OET Writing Sample 02

Writing sub-test
Dentistry
Sample Test
Please print in BLOCK LETTERS
Candidate number – –
Family name
Other name(s)
City
Date of test
Candidate’s signature
YOU MUST NOT REMOVE OET MATERIAL FROM THE TEST ROOM
The OET Centre

GPO Box 372 Telephone: +613 8656 4000
Melbourne VIC 3001 Facsimile: +613 8656 4020
Australia www.occupationalenglishtest.org
© Cambridge Boxhill Language Assessment – Sample Test (2014) ABN 51 988 559 414
OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: DENTISTRY
TIME ALLOWED: READING TIME: 5 MINUTES

WRITING TIME: 40 MINUTES
Read the case notes below and complete the writing task which follows.
Notes:
Patient: Ms Taylor Hawking (DOB: 24.03.95)
112 High Street
Greenville
Reason for Presenting: Dissatisfied with appearance

Rotation of 13 and 23
Left drifting of lower midline
Medical History: Allergic to penicillin, allergic to peanuts, asthma
Current Medication: Ventolin inhaler p.r.n.

Carries EpiPen
Family and Social History: University student

Lives at home with parents, 2 siblings
Examination: All teeth present in both arches

DO composite 23
MO amalgams 16, 17
Occ amalgam 25
Treatment Record:
31.03.11 Exam: L & R bite-wing (BW) radiographs & OPG. Digital photographs.
Occlusal decay detected on BW 26, 27, 36, 37, 46 & 47.
Calculus lower anterior teeth.
Treatment required: restoration of teeth 26, 27, 36, 37, 46 & 47 and prophylaxis.
Appointments scheduled.
08.04.11 LA right mandibular block lignocaine with adrenaline 2% 2ml.

47 Occ and 46 Occ very deep decay.
Fuji VII base & composite Heliomolar shade A3.
15.04.11 LA left mandibular block lignocaine with adrenaline 2% 2ml.

36 Occ and 37 Occ deep cavities.
Fuji VII base & composite Heliomolar shade A3.
22.04.11 LA buccal infiltration lignocaine with adrenaline 2% 3ml.

26 Occ and 27 Occ cavity within enamel bonded composite A3 & scale with
ultrasonic and hand scalers lower ant teeth.
09.12.11 Exam: no obvious decay. Soft tissue exam OK. Minimal recession. Small amount
lingual anterior calculus.
Treatment: scale, clean, floss & polish.
TURN OVER 2
05.07.12 Exam: no obvious decay. Soft tissue exam OK. Minimal recession. Small amount
lingual anterior calculus.
Treatment: scale, clean, floss & polish.
27.07.12 Emergency exam: 38, erupting pericoronitis.

Irrigate hydrogen peroxide.
Refer for OPG.
Prescribed Doxycycline tab 100mg daily and Metronidazole tab 200mg t.i.d.
Chlorhexidine mouth wash (antibacterial mouthwash). Review condition in 2 weeks.
Reassess status of wisdom teeth as to whether they require extraction.
09.08.12 Reviewed 38, pericoronitis resolved.

Arrange convenient time to have wisdom teeth extracted.
01.05.13 Recall examination.

No obvious decay. Wisdom teeth settled no further problems.
Soft tissue exam OK.
Minimal recession detected. Calculus lower ant lingually.
Treatment: oral hygiene instruction and showed how to effectively use floss. Scale,
(ultra sonic and hand), floss and prophy.
10.02.14 Recall examination.

Patient concerned about “ugly appearance” of smile.
O/E: teeth 13 and 23 rotated. Upper and lower crowding.
Lower midline displaced to left 5mm.
Refer for OPG.
Treatment: possible extraction of teeth in both arches, refer to orthodontic
assessment before definitive treatment (inc. fixed appliance therapy).
To write referral letter to orthodontist. Patient to take OPG.
Writing Task:
Using the information given in the case notes, write a letter of referral to the orthodontist, Dr Peter Rosenberg,
48 Crown Avenue, Stillwater.
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.
3
WRITING SUB-TEST: DENTISTRY
SAMPLE RESPONSE: LETTER OF REFERRAL
Dr Peter Rosenberg
Orthodontist
48 Crown Avenue
Stillwater
10 February, 2014
Dear Dr Rosenberg,
Re: Ms Taylor Hawking, DOB 24/03/95.
Thank you for seeing 19-year-old Ms Taylor Hawking.

I saw her for a recall examination on 10 February 2014 and she was concerned about the “ugly appearance”
of her smile and would like to explore possible treatment options.
Ms Hawking has her entire permanent dentition with all teeth present in both arches. She has upper and lower
crowding and the rotated upper canine teeth are of particular concern.
Her dental history is unremarkable, except that 38, when erupting, had pericoronitis and required emergency
treatment with antibiotic therapy and antibacterial mouthwash on 27/07/12.
Ms Hawking has allergies to penicillin and peanuts, for which she carries an EpiPen. She is also asthmatic,
which is controlled with Ventolin inhaler as required. She does not take preventative medication for her
asthma.
I would be most grateful if you could assess Ms Hawking and explore the orthodontic treatment options with
her. An OPG has been sent with the patient.
Please do not hesitate to contact me if you require any further information.
Yours sincerely,
Dentist
4
Writing sub-test
Dietetics
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: DIETETICS

Notes:
Name: Dean Jones
DOB: 30/12/71
Medical History: Hypercholesterolaemia
Social History: Job: airline industry – catering dept. Shift work – 5am some days/7pm other days.
Varies week-week, little notice given.
Lives alone – prepares own meals, does not enjoy cooking, ltd cooking skills. Not
interested in food, had difficulty recalling recent diet.
12/01/14 Referred by Dr Barnstaple; nutritional assessment & mgt of Wt and

hypercholesterolaemia.
Examination: Wt: 86.8kg

Ht: 168cm
BMI: 30.8 (RR 20-25)
Waist: 102cm (Target < 95cm)
Lipids: Cholesterol 6.1mmol/L (RR: < 5.5mmol/L)
Lipid fractions N/A
Exercise: V. active in past – gym and jogging.

Nil exercise in last few months – no motivation.
Now has 1 month off work – plans to rtn to gym + mates from work.
Dietary Intake: Usually nil for breakfast.

When arrives at work (early shift) – toasted sandwich (white bread), ham & cheese.
Drinks 3-4 coffees, 2 sugars + full cream milk during morning.
Lunch
From staff cafeteria – food choices include:
Hot chips
Pies/pasties
Pasta dishes (with cream sauce)
Soft drink with lunch
TURN OVER 2
Afternoon
Biscuits & cheese/nothing
Dinner
Take-away/very simple meals: e.g., fried eggs (2), toast (white bread)/instant noodles/
burger (1/4-pounder + cheese) and fries/fied rice/beef noodle dish (local Chinese
restaurant)
After dinner
Chips (plain or corn chips), soft drink can
Assessment: Dietary intake pattern irregular, often skips meals (esp b/fast). Dietary quality poor, ltd
fresh fruit/veg, ltd intake wholegrain cereals. Fat, sugar & sodium intake excessive.
Management: Advised regular meals & snacks, fresh fruit, veg & salads daily, wholegrains,
unsweetened drinks/water. Sample menu provided. Exercise to be resumed.
R/V 1/12
10/2/14 Lost 1.5kg, 2cm at waist. Enjoying regular gym. Meals more reg, esp b/fast. Eating fruit
daily, cooking in evenings, e.g., frozen meals, veg 3/7 at least. Mood, energy levels
improved.
R/V 2/12 after next blood tests. Continue with improvements.
Writing Task:
Using the information in the case notes, write a letter back to the referring doctor describing the situation.
Address your letter to Dr Eva Barnstaple, 45 Cameron Street, Newtown.
In your answer:
3
WRITING SUB-TEST: DIETETICS
SAMPLE RESPONSE: LETTER
Dr Eva Barnstaple
45 Cameron St
Newtown
10 February 2014
Dear Dr Barnstaple,
Re: Dean Jones, DOB 30/12/71
Thank you for referring this patient for nutritional assessment and management of weight and
hypercholesterolaemia.
At his first visit on 12/01/14, Mr Jones was slightly over-weight, with a Body Mass Index of 30.8 and
waist 7cm above the ideal. His total cholesterol levels were high at 6.1 mmol/L (reference range less than
5.5mmol/L).
Mr Jones’ dietary pattern was irregular, especially regarding breakfast. His diet was high in sugar, fat and
sodium. He consumed limited fresh fruit and vegetables. His level of exercise had recently been low.
He was advised to eat more regularly, especially breakfast, and to increase fresh fruit, vegetables, whole
grains and unsweetened drinks or water. He was given a sample menu. He agreed to start exercising
again.
On review today, his diet has improved considerably. He is eating fruit daily and fresh vegetables at least
three times a week. He is cooking for himself or heating frozen meals in the evenings. He is again enjoying
regular exercise at the gym. He has lost 1.5kg and 2cm around the waist. His mood and energy levels have
also improved. I have scheduled another review for two months time and I would expect to see continued
improvements.
Please do not hesitate to contact me should you need further information.
Yours sincerely,
Dietitian
4
Writing sub-test
Medicine
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: MEDICINE

Notes:
Patient: Mrs Priya Sharma

DOB: 08.05.53 (Age 60)
Residence: 71 Seaside Street, Newtown
Social Background: Married 40 years – 3 adult children, 5 grandchildren (overseas). Retired (clerical worker).
Family History: Many relatives with type 2 diabetes (NIDDM)

Nil else significant
Medical History: 1994 – NIDDM

Nil significant, no operations
Allergic to penicillin
Menopause 12 yrs
Never smoked, nil alcohol
No formal exercise
Current Drugs: Metformin 500mg 2 nocte

Glipizide 5mg 2 mane
No other prescribed, OTC, or recreational
29/12/13
Discussion: Concerned that her glucose levels are not well enough controlled – checks levels often
(worried?)
Attends health centre – feels not taking her concerns seriously
Recent blood sugar levels (BSL) 6-18
Checks BP at home
Last eye check October 2012 – OK
Wt steady, BMI 24
App good, good diet
Bowels normal, micturition normal
O/E: Full physical exam: NAD

BP 155/100
No peripheral neuropathy; pelvic exam not performed
Pathology requested: FBE, U&Es, creatinine, LFTs, full lipid profile, HbA1c
Medication added: candesartan (Atacand) tab 4mg 1 mane
Review 2 weeks
TURN OVER 2
05/01/14 Pathology report received:
FBE, U&Es, creatinine, LFTs in normal range
GFR > 60ml/min
HbA1c 10% (very poor control)
Lipids: Chol 6.2 (high), Trig 2.4, LDLC 3.7
12/01/14 Review of pathology results with Pt

Changes in medication recommended
Metformin regime changed from 2 nocte to 1 b.d.
Atorvastatin (Lipitor) 20mg 1 mane added
Glipizide 5mg 2 mane
Review 2 weeks
30/01/14 Home BP in range

Sugars improved
Pathology requested: fasting lipids, full profile
06/02/14 Pathology report received: Chol 3.2, Trig 1.7, LDLC 1.1
10/02/14 Pathology report reviewed with Mrs Sharma

Fasting sugar usually in 16+ (high) range
Other blood sugars 7-8
Refer to specialist at Diabetes Unit for further management of sugar levels
Writing Task:
Using the information in the case notes, write a letter of referral to Dr Smith, an endocrinologist at City
Hospital, for further management of Mrs Sharma’s sugar levels. Address the letter to Dr Lisa Smith,
Endocrinologist, City Hospital, Newtown.
In your answer:
3
WRITING SUB-TEST: MEDICINE
Dr Lisa Smith
Endocrinologist
City Hospital
Newtown
10 February 2014
Dear Dr Smith,
Re: Mrs Priya Sharma

71 Seaside Street, Newtown
DOB 08.05.53
Thank you for seeing Mrs Priya Sharma, a type 2 diabetic. I would be grateful if you would assist with her
blood sugar control.
Mrs Sharma is 60 years old and has a strong family history of diabetes. She was diagnosed with NIDDM in
1994 and has been successfully monitoring her BP and sugar levels at home since then. She first attended my
surgery on 29/12/13 as she was concerned that her blood sugar levels were no longer well controlled.
On initial presentation her BP was 155/100 and she said that her blood sugars were running between 6 and
18. Her medication at that time was metformin 500mg x2 nocte and glipizide 5mg x2 mane.
Mrs Sharma is allergic to penicillin. A pathology report on 05/01/2014 showed HbA1c levels of 10% and GFR
greater than 60ml/min. Her cholesterol was high (6.2).
On 29/12/13, I instituted Atacand 4mg, 1 tablet each morning. Since then her home-monitored BP has been
within range. On 12/01/14, I also prescribed Lipitor 20mg daily, and her lipids have improved, with cholesterol
falling from 6.2 to 3.2.
Mrs Sharma reports that her fasting BSL is in the 16+ range (other blood sugars are 7-8). I am concerned
about her fasting blood sugars, which remain high, and would appreciate your advice.
Yours sincerely,
Doctor
4

Ms Georgine Ponsford,
Resident Community Nurse,
Community Retirement Home
103 Light Street, Newtown
(Today’s date)
Dear Ms Ponsford,
RE: Mr Lionel Ramamurthy, aged 63 years
Mr Ramamurthy will be discharged tomorrow (11/2) from Newtown Public

Hospital back into your care following a bout of pneumonia. He was
admitted with acute SOB, wheezing, painful coughing, fever, sleeplessness
and general aches, and was hospitalised for seven days.
You’ll be glad to know that Mr Ramamurthy has made good progress

overall and is no longer feverish with his inflammatory markers having
normalised. He does, however, still have a dry cough. In addition, his
mobility has improved; he can now walk short distances without his
walking frame as well as use the shower and toilet independently.
Please make sure Mr Ramamurthy sits up as much as possible to ensure

postural drainage. In addition, he will need to continue his deep breathing
and coughing exercises (he may also need paracetamol for his chest and
abdominal pain).
Mr Ramamurthy will also need to be kept warm and encouraged to drink

plenty of fluids during his recovery period. His diet will also need to be
monitored as he did gain some weight during his stay.
If you have any questions, please do not hesitate to contact me.
Yours sincerely,
Charge Nurse

Writing sub-test
Nursing
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: NURSING
Notes:
Mr Lionel Ramamurthy, a 63-year-old, is a patient in the medical ward of which you are Charge Nurse.
Hospital: Newtown Public Hospital, 41 Main Street, Newtown
Patient details
Name: Lionel Ramamurthy (Mr)
Marital status: Widowed – spouse dec. 6 mths
Residence: Community Retirement Home, Newtown
Next of kin: Jake, engineer (37, married, 3 children <10)

Sean, teacher (30, married, working overseas, 1 infant)
Admission date: 04 February 2014
Discharge date: 11 February 2014
Diagnosis: Pneumonia
Past medical history: Osteoarthritis (mainly fingers) – Voltaren

Eyesight due to cataracts removed 16 mths ago – needs check-up
Social background: Retired school teacher (history, maths). Financially independent. Lonely since wife
died. Weight loss – associated with poor diet.
Medical background: Admitted with pneumonia – acute shortness of breath (SOB), inspiratory and
expiratory wheezing, persistent cough ( chest & abdominal pain), fever, rigors,
sleeplessness, generalised ache.
On admission – mobilising with pick-up frame, assist with ADLs
(e.g., showering, dressing, etc.), very weak, ambulating only short distances with
increasing shortness of breath on exertion (SOBOE).
TURN OVER 2
Medical progress: Afebrile.
Inflammatory markers back to normal.
Slow but independent walk & shower/toilet.
Dry cough, some chest & abdom. pain.
Weight gain post r/v by dietitian.
Nursing management: Encourage oral fluids, proper nutrition.

Ambulant as per physio r/v.
Encourage chest physio (deep breathing & coughing exercises).
Sitting preferred to lying down to ensure postural drainage.
Assessment: Good progress overall
Discharge plan: Paracetamol if necessary for chest/abdom. pain.

Keep warm.
Good nutrition – fluids, eggs, fruit, veg (needs help monitoring diet).
Writing Task:
Using the information given in the case notes, write a discharge letter to Ms Georgine Ponsford, Resident
Community Nurse at the Community Retirement Home, 103 Light Street, Newtown. This letter will accompany
Mr Ramamurthy back to the retirement home upon his discharge tomorrow.
In your answer:
3
WRITING SUB-TEST: NURSING
SAMPLE RESPONSE: LETTER OF DISCHARGE
Ms Georgine Ponsford
Resident Community Nurse
Community Retirement Home
103 Light Street
Newtown
10 February 2014
Dear Ms Ponsford,
Re: Lionel Ramamurthy (aged 63), for discharge from Newtown Public Hospital on 11 February 2014
Mr Lionel Ramamurthy was admitted on 4 February 2014 having contracted pneumonia. He is now ready
for discharge back into your care.
On admission, he was experiencing fevers and rigors. He suffered dyspnoea, wheezing and sleeplessness.
He had chest and abdominal pain due to prolonged persistent coughing.
After a week in hospital, he has stabilised and his breathing problems are now resolved. However, he
still experiences some chest and abdominal pain, with a dry cough. His nursing management in hospital
initially consisted of a walking frame and assistance with showering and dressing. Mr Ramamurthy is now
more independent. He is also able to walk about slowly without assistance, and shower and use the toilet
independently.
Mr Ramamurthy is on Voltaren for osteoarthritis. Paracetamol may be administered as needed if chest and
abdominal pain persists and he should be kept warm. Please encourage oral fluids, and ensure that he sits
up, rather than lies down, whenever possible to ensure postural drainage. He should ambulate regularly,
and continue with deep breathing and coughing exercises.
Mr Ramamurthy was very weak on admission to hospital, but has gained weight with dietitian input. He will
need ongoing monitoring of his diet to maintain a healthy BMI.
If you have any queries, please contact me.
Yours sincerely,
Charge Nurse
4
Writing sub-test
Occupational Therapy
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: OCCUPATIONAL THERAPY

Notes:
You are an occupational therapist working on an orthopaedic ward in an acute hospital. The following client,
who was admitted five weeks ago, is due to be discharged to a rehabilitation centre tomorrow.
Patient Details: Jack Spencer (Mr)

234 High Street
Oldmeadows
DOB: 10/10/51
Medical Presentation: Presented at casualty w. neighbour 5 weeks ago:

Admitted to hospital with L fractured humerus & olecranon process following fall at
home. Surgery completed on olecranon process, screw inserted 4 wks ago. Plaster
fitted.
Past Medical History: Rheumatoid arthritis bilaterally in hands

Fractured femur 2004
Tonsillectomy 1960
Social History: Resides in own home alone

Wife died 4 yrs ago
4 independent children (live in other states)
8 grandchildren
Retired carpenter
Receives pension from superannuation
Hobbies and Interests: Plays bowls 2x wkly

Involved in local community club
Enjoys outings w. friends
Gardening
Enjoys radio, TV
TURN OVER 2
Therapy: Under surgeon’s recommendation: Pt was not to mobilise L arm until last wk when
plaster removed.
Daily therapy approx. 20 mins to mobilise arm within pain limits, over past wk.
Motivated to be independent again.
Activities of Daily Living:

Dressing: independent except buttons. Previously independent.
Showering: minimal assistance w. bathing & drying. Previously independent.
Has bath only.
Grooming: independent.
Cooking: yet to be assessed. Previously cooked all meals.
Cleaning: not assessed. Previously received home help for all cleaning.
Banking: not assessed. Previously independent. Writes and signs banking slips
w. L hand.
Shopping: not assessed. Previously independent.
Driving: has driver’s licence. Previously drove manual transmission car.
Writing Task:
Using the information given in the case notes, write a letter to the Occupational Therapist at the Oldmeadows
Extended Care Centre, 13 River Street, Oldmeadows, where Mr Spencer is to be discharged, detailing his
treatment to date and other information the therapist may need.
In your answer:
3
WRITING SUB-TEST: OCCUPATIONAL THERAPY
SAMPLE RESPONSE: LETTER OF DISCHARGE
Occupational Therapist
Oldmeadows Extended Care Centre
13 River Street
Oldmeadows
10 February 2014
Dear Occupational Therapist,
Please accept the following discharge summary for:
Jack Spencer
234 High Street
Oldmeadows
DOB: 10/10/51
Mr Spencer has been a patient at this hospital for the past five weeks and will be discharged tomorrow.
He had a fall at home and sustained a fracture to the left humerus and olecranon process. Surgery was
completed four weeks ago; screws were inserted to strengthen the olecranon process and plaster was
fitted. Under the surgeon’s instructions, Mr Spencer had had to keep his limb immobile until the plaster was
removed last week. Since then, upper limb therapy has involved mobilisation of the limb within pain limits for
approximately twenty minutes every day.
Mr Spencer is 62 years old and lives alone in his own home. He is a retired carpenter who is involved in
various community activities including bowling and the local community club. Prior to this injury, he was
independent in all personal care and community tasks. He received home help for all house cleaning tasks
and independently completed all cooking.
Currently Mr Spencer is having difficulty managing buttons, but otherwise dresses independently. He
requires minimal assistance with bathing and drying. His ability to continue to complete cooking, cleaning,
banking and shopping has not been assessed. He writes with his left hand and drives a manual car. Mr
Spencer is keen to return home and maintain his independence.
Thank you for accepting this gentleman for rehabilitation. If you require further information, please do not
hesitate to contact me.
Yours faithfully,
Occupational Therapist
4
Writing sub-test
Optometry
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: OPTOMETRY

Notes:
Name: (Mr) Mark Wilkinson (D.O.B. 09/07/1968)
First visit: 27/02/13 (referred by GP, Dr Heather Meredith)
General health: Type 2 diabetes – diagnosed June 2012

Overweight (Wt: 110kg, Ht: 178cm).
BP – 163/92
Smoker since age 18 (1986)
Cholesterol: total cholesterol – 8.3mmol/L
Asthma since 1987
Medications – statins (for cholesterol lowering), bronchodilator (ventolin) (for asthma)
Current refractive condition:

Astigmatism, presbyopia
External examination: Nothing abnormal found
Visual acuity: R and L 6/6
Refraction: R: plano/-1.50 x 165, L: +0.25/-1.00 x 180, Add +1.00. The patient’s current glasses
are accurate for distance but have no near addition.
Amsler: Nothing abnormal described R or L
IOP: R and L 16mmHg (Goldmann)
Slit lamp biomicroscopy: Nothing abnormal in anterior segment, R or L
Dilated fundus examination:

2 microaneurysms and one intra-retinal (blot) haemorrhage noted in right eye superior
temporal quadrant, more than two disc diameters from fovea. Three microaneurysms
noted 2-3 disc diameters inferior and temporal to left optic nerve head. Maculae
appear uncompromised and optic nerve heads are flat and pink.
Diagnosis: 1 Bilateral astigmatism with a new finding of (age-appropriate) presbyopia

2 Bilateral mild/moderate non-proliferative diabetic retinopathy (NPDR)
Management: 1 Multifocals prescribed (first pair)

2 Counselled patient regarding ocular findings and the importance of good
glycaemic control
3 Review recommended for 12 months
4 Report sent to patient’s general medical practitioner
TURN OVER 2
Second visit: 10/02/14 Patient reports that current glasses are blurred at distance but adequate for near. R
vision worse than L at all distances. Admits to very poor blood-glucose control over
previous 12 months.
Visual acuity: R 6/9- and L 6/6-
Refraction: R: 1.00/-1.75 x 165, L: 1.25/-1.00 x 180, Add +1.75
Amsler: Minor metamorphopsia described within central 2 degrees on R (temporal to

fixation), nothing abnormal described on L
IOP: R and L 18mmHg (Goldmann)
Slit lamp biomicroscopy: Trace, but generalised cortical lens opacities R and L. Nothing abnormal found
other than this.
Dilated fundus examination:

Microaneurysms and intraretinal haemorrhages noted in all quadrants of both eyes.
Retinal vessel irregularities evident in both eyes. Small neovascular frond noted in
right superior temporal quadrant. R macula appears mildly oedematous.
Hard exudates are present within one disc diameter of fovea. L macula appears
uncompromised.
Diagnosis: 1 Bilateral myopic shift and increase in presbyopia

2 R proliferative, L severe NPDR
Management: 1 Discussion of findings with patient

2 Referral to ophthalmologist (semi-urgent) – diabetic status treatment plan
3 No alteration of spectacles at this stage
Writing Task:
Using the information in the case notes, write a letter to request a review of the patient’s diabetic status and a
treatment plan. Write to the Ophthalmologist (Dr Milson Werrall, Ophthalmologist, Benbow General Hospital,
32-40 Main Street, Benbow West).
In your answer:
3
WRITING SUB-TEST: OPTOMETRY
Dr Milson Werrall
Ophthalmologist
Benbow General Hospital
32-40 Main Street
Benbow West
10 February 2014
Dear Dr Werrall,
Re: Mr Mark Wilkinson
Mr Mark Wilkinson has been a patient at this clinic since 2013. He was diagnosed with Type 2 Diabetes in
June 2012. Mr Wilkinson has visited our clinic twice, most recently complaining of blurred distance vision. On
examination, his bilateral mild non-proliferative diabetic retinopathy (NPDR) has progressed to proliferative
diabetic retinopathy (PDR) in the right eye and severe NPDR in the left eye.
Visual acuity tests show significant deterioration of vision in the right eye over the past 12 months, and Amsler
test results over the same period show development of minor metamorphosia in the right eye (temporal to
fixation). IOP has increased from 16 to 18 mmHg (Goldmann) on both sides.
Dilated fundus examinations show signs of developing macula oedema in the right eye, although the left
remains uncompromised. Significantly increased numbers of microaneurysms and intraretinal haemorrhages
are evident in all quadrants of both eyes, as are retinal vessel irregularities.
Management to date has involved counselling regarding the significance of ocular findings, and about
the importance of good glycaemic control (which Mr Wilkinson has been unable to maintain), and
recommendation of an annual review, which the most recent consultation comprised.
Please examine Mr Wilkinson to assess his condition, and recommend an appropriate treatment and
management plan.
Yours sincerely,
Optometrist
4
Writing sub-test
Pharmacy
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: PHARMACY
Notes:
Personal Details:
Name: Alexia Rollinson (Ms)
Address: 15 Fine St, Newtown
DOB: 12/11/1973
Age: 40 years
Date: 10 February 2014
Social/Family Background:
Single. Works full time as an accountant
Diagnosis: Hypertension, hypercholesterolaemia, low vitamin D since 2011
Medication: Betaloc (metoprolol), 100mg b.d.

Lipitor (atorvastatin), 20mg mane
Ostevit-D 1000IU mane
Current Status: BP 147/100mmHg (taken in pharmacy)

Lipid profile: LDL – 131, HDL – 64, Triglycerides – 269mg/dl
Vitamin D < 54 (60-160nmol/L) (print out with customer)
Ht 153cm, Wt 65kg, BMI 27.8 (verbal from customer)
Does no regular exercise – drives to work, no sport or recreational activity
Low mood
Overweight
Discussions in Pharmacy:
New to area, moved 1 month ago, and has no GP yet.
Medications required today and repeats are filled.
Came in for advice and explained current needs.
Monitoring diet to decrease Wt – target 58kg, BMI <25.
• Exercise – Started own exercise program (e.g., walk 30 min 4 times/wk).
Says ‘never sticks to it’. Has tried all types of exercise aids advertised on TV,
video programs, getting desperate & upset. Wants some help due to lack of
progress.
TURN OVER 2
• Diet – Discussed fruit & vegetables, low fat milk, low GI foods & low saturated fats.
Bought two electronic scales last week, one for kitchen (food) & one for bathroom
(self). Discussed fruit & nut snacks, not chocolate bars (admitted to loving them).
Always browsing for Wt loss products. Tried several tablets, drinks, powders, etc.
Getting desperate & upset. Wants help due to no progress with Wt loss or change in
exercise & daily activities.
Offered to write to local GP for support. Also mentioned a dietitian – customer
liked idea.
Pharmacy Management:
• Provided free booklets
- Healthy eating and exercise
- Council brochure on walking tracks, walking groups, etc.
- Local gymnasiums & sports groups
• Letter to GP – suggested referral to dietitian
Writing Task:
Using the information in the case notes, write a letter of referral to Dr Sally Windwood, 9 Blewston St,
Newtown, to explain your discussion and advice including a suggestion of consulting a dietitian.
In your answer:

3
Occupational English Test
WRITING SUB-TEST: PHARMACY

Dr Sally Windwood
9 Blewston St
Newtown
10 February 2014
Dear Dr Windwood,
Re: Ms Alexia Rollinson (DOB: 12/11/73)
I am writing to you out of concern for a customer in our pharmacy today. Mrs Rollinson has been diagnosed
and treated for hypertension, hypercholesterolaemia and low vitamin D since 2011. Her current medication
is metoprolol 100mg b.d., atorvastatin 20mg mane and Ostevit-D 1000IU mane. She moved to this area one
month ago and has not contacted a doctor yet, as she has adequate medication and repeats.
Mrs Rollinson is a 40-year-old accountant who drives to work, does no exercise and does not participate in
any recreational or sporting activities. She is overweight (BMI 27.8) and has a long history of browsing for
dietary products and purchasing exercise aids.
We had a brief discussion about her lifestyle, exercise and diet which made it clear that she requires some
guidance. I provided her with some brochures on diet and exercise programs as well as booklets on local
organisations. Her mood was somewhat low.
Following our discussions, I offered to write to you as I know that you have access to dietitians in your
consulting rooms. Mrs Rollinson agreed and would benefit from making contact with a new doctor in the local
area.
Please do not hesitate to contact me with any questions.
Yours sincerely,
Pharmacist
4
Writing sub-test
Physiotherapy
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: PHYSIOTHERAPY

Notes:
You have been treating a patient, Sharyn Royale, who has right lateral epicondylitis. You are writing a letter
back to her doctor, Dr Jones.
Name: Sharyn Royale (F), DOB: 25/03/1981

Occupation: Personal assistant
G.H.: Good, allergic to antibiotics, smoker (10 cigs/day), sedentary
Social: Single, lives with sister. Leisure: computer games; internet. Seems shy/nervous.
23.01.2014 Patient referred by Dr Jones – suspected lateral epicondylitis

Complaint: 1/12 ago developed pain in R elbow when typing as pre-holiday workload  on
computer.
Moderate pain lateral elbow (6/10) with some radiation into forearm with prolonged
typing and home-related tasks (e.g., turning on tap).
Patient perceives loss of strength in R forearm, gradual onset over 2/52.
Typing: Painful after <15mins typing, elbow pain + (8/10).
Handwriting: Painful after <15mins, elbow pain (5/10).
R shoulder – occ dull ache, does not appear related to elbow pain.
Dr advised 1 week off aggravated duties.
Physical examination: R shoulder: No apparent distress (NAD), cervical spine: NAD

Tender on palpation (palp), R lateral epicondyle (6/10)
Wrist extenstion (Ext): G4 with pain (5/10)
Stretch ECRB/ECRL (forearm) pain (4/10)
Diagnosis: R lateral epicondylitis
Treatment: Ultrasound (US) 0.8 w/cm 2 int. x7 mins to lateral epicondyle

Deep frictions x4 mins
Eccentric exercise program 2x 10 repetitions
Advice re: icing, stretching and avoiding aggravated activities
25.01.2014
Complaint: No change in symptoms, and has not been typing
Examination: Reduced tender on palp (5/10). Less pain on resisted extension (4/10).
Treatment: US, massage, increased exercises

Can restart duties: writing – 5 min; computer – avoid
TURN OVER 2
27.01.2014
Complaint: Symptoms improved. Less pain turning on taps. 5 min writing OK.
Examination: Pain on palp (4/10). Ext stretch increase range, pain 2/10.
Treatment: US, frictions, add weight 0.25kg to exercises
Patient instructed to use weight with home exercises
To try 5 min on computer every 2 hours
Patient on holidays for a week

03.02.2014
Complaint: Feeling better after holiday break.
Can turn on taps with pain 1/10.
Only used computer twice, but no pain.
Examination: Pain on palp 1/10. Wrist Ext 4+, pain 1/10.
Treatment: Repeat US, frictions

Exercises increased weight to 0.5kg
Instructed to use raise for wrist position for mouse work.
To return to work on light duties. Max 5 min typing/hr for first day. No heavy lifting. If
no change in symptoms, can increase by 5 min every second hour on Day 2. Day 3
can increase 10 min each hour if no pain.
10.02.2014
Complaint: Symptoms better. No pain on turning on taps. Has increased computer time,
sometimes to half an hour. Slight discomfort then. Employer is supportive of light
duties.
Examination: Slight tenderness on palp (1/10), slight pain on resisted wrist Ext (1/10)
Treatment: US, frictions, reviewed exercise regime.

Patient advised to restrict duties. Asked to go back to Dr for review, seeking
extension on light duties.
Writing Task:
Using the information in the case notes, write a letter back to the referring doctor, Dr Jones, for assesment
of her case and return to full duties at work. Address the letter to: Dr Felicia Jones, Fit Families Practice, 25
North Road, Newtown.
In your answer:
3
WRITING SUB-TEST: PHYSIOTHERAPY
Dr Felicia Jones
Fit Families Practice
25 North Road
Newtown
10 February 2014
Dear Dr Jones,
Re: Ms Sharyn Royale. D.O.B 25/03/1981
Thank you for referring the above patient who presented with symptoms consistent with right lateral
epicondylitis, aggravated when typing at work.
She was complaining of moderate (6/10) pain on the lateral aspect of the elbow, with some radiation into the
forearm and loss of strength in the right forearm. On examination, the right lateral epicondyle was tender on
palpation. Pain was aggravated by resisted wrist extension and stretching of extensors.
Ms Royale was initially treated with ultrasound, frictions and given an eccentric exercise program. I advised
her about icing and stretching, and recommended rest from the aggravating activities. Over the past three
weeks, her exercise regime has been gradually increased, and she has commenced short periods of activity,
including typing, without setback.
On re-assessment today, her presenting symptoms have significantly reduced. However, I believe she could
benefit from an extension to her light duties at work, maintaining gradual increase to her duties.
I refer Ms Royale back to you for re-assessment of her management regarding return to full duties at work.
Please do not hesitate to contact me if you require any further information.
Regards,
Physiotherapist
4
Writing sub-test
Podiatry
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: PODIATRY

Notes:
You are attending to a five-year-old girl with mild cerebral palsy (CP) who exhibits toe walking. The patient was
referred to you by her paediatrician, Dr Robyn Black.
Patient: Felicity Brown
Residence: 1 Power Street, Princetown
Date of Birth: May 16, 2009
Examination date: February 10, 2014
Diagnosis: Toe walking (equinus gait)
Past medical history: Mild L hemiplegic (one arm/one leg affected) CP since September 2009
Mild asthma – salbutamol inhaler, occasionally, mostly nocte
Spent wks on & off in children’s hospital – 1st few yrs of life
Sees paediatrician 6 mthly
Assessment by educational psychologist – should integrate well into school
Above average intelligence
Chest infections annually – Rx: antibiotics √
No known allergies
Social background: Lives with parents, 1 brother (7yrs), 1 sister (9yrs)

Parents (especially mother) very overprotective. Attended preschool fairly
successfully. Preparing for school next year. Enjoys music and is learning the piano.
Treatment record: Felicity always walks on toes. Late walker ~22mths. Mother worried – paediatrician
doing nothing about problem, recommended mother to see podiatrist for 2nd
opinion. Gait reasonable. Managing well but mother comments that she seems to
trip a lot. Plays table tennis with siblings – doesn’t have to move far/fast to compete.
Normal childhood games, playing, etc. Likes running – slowly but enjoys it. Mother
seems to want an orthotic.
TURN OVER 2
On examination: Shoe wear slightly uneven L side but reasonable
Range of foot movement in the R foot – NAD
L foot – Varus position with equinus. Assessment of movement through L ankle
?spastic and reveals a ‘clasp knife’ quality. Overly strong calf muscles compared to
weak dorsiflexors (tibialis anterior)
No pain in feet/legs
Suggested paediatric physio to  ankle movement
Suggested the need for assessment by a prosthetic and orthotic (P&O) professional for
AFO (ankle foot orthoses)
Letter to paediatrician to explain findings and recommendations
Writing Task:
Using the information given in the case notes, write a letter to the paediatrician, Dr Robyn Black, 9 Fenton St,
Newtown, outlining your findings and reinforcing that Felicity’s mobility and gait are acceptable and that you
provided reassurance to the parents.
In your answer:
3
WRITING SUB-TEST: PODIATRY
Dr Robyn Black
Paediatrician
9 Fenton St
Newtown
10 February 2014
Dear Dr Black,
Re: Felicity Brown, 5 years old, cerebral palsy
Thank you for recommending Felicity for assessment of her toe walking. It is more of a concern to her mother
than for her mobility and enjoyment of life as a five-year-old with mild cerebral palsy. The mother reported an
increase in incidents of tripping.
On examination, I identified the left foot to be in a varus position with equinus. There is an overpowering of
the calf muscles. The anterior leg muscles (mainly tibialis anterior) are unable to provide enough dorsiflexion
resulting in tripping. The equinus appears to be spastic in nature and has a ‘clasp knife’ feel. The right foot
was normal. Felicity copes very well with this problem.
I have provided the name of a paediatric physiotherapist to assist with exercises for Felicity’s left foot and
the name of a P&O professional who will be able to prescribe an AFO (ankle foot orthosis) if necessary. With
a combined approach, we should be able to see some improvements in the range of motion at the left ankle
joint.
Please do not hesitate to contact me with any queries.
Sincerely,
Podiatrist
4
Writing sub-test
Radiography
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: RADIOGRAPHY

Notes:
You are the chief radiographer in a city hospital. The Director of Radiology has asked you to write a response to
the following memo, using the information on the documents below.
MEMO
TO: Dr Fred Quirk, Director of Radiology
FROM: Dr Ian Page, Director of Intensive Care
DATE: 07 February 2014
SUBJECT: Response delay for ICU
Dear Fred,
I have been made aware of a delay in getting an urgent chest X-ray in I.C.U. last Saturday.
The patient, Mr Rouse, was to have a post central line insertion check X-ray, as there was some question
as to whether the patient had a pneumothorax. The patient had to wait for over 50 minutes for the X-ray
and I believe this to be an unacceptable time delay for intensive care dependent patients.
Could you please look into this as I would be concerned if such delays continued to occur.
Regards,
Ian Page
1. RADIOGRAPHY DEPT PATIENT LOG: Saturday, 01/02/2014 (extracts)

Radiographers on duty: Steve Jones, Kate Brown (sick, not replaced)
Time Referral Location Pt. Name Exam Comments

12.05 ED SIMON CXR ?SOB
12.15 WD 4 LEE CXR PAIN
12.25 ED KOSKO AXR RENAL
12.40 ICU BAY 3 RAMSON CXR TUBE REM.
1.00 WD 7 HIGGINS R.HIP POST OP
1.15 ED JONES SKULL LOC
1.25 ICU BAY 6 AHMED CXR R.CRACKLES
1.35 ED LAMB CXR PNEUMONIA
1.45 ED SMYTH L.KNEE TWISTED
2.30 THEATRE ALLAN GAMP R.WRIST
2.40 ICU BAY 7 ROUSE CXR POST C.V.C
2.55 ED JOHNSTON R. FOOT ?GOUT
3.05 WD 9 WU CXR POST OP
TURN OVER 2
2. RADIOGRAPHY DEPT PHONE/MESSAGES LOG: Saturday, 01/02/2014 (extracts)
TIME MESSAGE
11.30 CXR for Pt Lee on Wd 4
12.00 Send films for Pt Brown to ED
12.10 Dr Smith will be on pager from now on
12.35 CXR in ICU Bay 3, Pt Ramson
12.50 G.A.M.P. in theatre at approx 1.45pm
Pager (12.50) CXR for Pt on Wd 9
1.10 Films needed in theatre for Pt Higgins
1.20 CXR in ICU Bay 6, Pt Ahmed
1.40 Theatre ready in 5 minutes for G.A.M.P.
1.42 CXR in ICU Bay 7, Pt Rouse
Told have to go to theatre – will go ASAP to do CXR
Pager (2.00) ED – need to contact Dr on call
Pager (2.10) ICU – Bay 7 still waiting, how long? – Delayed in theatre, will be there ASAP
Pager (2.25) ED – need to do a C.T. later this evening
2.45 ICU – is film on Bay 7 ready? – Already sent
3.00 Dr Smith – What time for C.T.?
3.15 Brian (Dr on call) will be in 10 minutes late
3. DEPARTMENTAL POLICY DOCUMENT
DEPARTMENT OF RADIOLOGY
Policy on the Recall of Radiographic Staff
1) Recall of Radiographer staff is the responsibility of the radiographer on duty only. It is the decision of
the radiographer on duty as to whether additional staff is required.
2) Replacing staff absent through illness is not, in itself, considered grounds for recalling staff.
3) Staff recalled are to be given 45 minutes’ warning prior to the time they are required in the hospital.
Writing Task:
Using the information given above, write a letter responding to Dr Page’s memo. Address the letter to: Dr Ian
Page, Director, Intesive Care.
In your answer:
3
WRITING SUB-TEST: RADIOGRAPHY
Dr Ian Page
Director, Intensive Care
10 February 2014
Dear Dr Page,
Re: Delays in response to ICU request
Dr Quirk has asked me to look into the circumstances surrounding the delay in responding to an ICU request for
Mr Rouse on Saturday, 01 February.
Responding to ICU requests is a top priority and we always attempt to respond to such requests as quickly as
possible. On the day in question, one of our radiographers rang in sick, so we were operating at half our normal
staff level. Further complicating this was the fact that just prior to receiving notification for the request for a CXR
on ICU, we received notice that a theatre case would be ready for us in five minutes. As the theatre case was a
G.A.M.P. and they normally do not take long, calling in the on-call radiographer was not considered. It takes at
least 45 minutes for the on-call radiographer to start work. Unfortunately, the theatre case was delayed until 2.30
and the radiographer was not able to leave the theatre to attend to the ICU case until 2.40.
It would appear that on this occasion circumstances were against us. Normally, we supply prompt, reliable
service and we anticipate that this will continue in the future. Fortunately, it is rare that such circumstances arise.
I hope this has been of help.
Regards,
Chief Radiographer
4
Writing sub-test
Speech Pathology
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: SPEECH PATHOLOGY

Notes:
You are assessing a 6-year-old male who has childhood apraxia of speech (CAS).
Name: Connor Mills

D.O.B.: 4/03/07
Social history: Lives with parents and one sister (born 2003)
Medical history: Birth uneventful

Childhood coughs & colds
Full vaccinations
Onset: Noticeable since 2010
General background: Verbal skills – always fairly good, but erratic according to mother.
Primary school staff recommended assessment by Speech Pathologist,
as difficulties more evident.
Sometimes manages difficult words but later cannot manage same words.
Talking slow to begin. No issues with family understanding him.
During preschool years dyspraxia become more evident. Preschool teacher
found him hard to understand, requested hearing/vision tests. Parents
ignored due to overzealous preschool teacher. Reluctantly had hearing
tested 2011.
Physical: Normal healthy, active, bright boy. Getting on well with peers at school.
Participating in all activities.
Coordination poor. Described by family as clumsy.
Oral capabilities – no eating, chewing or swallowing difficulties.
Hearing tests: 2011 NAD
Sight tests: Nil
TURN OVER 2
10 February 2014
On examination
Speech: Decreased overall intelligibility
Inconsistent articulation errors, esp with blends. Oral groping evident
Increased errors with longer words: 3+ syllables
No dysarthria
Receptive language: Comprehension – above average

No problems socialising at school or with reading or maths
Mild delay with spelling & writing
Expressive language: Nil evident

Vocabulary – average
Syntax – good
Narrative – reasonable to good
Cognitive: NAD
Speech pathology therapy

Recommendations: Regular sessions – wkly to spend 1:1 time with Connor. Reassured parent &
child regular sessions very likely to help with disorder. Reinforced Connor’s
condition is milder end of spectrum.
Suggested family, school support & encouragement.
Discussed speech pathology sessions wkly for 3/12
?referral to Occupational Therapist
Writing Task:
Using the information given in the case notes, write a letter to the referring doctor, Dr M. Walton, 10 North
Road, Newtown. Give your assessment of the patient’s issues and your recommendations.
In your answer:
3
WRITING SUB-TEST: SPEECH PATHOLOGY
10 February 2014
Dr M. Walton
10 North Road
Newtown
Dear Dr Walton,
Re: Connor Mills DOB 04/03/07
Thank you for seeing six-year-old Connor who has presented with his parent today. He exhibits signs of
childhood apraxia of speech with no obvious cause. His preschool teacher identified intelligibility issues in 2011
and hearing tests were conducted with no abnormality detected. No sight tests have been done.
Speech evaluation showed decreased intelligibility characterised by inconsistent articulation errors and
increasing errors with words longer than 3 syllables. Oral groping was also evident. Receptive and expressive
language were within normal limits, however he is having some milder difficulties with writing and spelling at
school.
There is no evidence of dysarthria or a motor disorder but he is described as clumsy by his family. Connor is
developing very well socially and academically. I plan to provide some weekly one-on-one sessions with Connor
for 3 weeks in order to further assess him and provide therapy. I have reassured his parent that overall Connor
presents with a milder form of dyspraxia and is likely to respond well to therapy.
I was wondering if an Occupational Therapy assessment might be warranted, given his coordination and writing
difficulties.
If you require any further information or have any queries, please do not hesitate to contact me.
Yours sincerely,
Speech Pathologist
4
Writing sub-test
Veterinary Science
Sample Test
Family name
Other name(s)
City
Date of test
The OET Centre

WRITING SUB-TEST: VETERINARY SCIENCE

Notes:
You are a veterinarian at a private veterinary clinic that is open on Saturdays. Mrs Stella Alma has brought her
dog, ‘Grainger’, to you for treatment because it is Saturday and her normal veterinary clinic is closed.
Patient: ‘Grainger’
Owner: Mrs Stella Alma
Breed: Dachshund
Sex: Female
DOB: 22/05/06
Weight: 5.5kg
History: Dry dog-food in morning, canned at night

1 other dog in household (female dachshund)
Worming
Spay 23/03/10
No known allergies/conditions
Vaccinations: Canine Adenovirus-2

Canine Parvovirus
Distemper
Kennel cough
10/02/14
Reason for presenting:
Dog seems depressed
Anorexia 5 days
Drinking and urinating a lot
Vomiting+++
Diarrhoea++
Lethargy
Weakness
On presentation: Very depressed

Approx 10% dehydrated
Slow deep respiration
Acetone breath
Lung sounds normal
Heart rate 110/min
Abdominal palpation negative
TURN OVER 2
Clinical Pathology: Available blood chemistry and urinalyses
Results: PCV(%) 58 (37-55%)

Urea nitrogen 28mg/dL (10-28dL)
Glucose 360mg/dL (65-118mg/dL)
Protein 9.5g/dL (5.4-7.1g/dL)
Urinalysis: SpG: 1.035;

Protein ++++
Glucose ++++
Ketones +++
Diagnosis: Diabetic ketoacidosis

Possibility of electrolyte abnormalities
Possibility of hypokalaemia
Treatment: To stabilise prior to move to another hospital for intensive care.

IV cephalic catheter. IV Fluids – sodium chloride 500ml in 1 hour.
Regular insulin 2.5 units, subcutaneously (SC) at 10.30am.
Discussed with owner re:

• long-term daily insulin treatment
• management requirements
• cost (owner says price not an issue)
Referral: • Refer the animal for intensive care

• Request further blood electrolyte and blood gas analysis
• Attach blood chemistry and urinalysis results to referral
Writing Task:
Using the information in the case notes, write a letter of referral to Dr Barron at the Emergency Centre for
intensive care. Address the letter to Dr Barron, Animal Emergency Centre, Newtown.
In your answer:
3
WRITING SUB-TEST: VETERINARY SCIENCE
SAMPLE RESPONSE: REFERRAL LETTER
Dr Barron
Animal Emergency Centre
Newtown
10 February 2014
Dear Dr Barron,
Re: ‘Grainger’, female dachshund
Mrs Alma’s dachshund Grainger, a 7-year-old female (5.5kg) presented today at my clinic. She was severely
depressed, had slow deep respiration, was approximately 10% dehydrated and had acetone breath. Her
symptoms are consistent with diabetic ketoacidosis.
Grainger has a history of depression, anorexia (5 days), vomiting, diarrhoea, lethargy and weakness. She has
also been drinking and urinating excessively. I have attached the urinalyses and available blood chemistry tests
to this letter. Blood chemistry shows abnormally high PCV, glucose and protein levels and urinalysis shows
elevated protein (4+), glucose (4+) and ketones (3+).
In order to stabilise Grainger, I placed an IV cephalic catheter and began rapid administration of sodium chloride
an hour later. In addition, 2.5 units of regular insulin were administered subcutaneously at 10:30am today.
I am sending Grainger onto the Emergency Centre for intensive care of her diabetic ketoacidosis. I discussed
with the owner the requirement for long-term daily insulin treatment of the dog, the management requirements
and the costs she can expect. Mrs Alma does not believe price to be an issue. Grainger also requires further
blood electrolyte and blood gas analysis. I suspect electrolyte abnormalities and possible hypokalaemia.
Thank you for accepting this case.
Yours sincerely,
Veterinarian

OET Writing Sample 02

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OET Writing Sample 02

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Writing sub-test

Please print in BLOCK LETTERS

The OET Centre

TIME ALLOWED: READING TIME: 5 MINUTES

Reason for Presenting: Dissatisfied with appearance

Medical History: Allergic to penicillin, allergic to peanuts, asthma

Current Medication: Ventolin inhaler p.r.n.

Family and Social History: University student

Examination: All teeth present in both arches

08.04.11 LA right mandibular block lignocaine with adrenaline 2% 2ml.

15.04.11 LA left mandibular block lignocaine with adrenaline 2% 2ml.

22.04.11 LA buccal infiltration lignocaine with adrenaline 2% 3ml.

27.07.12 Emergency exam: 38, erupting pericoronitis.

09.08.12 Reviewed 38, pericoronitis resolved.

01.05.13 Recall examination.

10.02.14 Recall examination.

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

SAMPLE RESPONSE: LETTER OF REFERRAL

Thank you for seeing 19-year-old Ms Taylor Hawking.

Please print in BLOCK LETTERS

The OET Centre

TIME ALLOWED: READING TIME: 5 MINUTES

Name: Dean Jones

Medical History: Hypercholesterolaemia

12/01/14 Referred by Dr Barnstaple; nutritional assessment & mgt of Wt and

Examination: Wt: 86.8kg

Exercise: V. active in past – gym and jogging.

Dietary Intake: Usually nil for breakfast.

R/V 2/12 after next blood tests. Continue with improvements.

• 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.

SAMPLE RESPONSE: LETTER

Re: Dean Jones, DOB 30/12/71

Please do not hesitate to contact me should you need further information.

Please print in BLOCK LETTERS

The OET Centre

TIME ALLOWED: READING TIME: 5 MINUTES

Patient: Mrs Priya Sharma

Family History: Many relatives with type 2 diabetes (NIDDM)

Medical History: 1994 – NIDDM

Current Drugs: Metformin 500mg 2 nocte

O/E: Full physical exam: NAD

12/01/14 Review of pathology results with Pt

30/01/14 Home BP in range

10/02/14 Pathology report reviewed with Mrs Sharma

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

SAMPLE RESPONSE: LETTER OF REFERRAL

Re: Mrs Priya Sharma

RE: Mr Lionel Ramamurthy, aged 63 years

Mr Ramamurthy will be discharged tomorrow (11/2) from Newtown Public

You’ll be glad to know that Mr Ramamurthy has made good progress

Please make sure Mr Ramamurthy sits up as much as possible to ensure

Mr Ramamurthy will also need to be kept warm and encouraged to drink

If you have any questions, please do not hesitate to contact me.

Please print in BLOCK LETTERS

The OET Centre

Hospital: Newtown Public Hospital, 41 Main Street, Newtown

Name: Lionel Ramamurthy (Mr)

Marital status: Widowed – spouse dec. 6 mths

Residence: Community Retirement Home, Newtown

Next of kin: Jake, engineer (37, married, 3 children <10)

Admission date: 04 February 2014