WRITING TEST 11

Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Name of the Patient: Martha Julian

Age: 72 years old.

Telephone number: +61 2 7024 3219

Social History: Lives alone

No Children
Her neighbor, Marello, visit her house often

Hx: Bilateral lower extremity edema cellulitis of lower extremities

Renal insufficiency
Hypercholesterolemia and obesity
Incontinence of bladder & bowel at times
HTN
Venous stasis
Ambulates and transfers independently with walker

Recommended: Due to her weakness and limited physical abilities, personal care is
recommended.

Discharged Date: Discharged from the hospital on the 29th of September, 2009

Patient requested for home care services

WRITING TASK:

agency to
provide health care services to the patient.

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.

END OF WRITING TEST 11

WRITING TEST 12
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Hospital: St. Mary Hospital

Patient Details

Name of the Patient: Ronald Davis

Age: 57

Height:

Weight: 153 lbs.

Telephone number: +61 8 9242 5660

Social History: Lives with his wife and son

Speaks only German (son acts as an interpreter)

Address for correspondence: 1/1 Baden St, Osborne Park WA, Australia

Patient Medical History

Hx: Early dementia (as per his MD, it is progressing fast) (2007).
BP (2009)
Sugar (2009)
Obesity, HTN, DJD and depression
 Allergic to PCN
Ambulates with a cane and contact guard
Active at night and wants to sleep during the day

Admitted: Admitted on 2nd April, 2011 due to complaints of high fever and body pain,
headaches, discomfort, poor appetite.

BP noted was 170/110 mm Hg

Sugar: Normal

Prescription: Paracetamol (500 mg) / 3 times in a day

Acetaminophen 500 mg (recommended if there is more pain)

WRITING TASK:

Using the information in the case notes, write a letter to Dr. Marshall Daniel, 435
Fitzgerald St, North Perth WA, Australia, who will be taking care of the patient after
discharge from the hospital where you are working.

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.

END OF WRITING TEST 12

WRITING TEST 13
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Hospital: Bloombay Hospital

Patient Details

Name of the Patient: Agnes Moore

Age: 53

Height:

Weight: 140 lbs.

Telephone number: +61 2 9126 9264

Social History: Husband is retired

One daughter (married and settled in London)

Address for correspondence: 1/11-13 Albany St, St Leonards NSW, Australia.

Patient Medical History

Dx: Hypertension and diabetes (diagnosed on May 12, 1993)

Peripheral Artery Disease of the Legs (December, 2003)
Left foot turns out on ambulation (her husband stated that she has a weak ankle
and chronic burning pain in it)
Admitted: Admitted on 2nd April, 2011 due to problems with breathing

BP was noted as 170/110 mm Hg

Lisinopril was given

Condition was noted as stable (needs regular check-ups)

Tests conducted: urine test & blood test (normal)

Medical Course: Recommended the same prescription that the patient was using for
Hypertension / Diabetes

WRITING TASK:

Using the information in the case notes, write a letter to Dr. Ferret Meynell, 38
Pacific Hwy, St Leonards NSW, Australia, explaining the condition of the patient in
detail and highlighting the medication and care which is required.

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.

END OF WRITING TEST 13

WRITING TEST 14
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Hospital: Mount Lawley Private Hospital

Patient Details

Name of the Patient: Charles Gardiner

Age: 63

Height:

Weight: 177 lbs.

Telephone number: +61 8 9240 1108

Social History: Lives with his son

Son provides 24-hour supervision and is the primary care-giver.
Smokes

Address for correspondence: 7 Cressall Road, Balcatta WA, Australia.

General Conditions
Sensory vision WNL with glasses
Somewhat hard of hearing
Speech is clear with mild dysphasia
Ambulates with a cane or rolling walker independently
Sometimes needs supervision or contact guard on the stairs
Transfers independently
Continent of bowel, incontinent of bladder
Wears disposable undergarments

Medical History:

12th November, 2010:

Diagnosed to have high BP

17th October, 2011:

Presenting symptoms:

Pain, aches, discomfort and tightness across the front of the chest

BP noted as 170/110 mm Hg

Myocardial perfusion scintigraphy confirmed the diagnosis of angina

Operation performed on 25th of October 2011.

WRITING TASK:

Using the information in the case notes, write a letter to Dr. Kelly Fernandez, 148
Douglas Ave, South Perth WA, Australia, who wanted you to provide all the details about
the patient before taking the patient into his care.

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.

END OF WRITING TEST 14

WRITING TEST 15
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

You are D N Martha, a senior nurse, working with New Horizons Health Care
Agency. Sandra Cambell is a patient. Read the case notes below and complete the
writing task which follows.

Name: Sandra Cambell

Date of Birth: 14 July, 1973.

Address for correspondence: 1/896 Albany Hwy, East Victoria Park WA, Australia.

Contact number: +61 8 6500 0785

Social Background:

Lives with her husband who is a retired professor

Used to work as a consultant

Two children They both live in London

Past medical history: Hypertension

Chief Complaint: Headache
Headache began 3 weeks ago (it has occurred episodically since then)
Pounding in quality, localized to both frontal areas
Not associated with nausea, vomiting, or light-sensitivity
Relieved by over-the-counter analgesics
No changes in her vision
No previous history of similar headaches
No family history of intractable headaches
Suffered two episodes of impaired consciousness (over the last 3 weeks), one while
cooking (approximately 14 days ago) and the other while driving (just three days ago)
No jerking of the limbs or incontinence was observed

Physical examination:

Vital Signs T: 97.1 P: 80 R: 20 BP: 157/77

General physical exam: Normal. Neck: supple.

Neurological exam:

Visual acuity: OS 20/25; OD 20/30

Motor: Normal muscle tone and strength, all muscles tested
Funduscopy: Bilateral papilledema, L retinal hemorrhage
MMSE: 28/30.
CN: PERRL, EOMI, Visual fields full to confrontation.
Sensory: Normal.
Babinski's sign: Negative.
Coordination: Normal.
DTRs: Brisk and symmetrical throughout.
Station and gait: Normal.

Laboratory studies:

Toxicology screen, electrolytes, and ECG were normal.

Head CT: Normal.
Head MRI: No ventricular enlargement.
EEG: Normal
Course of illness:

Tramadol (Ultram®) for pain

Amlodipine (Norvasc®) (for high BP)
A lumbar puncture was done: opening pressure was greater than 450 mm of water.
Cell counts were WBC 213 RBC 46. Differential: segs 1 bands 0 lymphs 81 monos 18.
Protein75. Glucose 24
CSF cryptococcal antigen was positive.

WRITING TASK:

Using the information in the case notes, write a letter to the senior doctor, Henry Davies
at Royal Perth Hospital, 56 Churchill Ave, Subiaco WA, Australia, stating
all the details about the patient and requesting for him to look into the case.

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.

END OF WRITING TEST 15