body weakness - not refreshing by sleep

TSH high - T3 and T4 low

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Assessment: Hypothyroidism

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Plan: Levothyroxine was suggested - possible interaction with Lithium
She needs reassurance
patient anxious for taking more medications ( possible side effects )

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Refer to an endecrinologist .

Writing Task:
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Using the information given in the case notes, write a letter of referral to Dr Wallace. Write the
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relevant history and advise regarding the management and medications. Address the letter to Dr
Tim Wallace, Endecrinologist , Newtown Hospital, Newtown.

In your answer:
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● Expand the relevant notes into complete sentences

● Do not use note form
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● Use letter format

or

The body of the letter should be approximately 180–200 words.

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Best Wishes,

Dr Ashgan