OET WRITING

SAMPLE & CASE NOTES

© E2 TEST PREP 2024

 Sample OET Letter
Ms Emily Carter
Consultant Physiotherapist
Lifestyle Physio
255 Commercial Rd
Merton

17/09/2023

Re: Mr John Smith, DOB: 20/11/1977

Dear Ms Carter,

I am writing to refer Mr John Smith, who has chronic lower back pain, for physiothera-
py and advice on lifestyle modifications.

Mr Smith has had fluctuating back pain for 12 months. He describes the pain as dull
and aching, of moderate intensity, mainly in the lumbar region. The pain is aggravated
when sitting or standing for long periods but does not radiate to the lower limbs. Mr
Smith has been taking OTC pain relievers which have not been effective.

An X-ray of the lumbar spine showed mild degenerative changes in the vertebrae. Mr
Smith has no history of trauma or recent heavy lifting. As an office manager, he sits for
most of his time at work and generally has a sedentary lifestyle.

Mr Smith’s management plan will comprise physiotherapy and posture correction as

well as an appropriate diet to promote weight loss. His workplace will be ergonomically
assessed for any necessary modifications. A short course of NSAID will be consid-
ered, and a future referral to the pain clinic might be necessary if the symptoms persist
despite conservative management. A follow-up appointment is scheduled in 4 weeks’
time.

I would be grateful if you could commence a physiotherapy programme for Mr Smith,

with appointments twice a week for the next month. In addition, please advise him on
better posture for both standing and sitting, as well as adopting a more active lifestyle.

Please do not hesitate to contact me if you have any questions.

Yours sincerely,
Doctor

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 Extra Practice Case Notes
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:

Assume that today’s date is 22 April.

You are a family doctor treating a female patient who has been registered at your general
practice for the past 10 years.

PATIENT DETAILS:

Name: Ms
Ms Helen
Helen Brown
Brown
DOB: 11/02/1982
11/02/1982
Address: 23 Fletcher
23 Fletcher Street,
Street, Newbury
Newbury

Social background: Human resources

Human resources manager
manager (long
(long hours,
hours, stressful)
stressful)
Married (husband = 45 y.o. accountant)
Married (husband = 45 y.o. accountant)
22 children
children (13
(13 y.o
y.o boy,
boy, 11
11 y.o.
y.o. girl)
girl)
Non-smoker
Non-smoker
Alcoholintake:
Alcohol intake:approx.
approx.10 10units/wk
units/wk(usually
(usuallywine)
wine)
Interests: cooking,
Interests: cooking, travelling,
travelling, reading
reading
Exercise: dog walks daily, yoga 22 x/wk
Exercise: dog walks daily, yoga x/wk

Allergies: Gluten(managed
Gluten (managedw.
w.gluten-free
gluten-freediet)
diet)

Family history: Father––died

Father died60
60y.o.
y.o.(heart
(heartattack)
attack)
Mother – long COVID (managed
Mother – long COVID (managed w. w.breathing
breathing exercises
& medication)
exercises & medication)

Medical history: Childhoodchickenpox

Childhood chickenpox
2019ER-positive
2019 ER-positivebreast
breastcancer
cancer
Pt. treated with chemotherapy, lumpectomy&&
Pt. treated with chemotherapy, lumpectomy
radiotherapy
radiotherapy
Tamoxifentaken
Tamoxifen takenfor
for4 4years
years(stopped
(stoppeddue
duetoto unfavourable
side effects) side effects)
unfavourable
2020early
2020 earlyonset
onsetmenopause
menopause
2020 & 2021 COVID-19
2020 & 2021 COVID-19

Current medications: Over-the-counteranalgesics

Over-the-counter analgesics(paracetamol
(paracetamol500mg
500mg2 2
tablets
tablets 4x/day)
4x/day)

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 Practice Case Notes (Continued)
April 01: Presenting complaint: persistent neck pain (last 2 months)
Condition: dull, localised to right side of neck, no radiation
to upper extremities
Cause/Trigger: aggravated by neck movements
Treatment: over-the-counter analgesics (not responsive)
Examination: no palpable masses / lymphadenopathy in
breast / axillary region, no neurological deficits observed,
limited range of head rotation due to pain
Discussion: explained possible metastasis of breast cancer
to spine
Investigation: X-ray of cervical spine ordered

21 April: X-ray results: no significant abnormalities

Condition: reported ↑ neck pain w. clicking on movement
Treatment: prescribed short-term analgesics for pain
management

Plan: referral to oncology specialist for further evaluation

(e.g. bone scan to investigate for metastatic lesions),
arrange follow-up appointment to discuss specialist
recommendations & adjust management plan

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 Writing Task:

Using the information in the case notes, write a letter of referral to Dr Johnson, on-
cologist, summarising Ms Brown’s relevant medical history, outlining your concerns
and requesting further investigation and management. Address the letter to Dr Emma
Johnson, Oncologist, Newbury Hospital, 54 Duke Street, Newbury.

In your answer:
• Expand the relevant case notes into complete sentences
• Do not use note form
• Use letter format

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

Wrtite your letter below...

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Copyright C 2024 www.e2testprep.com - All rights reserved