Corrected Samples For OET

Admitting Officer
Emergency Department
Children's Hospital
Newtown
18/01/14
Dear Doctor,
Re: Joshua Vance, DOB: 17/11/13
I am writing this letter to refer, an 8 and half-week-old baby who is suffering from constipation and mild
dehydration. Your further assessment would be highly appreciated.
Joshua Vance is the first child of his family. He was delivered normally with a birth weight of 3.25 kilograms
at 38 weeks' gestation without any perinatal or neonatal complications.
On the routine 6-week baby check, Mother was worried regarding her baby's bowel movement as he had Comment [teacher1]: his mother
been having only one bowel action every 3 days; therefore, his stool was a little hard. Apart from the
presence of red eye reflex, examination was unremarkable. The mother was reassured and encouraged to Comment [teacher2]: his
continue breastfeeding along with milk expression and mixing with water to feed him. After 2 weeks, his
earlier symptoms continued to deteriorate as he was waking up crying and pulling his legs to chest every
half an hour throughout the night. At that time, hard feces were felt on abdominal examination; thus, a
trial of Coloxyl drops was commenced daily.
Unfortunately, on today's visit, she reported that he has not passed any bowel action since the last five Comment [teacher3]: for
days. Examination revealed tender abdomen with no guarding or rebound tenderness. In addition, he was
mildly dehydrated, showed small weight loss and had no wet nappies despite having normal vital signs.
In view of the above, I believe he needs your review regarding his condition.
Yours faithfully,
Doctor
Report
Word length 202
Comments This is a well written letter however some
important case notes are missing. Overall, the
letter meets the expectations.
Estimated Grade B+
Advice 1. Important pieces of information are missing.
2. Always proofread the letter after finishing
writing it.
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
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correction
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296 Henley Beach Rd, Underdale, 5032

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Ticket Id: 5306
Admitting Officer
Children's Hospital
Newtown
18/1/2014
Dear Doctor,
Re: Joshua Vance, DOB: 17/11/2013
I am writing to refer Joshua, a 2-month-old male baby who is suffering from constipation and mild
dehydration. Your further assessment and management would be greatly appreciated. Commented [AH1]: (consider using this in the
conclusion instead – see below in red)
Joshua is the first child of his parents. He was born via a normal non-complicated vaginal delivery at 38
weeks' gestation. Please note, his weight at birth was 3250gm.
On routine 6-week baby check, her mother was concerned regarding his bowel movement because he had Commented [AH2]: his
1 bowel action every 3 days, along with a little hard stool despite being feeding and sleeping well and Commented [AH3]: his
(masc.)
making wet nappies. His examination was unremarkable, and his weight gain was satisfactory; therefore,
Commented [AH4]: was having
her mother was reassured and advised to continue breast feeding along with milk expression with mixture
Commented [AH5]: his
with sterilized water once a day. On review 2 weeks later, Joshua's earlier symptoms were persistent. In
Commented [AH6]: expressed milk mixed
addition, he suffered from sleep disturbance. His examination was unremarkable, apart from hard faeces,
with reasonable weight gain. Hence, Coloxyl drops were commenced along with increasing rate of bottle
feeding twice daily. Commented [AH7]: to
Unfortunately, on today's visit, Joshua was brought by his mother who reported that he has not been Commented [AH8]: in
passing bowel for the past 5 days. Furthermore, he vomited once and had no wet nappies. On Commented [AH9]: stools
examination, he was irritable and had mild generalized abdominal tenderness. Moreover, a small weight Commented [AH10]: has
loss was noticed.
Your further assessment and management would be greatly appreciated. Should you have any further
queries, please do not hesitate to contact me.
Yours faithfully,
Doctor
Report
Word length 235
Comments The letter is too long; however, it reads logically
and contains mostly relevant information. The case
notes have been summarised adequately, and
language is overall appropriate. Issues pertaining
to article usage, pronouns, prepositions and tense
are evident, which impede clarity at times.
Good job.
Estimated Grade C+
Advice 1. Try to keep wording concise to allow relevant
information to stand out clearly and write no
more than 200 words.
2. Revise the use of tenses and articles.
3. Revise vocabulary, cohesive devices and
sentence formation to enable coherence.

Ticket Id: 5306
writing it.
practice-tests
correction

Ticket
Id: 10113
18.01.2014
Admitting Officer
Children's Hospital
Newtown
Dear Sir/Madam,
Re: Joshua Vance DOB: 17/11/2013
Comment [bnchmrk1]: Joshu

a (spelling)
I am writing to refer Jashua, a 2 - month-old boy who suffers from Comment [bnchmrk2]: woul
constipation, mild dehydration and feeding refusal. Your further assessment d be / are
and rehydration is highly appreciated. Comment [bnchmrk3]: comp
lications
Jashua was born vaginally at 38 weeks gestation without any complication Comment [bnchmrk4]: with
weighting 3250 grams. Initially, during the routine six weeks check up, his the birth weight of
mother expreced her concern regarding Jashua bowel motion being delayed Comment [bnchmrk5]: six-
week
with a littel hard stool every three days. His examination was normal and he
Comment [bnchmrk6]: expre
gained 650 grams. The mother was reassured and advised to express breast ssed
milk and intreduce it in a bottle with some water once daily. Comment [bnchmrk7]: Joshu
a’s
Two weeks later, Jashua condition showed no improvement and he Comment [bnchmrk8]: had
developed sever abdominal pain. Abdominal examination reveald hard Comment [bnchmrk9]: intro
faces. However, he gained 300 grams. A trail of coloxyl drops was given duce
along side with the previous advice. Comment [bnchmrk10]: Josh

ua’s
Today, Jashua presented with vomiting, feeding refusal and a five days Comment [bnchmrk11]: sev
ere
delayed of bowel motion. On examination, generally, he was irritable with
Comment [bnchmrk12]: rev
signs of dehydration and on abdominal examination a generalised ealed
tenderness was noticed. It is worth mentioning that he lost 100 grams. Comment [bnchmrk13]: had
In view of the above, Jashua has been referred for your urgent Comment [bnchmrk14]: five
-day
comanagement and further examination.
Comment [bnchmrk15]: has
For more information, please contact me. Comment [bnchmrk16]: ma

nagement

Ticket
Id: 10113
Faithfully, Comment [bnchmrk17]: You

rs faithfully
Doctor
Report
Word length 201
Comments The letter is full of spelling mistakes. Also, there
are issues pertaining to tenses and word choice.
Even though relevant information has been
covered, but the letter requires further
improvements.
Estimated Grade C+
Advice 1. Revise grammar.
2. Improve word choice.
3. Be careful of spelling.
practice-tests
correction

Ticket Id: 8968
Admitting Officer
Children's Hospital
Newtown
Dear Sir,
Re: Joshua Vance D.O.B. 17/11/2003
I am writing this letter to refer Joshua, a 2-month-old infant whose manifestations are suggestive of
constipation and mild dehydration. Your further assessment would be highly appreciated.
Joshua is the first child for his parents. He was delivered vaginally at 38 weeks' gestation, and his birth
weight was 3250g.
At 6-week review, his mother reported infrequent bowel actions with a little hard stool. Kindly note, that
he had no obvious problems on examinations. Therefore, his mother was reassured, and she was advised
to express milk form one feed and dilate it with water daily then she fed him this milk with a bottle. Commented [jc1]: from
Commented [jc2]: dilute
However, on his next visit, there was no improvement in his bowel habits; furthermore, he presented with
Commented [jc3]: to feed
breast feeding interruption and frequent crying in the night. On examinations, hard stool was noted in his
abdomen. Therefore, his mother was asked to dilate milk with water twice daily. Coloxyl was also Commented [jc4]: dilute
prescribed.
Today, his constipation was much severe; moreover, he refused feeding. Additionally, his examination
revealed irritable child with signs of dehydration. Commented [jc5]: an
In light of the above, I am referring him for further management. Please note that he will require
rehydration measurements. For any queries, please contact me.
Yours sincerely
Doctor
Report
Word length 200
Comments This is a very good letter with appropriate
selection of case notes and logical paragraphing.
There is good coherence throughout. There are
only minor inaccuracies and the letter meets the
expectations.
Estimated Grade B+
Advice 1. Always proofread your letter
2. Keep up the good work!
practice-tests
correction

Ticket Id: 10775
24/01/2015
Dr Grantley Cross
Consultant Endocrinologist
City Hospital
55 Main Road
Newtown
Dear Dr Cross,
Re: Mr Brett Collister,DOB:20/11/1970
Iam writing to refer Mr Collister, a 45-year-old factory foreman whose blood sugar results indicate that he
suffers from type 2 diabetes mellitus. Your assessment and management would be highly appreciated.
Mr Collister is married with four children and he is overweight. His recent medical history includes
tonsillitis, possible rotator cuff tear and osteoarthritis for which he was treated accordingly, referred to a
physiotherapist and advice to reduce weight. Comment [MOU1]: sed
On 04/01/2015, Mr Collister complained of one-month history of feeling tiredness, dizziness and sore eyes.
On examination, his blood pressure was 108/61. Therefore, a diagnosis of orthostatic hypotension was
considered; in addition, blood investigations including blood sugars and cholesterol were ordered.
On today's review, there was no improvement in Mr Collister's previous complain or examination. Comment [MOU2]: complaints/sympto
ms
Furthermore, his blood results revealed not only an increase in HDL/LDL but also a high random glucose
(13.5mmol/L), fasting glucose (7.4mmol/L) and HbA1c (8.5%). Comment [MOU3]: of 13.5, fasting
glucose of 7.4 and HbA1c of 8.5%.
In view of the above, Mr Collister requires further Endocrinologist evaluation and I would be grateful if you Comment [MOU4]: e
could treat him as you feel appropriate. For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 183
Comments This is a good letter with appropriate selection of
case notes. Although there are a few mistakes with
word choice and spelling, the letter meets the
expectations.
Estimated Grade B+
Advice 1. Be careful with word choice and spelling
2. Avoid using parenthesis in a formal letter
3. Always proofread the letter after finishing it.
practice-tests
correction

Dr. Grantley Cross
Endocrinologist
City Hospital
Suite 32
55 Main Road
Newtown
24/1/15
Dear Dr. Cross,
Re: Mr. Brett Collister, DOB: 20/11/1970
I am writing this letter to refer Mr. Collister, a 45-year-old male whose features are suggestive of type 2
diabetes mellitus.
Mr. Collister is married with 4 children. Moreover, he has no known history of allergies. Commented [AH1]: four
Commented [AH2]: or
On 26/10/14, the patient attended my clinic complaining of a painful right knee. His examination was
unremarkable except for a high BMI (30); thus, he was advised to lose weight and to exercise. After two
months, he presented complaining off fatigue, soreness in his eyes and dizziness for the previous 3-4 Commented [AH3]: three to four
(it is usually better to write numbers up to twelve in
weeks. Furthermore, his lifestyle remained the same as his weight did not change significantly compared to words in formal writing – unless part of a diagnosis,
his previous visit. As a result, blood tests were ordered. measurements, times, date, etc.)
Commented [AH4]: , and
Unfortunately, today, the patient was still feeling tired, and he reported having vision problems.
Additionally, his previously ordered tests showed elevated levels of random and fasting glucose as well as
HbA1c, which was 8.5%, whereas his lipid profile levels were all elevated including HDL.
In light of the above, I am referring him for your further management and assessment. For any quires,
please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 182
Comments The letter is clearly and logically constructed and
contains formal language. Minor flaws sentence
formation and prepositions are evident.
Estimated Grade B
Advice 1. Improve cohesion within longer sentences (i.e.
use of connective devices, punctuation).
writing it.
practice-tests
correction

Ticket Id: 7806
Dr Grantly Cross
Consultant Endocrinologist
City Hospital
Suite 35
55 Main Road
Newtown
24/1/2015
Dear Dr Cross
Re: Mr. Brett Collister DOB: 20 November 1970
Thanks you for seeing Mr. Collister, a 45-year-old factory foreman whose features are suggestive of Comment [teacher1]: Thank
diabetes mellitus type 2. Your further management is hiaghly appreciated. Comment [teacher2]: highly
Regarding his recent medical history, there have been recurrent attacks of upper respiratory tract
infections as well as joints inflammations.
On 4/1/2015, Mr. Collister attended a medical checkup because he had been complaining from general Comment [teacher3]: of
tiredness since 4 weeks that associated with sore eyes and intermittent dizzy feelings. It was notable that Comment [teacher4]: for past
he was overweight and unfit. His examination was within average except for BMI which was high. Comment [teacher5]: was
Therefore, my provisional diagnosis indicated the possibility of orthostatic hypotension but some Comment [teacher6]: otherwise
investigations were ordered to check his cholesterol level and blood glucose. Regarding his medical history,
there were recurrent attacks of upper respiratory tract infections as well as joints inflammations.
Today, the patient was still feeling tired. He also complained form decreased vision. His test results Comment [teacher7]: of
revealed high random blood glucose and fasting glucose with elevated HDL/ LDL ratio. It is worth
mentioning that his HgbA1C level was 8.5%.
In view of the above, my preliminary diagnosis is DM type 2. I am referring this patient for further
management of his condition. Please don’t hesitate to contact me for any assistance regarding this patient. Comment [teacher8]: him
Yours sincerely
Doctor
Report
Word length 189
Comments Mistakes pertain to word choice, grammar and
spelling. Order of sentences is not accurate at
times. Overall, the letter requires further
improvements.
Estimated Grade C+
2. Be careful with spelling.
3. Improve choice of words.
4. Improve coherence.
practice-tests
correction

Associate Professor Simon Anderson
Surgeon
Suite 65
City Hospital
25-29 Main Road
Centreville
22/02/14
Dear Doctor Anderson, Comment [teacher1]: Dr
Re: Mr. Daniel McCrae, DOB: 17/10/1962
I am writing this letter to refer this patient, a 52-year-old male whose features are suggestive of
adenocarcinoma of the ascending colon. Your management would be highly appreciated.
Mr. McCrae is a married barrister with 4 children. He is a smoker and has no family history of colorectal
carcinoma or colonic polyps.
On 19/09/13, the patient visited my clinic complaining of typical symptoms of viral infection; therefore, he
was advised to rest and take Panadol for his fever. Four months later, he reported having abdominal
discomfort, change in bowel habits and fatigue for the past several weeks. The patient was ill looking
despite the unremarkable abdominal examination. As a result, CBC, Fecal occult blood test (FOBT) and
colonoscopy were ordered to rule out any suspicion of bowel cancer or inflammatory bowel diseases.
Unfortunately, on today's visit, the Investigations showed decreased Hb, positive FOBT and
adenocarcinoma of the ascending colon which was diagnosed through taking a biopsy during colonoscopy.
In view of the above, I believe this patient needs your urgent assessment. For any queries, please do not
hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 180
Comments This is almost a faultless letter! Well done!
Estimated Grade A
Advice 1. Keep it up

Ticket Id: 5310
Associate Professor Simon Anderson

Surgeon
Suite 65
City Hospital
25-29 Main Road
Centreville
22/2/2014
Dear Dr Anderson, Commented [AH1]: Assoc. Professor
Re: Mr. Daniel McCrae, DOB: 17/10/1962
Thank you for seeing Mr. McCrae, a 52-year-old male patient, whose features are suggestive of
adenocarcinoma of the ascending colon. Your urgent attention and management would be greatly
appreciated.
Mr. McCrae is a barrister with marked work stress. He is a smoker and overweight. He has no family history
of colon cancer, colonic polyps or inflammatory bowel disease.
Initially, on 19/9/2013, Mr. McCrae presented complaining of symptoms suggestive of upper respiratory Commented [AH2]: an
tract infection in terms of: fever, cough, sore throat, headache and body aches. His examination was Commented [AH3]: , including
unremarkable apart from being febrile; hence, he was commenced on paracetamol and advised to rest.
Unfortunately, 5 months later, he was still feeling unwell and reported fatigue, abdominal discomfort along
with alternating bowel action and bloating, despite normal abdominal examination. Therefore CBC, faecal Commented [AH4]: a
occult blood test (FOBT) and colonoscopy were ordered to rule out inflammatory bowel disease or Commented [AH5]: a
suspicion of ominous malignancy.
On today's visit, the investigations had revealed anaemia, low haematocrit as well as positive FOBT.
Regrettably, colonoscopy showed malignant growth of the ascending colon. Commented [AH6]: the
Commented [AH7]: a
Should you have any further queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 186
Comments The letter presents a clear purpose, although a
biopsy result appears to be missing, which might
have been useful to include. Sentences structure
are mostly complete, and events follow a logical
flow. Issues involving article usage and
punctuation impair fluency somewhat.
Estimated Grade B
Advice 1. Revise countable and uncountable nouns to
enable appropriate article usage.
2. Improve cohesion within longer sentences (i.e.
use of connecting words, punctuation).
writing it.
practice-tests

Ticket Id: 5310
correction

Dr. Simon Anderson
Surgeon
Suit 65 Comment [teacher1]: Suite
City Hospital
25-29 Main Road
Centreville
22/02/14
Dear Dr. Anderson,
Re: Mr. Daniel McCrae, DOB : 17/10/1962
I am writing this letter to refer Mr. Mcrae, a fifty two-year-old barrister whose features are suggestive of Comment [teacher2]: McCrae
adenocarcinoma of the ascending colon.
Mr. Mcrae is a smoker and has four children. His medical and family history are unremarkable. Comment [teacher3]: McCrae
Initially, on 19/09/2013, he presented with features of viral infection, when he had had sore throat, cough,
bodyache and headache. His chest examination and vitals were normal except for a temperature of 38.9 C;
therefore, Panadol was prescribed.
On 08/02/14, the patient came at my clinic complaining that his condition continued to deteriorate as he Comment [teacher4]: never fully
recovered
has been having abdominal discomfort, gases, diarrhea and constipation for several weeks. his vitals and
Comment [teacher5]: had
abdominal examination were normal. keeping in mind, the possibility of irritable bowel syndrome and
Comment [teacher6]: However,
inflammatory bowel diseases; thus, a blood test, a fecal occult blood test and a colonoscopy were ordered.
Comment [teacher7]: K
Appointment was scheduled after 2 weeks to review his tests results.
Regrettably, On result’s day, the patient was feeling unwell. The blood test revealed elevated Hct, Comment [teacher8]: today, the
patient continued to feel
decreased Hb and the FOBT was positive. In addition, the colonoscopy detected a malignancy in the
ascending colon. Consequently, a biopsy was taken to confirm the diagnose. Comment [teacher9]: which confirmed
the diagnosis
in view of the above, I believe he needs your further assessment according his condition. Comment [teacher10]: I
Comment [teacher11]: and
Yours sincerely, management
Doctor
Report
Word length 207
Comments The letter has inaccuracies pertaining to spelling,
articles, tenses, capitalization, word choice and
sentence formation. Information could be written
in a better way. Overall, the letter does not meet
the expectations.
Estimated Grade C
2. Be careful with spelling and capitalization.
writing it.

Ticket Id: 11084
22.02.2014
Associated Professor Simon Anderson

Surgeon
Suite 65
City Hospital
25-29 Main Road
Centerville
Dear Dr Anderson,
Re: Mr. Daniel McCrae, DOB: 17.10.1962
I am writing to refer Mr. McCrae, a 52-year-old barrister who has been diagnosed with colon cancer. Your
urgent assessment would be highly appreciated.
Mr. McCrae is an overweight smoker patient. His medical history include a viral infection for which he was Commented [jc1]: includes
treated accordingly in September 2013. Please not, he has no family history of colon cancer, polyps or Commented [jc2]: note
inflammatory bowel disease.
On 08.02.2014, Mr. McCrae presented with abdominal discomfort, bloating and altered bowel motion; in
addition, he reported feeling tired as he never recovered from the infection he had in 2013. On Commented [jc3]: had
examination, he was febrile. Therefore, irritable bowel syndrome or inflammatory bowel disease was
considered as a possible diagnosis. Consequently, CBC, FOBT and colonoscopy were ordered.
On today's review, Mr. McCrae, was feeling the same and his CBC result showed a low Hb and his FOBT Commented [jc4]: ;
was positive. Furthermore, the colonoscopy detected a malignancy in the ascending colon which confirmed Commented [jc5]: was
to be adenocarcinoma after biopsy.
In view of the above, Mr. McCrae suffers from adenocarcinoma of the ascending colon. I would be grateful Commented [jc6]: is suffering
if you could evaluate him as early as possible. For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 194
case notes and logical paragraphing. There is good
coherence throughout. Minor grammatical
mistakes are visible. However, these do not reduce
communication. The letter meets the expectations.
Estimated Grade B
Advice 1. Revise grammar
2. Improve sentence formation
3. Always proofread your letter
practice-tests
correction

Dear Dr. Jack Thomas
Gastroenterologist
City Hospital
Main Road
Still Water
12/02/15
Dear Dr. Thomas,
Re: Mr. Patrick Newton, DOB: 06/07/1989
I am writing this letter to refer Mr. Newton, a 25-year-old male whose features are suggestive of
inflammatory bowel disease.
Mr. Newton is a single accountant who smokes and has a family history of Crohn's disease in his uncle.
On today's visit, the patient attended my clinic complaining of a four-month history of chronic diarrhea,
intermittent right lower quadrant abdominal pain and fatigue. Additionally, he reported a decreased appetite
which was evident by the three kilograms lost in the same period. Furthermore, he has had intermittent pain in
his right and left joints for the last 6 months. His examination was unremarkable except for tenderness in
his abdomen. As a result, blood tests were ordered which showed elevated levels of WBC and decreased
RCC plus Hb. Moreover, FOBE was positive and his CRP and ESR levels were also elevated. Therefore, the Comment [bnchmrk1]: and
patient was counseled about his smoking habits and inflammatory bowel disease.
In light of the above, I am referring this patient for your further management and assessment. For any
quires, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 178
Comments Well done!
Estimated Grade A
Advice 1. Keep up the good work!
practice-tests
correction

Ticket Id:
Dr Jack Thomas
Department of Gastroenterology
City hospital
Main Road
Stillwater
21-02-2014
Dear Dr Thomas
Re: Mr Patric Newton Comment [teacher1]: Patrick
Thank you for seeing Mr Newton, a 25-year-old patient, who has features of inflammatory bowel disease. Comment [teacher2]: an
Your further assessment is highly appreciated. Comment [teacher3]: would be
Mr Newton is a single accountant who lives with his parents. Regarding his past medical history he has a 6- Comment [teacher4]: He
month history of low grade intermittent joint pain in the right and left wrists; thus, he has been taking
ibuprofen. His family history revealed Crohn’s disease with his uncle. It is worth to mentioning that he is a Comment [teacher5]: in
smoker but plays squash as a hobby.
Today, Mr Newton reported having a 4-month history of chronic mild diarrhea along with low-grade
intermittent pain in the right lower quadrant part of the abdomen. Moreover, his appetite and weight
were decreased in addition to having lethargy. Be noted, Mr Newton reported developing anxiety and
embarrassment which was caused by his symptoms. Comment [teacher6]: has affected his
social lifestyle
Clinically, there was generalized abdominal tenderness with no hepatomegaly nor splenomegaly. Blood Comment [teacher7]: but
tests were ordered which revealed low RCC, Hb and high WCC. Unfortunately, his faecal occult blood test
was positive. Consequently, Crohn’s disease and ulcerative colitis were suspected. The patient was
encouraged to quit cigarettes.
In view of the above, I am referring this patient for further investigation and assessment to reach the
diagnosis. Please contact me for further queries.
Yours sincerely,
Doctor
Report
Word length 204
Comments Apart from a few inaccuracies, the letter covers all
the case notes adequately.
Estimated Grade B
practice-tests
correction

Ticket Id: 10648
21.02.2015
Dr Jack Thomas
Gastroenterologist
Department of Gastroenterology
City Hospital
Main Road
Stillwater
Dear Dr Thomas,
Re: Mr. Patrick Newton, DOB: 06.07.1989
I am writing to refer Mr. Newton, a 25- year-old accountant whose features are suggestive of inflammatory
bowel disease. Your further assessment would be highly appreciated.
Mr. Newton smokes 10-15 cigarettes per day and he has a family history of Crohn's disease. Comment [benchmark1]: and has a
past medical history of intermittent
On 21.02.2015, Mr. Newton presented with a 4 - month history of a chronic diarrhoea with an intermittent bilateral wrist joint pain for the last six
months. Please note
abdominal pain in the right lower quadrant that has been impacting his social life. Furthermore, he
Comment [benchmark2]: mild
reported a decrease in his appetite . Please not, he has been managing his symptoms by his own through
Comment [benchmark3]: and weight
diet and Ibuprofen, and he had lost 3 Kg during the same period. loss of 3 kg
Comment [benchmark4]: note
Upon abdominal examination, generalised tenderness was noticed. Moreover, his investigations revealed
Comment [benchmark5]: tried
an increase in the WCC with a mild elevation in the CRP and ESR; in addition to a decrease in the Hb and
Comment [benchmark6]: on
RCC. Furthermore, his fecal occult blood test came positive. Thus, he was counselled about IBD and he was
Comment [benchmark7]: i
advised to quit smoking.
Comment [benchmark8]: but his
symptoms continued to deteriorate and
In view of the above, Mr. Newton might be suffering from Crohn's disease/ulcerative colitis. Your further adversely affected his social life.
investigations and advise about the possible diagnosis is highly required. For any queries, please do not Comment [benchmark9]: ; hence, he
hesitate to contact me. requires your
Comment [benchmark10]: advice on
Yours sincerely,
Doctor
Report
Word length 199
Comments An effort to finish the task is visible. The letter covers
relevant case notes. However, there are several mistakes
related to word choice, grammar and sentence
formation. Overall, the letter can be improved further.
Estimated Grade C+
Advice 1. Pay more attention to grammar and improve
sentences.
2. Be careful with word choice.
3. Keep practicing to improve your performance.
practice-tests
correction

Ticket Id: 7807
Dr Jack Thomas
Department of Gastroentrology Comment [teacher1]: Gastroenterolog
y
City Hospital
Main Road
Stillwater
21/2/2015
Dear Dr Thomas
Re: Mr. Patrick Newton D.O.B: 6/7/2015
Thank you for seeing Mr. Newton 25-year-old accountant whose features are consistent with chronic mild Comment [teacher2]: , a
diarrhea. Your further management is highly appreciated.
Mr. Newton has been complaining from diarrhea and intermittent mild right lower abdominal pain since 4 Comment [teacher3]: of
months that associated with weight loss of around 3 kg, lethargy and decreased appetite. However, his Comment [teacher4]: for
current illness caused anxiety and deprivation from social interactions. Furthermore, his attempts of self Comment [teacher5]: is
dietary modifications and OTC pain relief medications to improve symptoms were unsuccessful. It worth Comment [teacher6]: Moreover
mentioning that he smokes approximately 10 – 15 cigarettes daily and his family history is notable for Comment [teacher7]: has
Crohn's disease related to his uncle. Comment [teacher8]: is
On today's assessment, his vital signs were average but abdominal examination revealed generalized
tenderness without hepatosplenomegaly. He had high WCC and low Hb and RCC. Moreover, his faecal
occult blood test was positive. CRP and ESR levels were also mildly elevated.
In the view of the above, my provisional diagnosis is inflammatory bowel disease or Crohn's disease and Comment [teacher9]: , either
ulcerative colitis. So, the patient was asked to cease smoking and the possibility of IBS and further Comment [teacher10]: or
investigations was addressed with him. I am referring this patient for your assessment and diagnosis. For Comment [teacher11]: change
paragraph here
any queries, please contact me.
Your sincerely Comment [teacher12]: Yours
Doctor
Report
Word length 200
Comments The letter has mistakes pertaining to sentence
structure, tenses, article and word choice.
However, flow of information is logical and all
relevant case notes have been covered. Overall,
the letter meets the expectations.
Estimated Grade B
practice-tests
correction

Dr. Susan Clayton
Endocrinologist
Women's Health Center
11-13 Bell Street
Newtown
28/03/14
Dear Dr. Clayton,
Re: Mrs. Tracy Bowen, DOB: 22/07/88
I am writing to refer this patient, a 26-year-old married woman whose features are suggestive of polycystic Comment [Benchmark1]: Mrs. Bowen
ovarian syndrome.
Mrs. Bowen has been a patient of mine for the past 9 years. She has a medical history of asthma which has
been managed accordingly.
On her first visit, on 28/8/04, she presented complaining of an irregular, infrequent menstrual cycles. Her Comment [Benchmark2]: The patient
initially presented to me
periods were also associated with dysmenorrhea; therefore, she was commenced on OCPs and analgesia.
Three weeks later, the patient attended with a new complaint of acne over multiple areas of her body. Comment [Benchmark3]: However,
three
Examination showed deep inflamed nodules and pus-filled cysts. As a result, she was managed with
antibiotics which did not help as she came back after 2 months with no signs of improvement.
Consequently, she was referred to a dermatologist.
On review today, the patient requested to be referred to an endocrinologist as she has been having
difficulty in conceiving after OCP cessation since January 2013, amenorrhea and weight gain. Investigations
showed decreased level of vitamin D and elevated levels of androgens, prolactin and oral GGT; thus, Comment [Benchmark4]: a
Climen was prescribed. Moreover, pelvic ultrasound was requested and a copy of the result will be sent
to you.
In light of the above, I am referring her for your further assessment. Please note, a copy of her pelvic US
will be sent. Comment [Benchmark5]: If you
require any further information, please do
Yours sincerely, not hesitate to contact me.
Doctor
Report
Word length 205
Comments The letter ably summarizes all important case
notes in relevant paragraphs. There is good
coherence. However, minor inaccuracies are
visible. Nevertheless, the letter meets the
expectations.
Estimated Grade B
Advice 1. Pay a little more attention to grammatical
range and accuracy.
writing it.

Ticket Id: 5307
Dr Susan Clayton
Endocrinologist
Women's Health Centre
11-13 Bell Street
Newtown
28/3/2014
Dear Dr Clayton,
Re: Ms Tracy Bowen, DOB: 22/7/1988
Thank you for seeing Ms Bowen, a 26-year-old woman, whose features are suggestive of polycystic ovary
syndrome. Your further management would be greatly appreciated.
Regarding her past medical history, Ms Bowen has been asthmatic since birth, which has been managed
accordingly. She also suffers from recurrent bronchitis.
Initially, on 28/8/2004, she presented complaining of irregular periods and dysmenorrhea since menarche.
Moreover, she complained of adolescence acne for which OCP and analgesia were described. Three weeks Commented [AH1]: adolescent
later, her acne did not improve and became widespread, deep and showed inflamed nodules and pus-filled Commented [AH2]: prescribed
cysts; hence, topical and systemic antibiotics were prescribed with no improvement noticed on review 2 Commented [AH3]: had not improved
months later. Consequently, she was referred to a dermatologist.
On today's visit, she was depressed as she had failed to conceive despite cessation of OCP since January Commented [AH4]: in
2013, after getting married. Her examination revealed weight gain and hirsutism. In addition, her oral GTT,
free androgen index and prolactin levels were elevated and her SHBG and vitamin D levels were slightly
decreased. Pelvic ultrasound was ordered and a copy of its result will be attached. Commented [AH5]: A p
Yours sincerely,
Doctor
Report
Word length 193
Comments Good job. The content is relevant and logically
presented. The purpose is clear, and tone is polite
and formal. Slight issues with vocabulary, article
usage and prepositions are evident, which do not
impair the overall quality of the letter.
Estimated Grade B+
Advice 1. Revise articles and prepositions.
2. Revise vocabulary to ensure appropriate word
choice.
use of connecting words, punctuation).
writing it.
practice-tests
correction

Ticket Id: 5307

Doctor Susan Clayton Comment [teacher1]: Dr
Endocrinologist
Women's Health Center
11-13 Bell Street
Newtown
28/03/14
Dear Doctor Clayton, Comment [teacher2]: Dr
Re: Mrs. Tracy Bowen, DOB: 22/07/88
I am writing to refer this patient, a 26-year-old married women whose features are suggestive of a possible Comment [teacher3]: woman
polycystic ovarian syndrome diagnosis.
Mrs. Bowen has been a patient of mine for the past 9 years. she has a medical history of asthma which has Comment [teacher4]: S
been managed accordingly.
On our first encounter, on 28/8/04, she presented complaining of an irregular, infrequent menstrual cycles. Comment [teacher5]: her first visit
Her periods were also associated with dysmenorrhea; Therefore, she was commenced on OCPs and Comment [teacher6]: t
analgesia as a case of idiopathic oligomenorrhea and primary dysmenorrhea. Three weeks later, the Comment [teacher7]: repetitive
patient attended with a new complaint of acne over multiple areas of her body. Examination showed, deep
inflamed nodules and pus-filled cysts. As a result, she was managed with antibiotics which did not help as
she came back after 2 months with no signs of improvement. Consequently, she was referred to a Comment [teacher8]: c
dermatologist.
On review today, the patient requested to be referred to an endocrinologist as she has been having
difficulty in conceiving after OCP cessation since January 2013, amenorrhea and weight gain.
Investigations showed decreased level of vitamin D and elevated levels of androgens, prolactin and oral
GGT; thus, Climen was prescribed.
In light of the above, I believe that she needs your further assessment. Please note, a copy of her pelvic US Comment [teacher9]: am referring her
for
will be sent.
Yours sincerely,
Doctor
Report
Word length 211
Comments The letter has inaccuracies pertaining to articles,
capitalization, word choice and sentence
formation. Information could be written in a better
way. Overall, the letter does not meet the
expectations.
Estimated Grade C+
2. Be careful with capitalization.
writing it.
practice-tests
correction

Dr. Suzan Clayton
Endocrinologist
Women’s Health Center
11-33 Bell Street
Newtown
28/3/14
Dear Dr. Clayton,

RE: Mrs. Tracy Bowen, DOB: 22/7/88
I am writing this letter to refer this patient, a twenty six-year- old married woman whose features are
suggestive of a possible polycystic ovarian syndrome. Your further management would be highly
appreciated.
Her medical history revealed she has asthma and recurrent bronchitis for which she has been taking
salbutamol inhaler and beclomethasone when necessary.
Initially, on 28/08/04, the patient came at my clinic with symptoms of idiopathic oligomenorrhea and Comment [teacher1]: to
dysmenorrhea, when she had had an irregular menstrual period associated with pain since menerach. oral Comment [teacher2]: and reported
that she had
contraceptive pills and naproxen were prescribed. One month later, she reported a complain of having
Comment [teacher3]: periods
acne over her face, upper back, shoulders and neck. On examination, deep inflamed nodules and puss-
Comment [teacher4]: menarche
filled cysts were noticed. antibiotics were commenced. On 24/11/05, she came again to my clinic as her
Comment [teacher5]: O
condition had been unchanged . As a result, she was referred to a dermatologist.
Comment [teacher6]: hence,
Comment [teacher7]: remained
On review today, the patient was complaining of having a difficulty in conceiving, amenorrhea and weight
Comment [teacher8]: complained
gaining; thus, blood tests were ordered and revealed elevated oral GTT, free androgen index and prolactin
Comment [teacher9]: after OCP
levels, while the levels of vitamin D and SHBG were decreased. Therefore, Climen 10 mg four times a day cessation since January 2013,
was commenced. Comment [teacher10]: which
In light of the above, I am referring Mrs Bowen upon her request. please note, a copy of her pelvic US will Comment [teacher11]: P
be sent.
Yours sincerely,
Doctor
Report
Word length 212
Comments The letter has many inaccuracies pertaining to
tenses, word choice and sentence formation. Also,
even though the length of the letter is above 200
words, many important case notes are missing.
Overall, the letter does not meet the expectations.
Estimated Grade C
4. Try to finish the letter in 200 words by writing
information in brief wherever possible.
5. Important pieces of information are missing.
writing it.
practice-tests
correction


Ticket Id: 11096
28.03.2014
Dr Susan Clayton
Endocrinologist
Women's Health Centre
11-13 Bell Street
Newtown
Dear Dr Clayton,
Re: Ms Tracy Bowen, DOB: 22.07.1988
I am writing to refer Ms Bowen, a 26-year-old married woman whose features are suggestive of polycystic
ovary syndrome. Your further assessment would be highly appreciated.
Ms Bowen suffers from asthma for which she is taking Slbutamol and Beclomethasone inhaler. Please note, Commented [jc1]: spelling
she is married for 14 month now. Commented [jc2]: has been
Commented [jc3]: months
On 28.04.2004, Ms Bowen was diagnosed with idiopathic oligomenorrhoea and primary dysmenorrhoea.
At that time, she presented with irregular and infrequent menstrual period since menarche which was Commented [jc4]: periods
associated with pain. However, her examination was normal; thus, oral contraceptive pill and analgesia Commented [jc5]: pills
were prescribed.
Around one year later, Ms Bowen complained of a deep acne which became cystic despite treatment. On
examination, cystic-like acne on the face, neck, shoulders and upper back were noticed. Therefore, she was
referred to a dermatologist for appropriate management.
Today, Ms Bowen was experiencing difficulty in conceiving despite stopping her oral contraceptive pill after
she got married. In addition, she had amenorrhoea, depression and recurrent hirsutism. On examination,
her BMI was 28. Moreover, her investigations revealed a low LH and a high FSH, free androgen index,
prolactin and oral GTT. As a result, Climen was commenced and pelvic US was ordered due to suspicion of
PCOS.
In view of the above, Ms Bowen requires further endocrinologist evaluation. Kindly, review the attached
copy of her US result. For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 229
Estimated Grade B
Advice 1. Revise grammar (plurals)
practice-tests
correction

Ticket Id: 11096

Ticket Id: 9027
Dr Susan Clayton
Endocrinologist
Women’s Health Center
11-13 Bell Street
Newtown
28/03/2014
Dear Dr Clayton,
Re: Mrs. Tracy Bowen D.O.B 23/07/1988
I am writing this letter to refer Mrs. Bowen, a 26-year-old woman who has symptoms and signs suggestive
of a polycystic ovarian syndrome. Your further management would be highly appreciated.
Mrs. Bowen has a long history of asthma, for which she uses salbutamol and beclomethasone.
Ten years ago, Mrs. Bowen initially presented with a complaint of irregular menstrual periods since
menarche, which was associated with dysmenorrhea and was interrupted by long periods of amenorrhea.
Consequently, oral contraceptive pills and analgesics were prescribed, and the patient was reassured. It is
worth mentioning that she also presented with mild acne, which had progressed over the following
months to cystic acne; therefore, she was referred to a dermatologist.
On today’s review, Mrs. Bowen reported that she discontinued the OCPs after she had married one year Commented [AH1]: got
before. Unfortunately, she also reported a difficulty in conceiving, amenorrhea, depression as well as Commented [AH2]: ago
weight gain. Her medical examination detected hirsutism which was managed cosmetically. Furthermore, Commented [AH3]: has been
her blood tests revealed high glucose, prolactin and androgen levels in addition to low vitamin D and SHBG
levels. As a result, Climen was commenced and a pelvic ultrasound scan was requested.
In light of the above, I am referring this patient upon her request. Moreover, a copy of her U/S report will Commented [AH4]: US
be attached. Should there be any queries, kindly do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 225
Comments The letter is quite long and wordy in parts. Overall,
the purpose is quite clear, and the tone is polite.
Minor flaws in the use of tenses and articles are
present, which do not impede general fluency. The
structure is logical; however, the content could be
more concisely written. Some revision of time
indicators could be helpful. Good job!
Estimated Grade B+
Advice 1. Plan your letter based on the key points and try
to combine ideas to write less than 200 words.
2. Revise countable and uncountable nouns to
3. Practise verb usage, including tenses in relation
to time indicators, to improve clarity.
writing it.
practice-tests

Ticket Id: 9027
correction

Ticket Id: 9182
Dr Tony Jones
Private practice
12 New street
Stillwater
31/03/2015
Dear Dr Jones
Re: Mrs Petty Johnson Commented [jc1]: Betty
I am writing this letter to refer you Mrs Johnson, an 81-year-old widowed who has uneventfully recovered
from a right total knee replacement surgery. Your further management would be highly appreciated.
Despite having 4 children, Mrs Johnson lives alone. The patient has a past medical history of osteoarthritis,
aortic valve replacement and pace maker insertion. Consequently, she is on paracetamol and warfarin.
Please note that warfarin has been replaced by heparin due to surgery preparation. Commented [jc2]: had
On 25/02/2015, surgery was done. The patient received antibiotic prophylaxis, IV blood transfusion for Commented [jc3]: performed.
anemia and morphine for pain control. Over the following week, Mrs Johnson recovered smoothly,
therefore she was referred to rehabilitation. Mrs Johnson achieved gradual independency during the
period of rehabilitation.
On 31/03/2015, Mrs Johnson was discharged with home nursing assistance. Warfarin, paracetamol,
Feratab and oxycodane were prescribed in addition to rehabilitation follow up appointment in a week. Commented [jc4]: oxycodone
Commented [jc5]: a
In view of the above, referral to you as her local doctor would be helpful in her recovery and rehabilitation
planes. For any queries please contact me.
Yours Sincerely,
Report
Word length 173
Comments The letter covers the case notes very well.
Information has been written in relevant order
with good coherence and logical paragraphing. The
letter meets expectations. There are only a few
minor inaccuracies, and these do not reduce
communication.
Estimated Grade B+
practice-tests
correction

Ticket Id:
Dr Tony Jones
Private Hospital
12 New Street
Stillwater
21-03-2015
Dear Dr Jones
Re: Ms Betty Johnson , 81 years of age
Thank you for seeing Ms Johnson, an 81-year-old patient, who was operated for right total knee Comment [teacher1]: I am writing to
refer back
replacement. Your follow up is highly appreciated.
Comment [teacher2]: has undergone
Ms Johnson is a widow women who has 4 children, but, she lives alone. Regarding her past medical history, Comment [teacher3]: would be
she has had osteoarthritis since 2011, the reason why she was operated for R. TKR. She has been taking
paracetamol along with warfarin. Comment [teacher4]: already known
to the addressee
On 25-05-2015, she was returned to the ward after the operation when her condition was stable. Comment [teacher5]: when
However, she received blood transfusion for her low Hb. PCA-morphine was intiated along with IV Comment [teacher6]: ,
cephalathin after 24 hours and paracetamol dose was increased. On the next day, Ms Johnson wound was Comment [teacher7]: Johnson’s
good. Warfarin was restored together with Clexane and PCA was ceased. Be noted, feratab was started Comment [teacher8]: F
after the Hb result. 2 days later, Dressing was removed. Fortunately, she was walking shortly with crutches. Comment [teacher9]: still low
On 6-03-2015, the wound was clean and all clips were removed. Consequently, she was transferred to the Comment [teacher10]: d
rehabilitation center on the next day where she soon achieved a good degree of independence and Comment [teacher11]: soon
mobility. Comment [teacher12]: short distances
Today, she was discharged from rehabilitation center with home nursing assistance. It is worth to
mentioning that the discharge medications were feratab, paracetamol and oxycodone. Comment [teacher13]: F
In view of the above, I am referring Ms Johnson back to update you about her condition. Please, contact Comment [teacher14]: would
appreciate if you take over her care and
me for any queries. repeat her blood tests next week. Her next
rehab review is in 2 weeks
Yours sincerely
Doctor
Report
Word length 208
Comments An effort to accomplish the task is visible.
Information has been written in logical
paragraphing. However, mistakes pertaining to
grammar, capitalisation and word choice are
visible. Some pieces of information are missing as
well while some can be written in a better way.
Overall, the letter requires further improvements.
Estimated Grade C

Ticket Id:
4. Read case notes carefully.

practice-tests
correction

Ticket Id: 10575
21.03.2015
Dr Tony Jones
Private Practice
12 New Street
Stillwater
Dear Dr Jones,
Re: Ms Betty Johnson, Discharge Date: 21.03.2015 Comment [benchmark1]: aged 81
I am writing to update you regarding Ms Johnson who recently had a right total knee replacement and is Comment [benchmark2]: Thank you
for seeing
being discharged from rehabilitation today. Your further follow up would be highly appreciated.
Comment [benchmark3]: the
On 25.02.2015, Ms Johnson had returned to the word following the surgery. She was vitally stable with a Comment [benchmark4]: ward
good knee circulation and her pain was controlled with morphine. However, a drop in her Hb to 80g/l was Comment [benchmark5]: dropped
noticed; thus, IVT transfusion was given. On the next day, her Hb reached 100g/l and the need for
morphine to control her pain was no longer needed. Therefore, Feratab and Oxycodone were commenced. Comment [benchmark6]: o
Furthermore, warfarin was restarted and clexane was initiated.
On subsequent check-ups, Ms Johnson had recovered well. There were no wound complications and all
clips were removed. Furthermore, she was able to walk using crutches. Please not that her INR was 3.0 and
her Hb was 111g/l. Furthermore, clexane was stopped at this stage. Comment [benchmark7]: C
On 07.03.2015, Ms Johnson was trensferred to rehabilitation. She started with gentle exercises using a Comment [benchmark8]: transferred
frame or a stick; however, her independence had increased gradually over the following 12 days. Please Comment [benchmark9]: the
note that a rise in the INR to 3.8 and in the Hb to 112g/l were reported; as a result, the dose of wrfarin and Comment [benchmark10]: was
Feratab were reduced. Comment [benchmark11]: doses
Comment [benchmark12]: warfarin
Today, Ms Johnson was discharged with no cardiac issues. As a part of Her discharge plan, home nursing
Comment [benchmark13]: h
assistance well be provided for personal and wound care alongside the use of a frame or a stick if needed.
Comment [benchmark14]: will
Her medication includes: warfarin 4mg, Feratab 150mg and Oxycodone 5-10mg. In addition, an
Comment [benchmark15]: o
appointment with rehabilitation after 2 week was scheduled.
Comment [benchmark16]: the
In view of the above, I would be gratefull if you could review Ms Johnson after one week, and please, could Comment [benchmark17]: weeks
you consider repeating her INR and FBE. for any queries, please do not hesitate to contact me. Comment [benchmark18]: highly
appreciate
Yours sincerely, Comment [benchmark19]: F
Doctor
Report
Word length 311
Comments An effort to cover relevant case notes is visible.
However, the length of the letter is more than desired,
thereby showing lack of effort to write information in a
brief/summary form. In addition, there are many
mistakes mainly related to spelling, capitalisation, word
choice and sentence formation. Overall, the letter needs
further improvement.
Estimated Grade C
Advice 1. Try to summarise information wherever possible and
finish your letter in 200 words.
2. Pay more attention to grammar and improve
sentences.
3. Need to improve word choice.
practice-tests

Ticket Id: 10575
correction

Ticket Id: 7808
Dr Tony Jones
Private Practice
12 New Street
Stillwater
21/3/2015
Dear Dr Jones
Re: Ms Betty Johnson
Thank you for seeing Ms Johnson an 81-year-old who recently underwent a right total knee replacement Comment [teacher1]: I am writing to
refer back
surgery. Your further management is highly appreciated.
Comment [teacher2]: would be
It is worth mentioning that Ms Johnson replaced her aortic valve and place pacemaker in 2010. She has
been diagnosed with osteoarthritis since 2011. 5 days prior to the operation, she was asked to commence Comment [teacher3]: already known
to her GP
clexane rather than warfarin and take paracetamol.
She had her operation on 25/5/2015. In postoperative follow-up, her vital signs and circulation observation
were average. She received cephalothin, morphine for pain and higher dose of paracetamol. She was also Comment [teacher4]: a
required IVT transfusion for anemia. On the next day, she was given clexane and restarted warfarin to stop Comment [teacher5]: administered
clexane 5 days later. Her wound was good and without oozing over the entire postoperative period. Comment [teacher6]: C
Comment [teacher7]: for 5 days and
She was transferred to rehabilitation on 7/3/2015. She started frame use and trial stick to assist in her warfarin was restarted
mobility; furthermore, gentle exercises and physio exercises were commenced to improve her condition. Comment [teacher8]: and
Fortunately, she was able to become more independent.
Today, she was discharged with home nursing assistant. She is on regular medications including warfarin 4
mg, Feretab, paracetamol and oxycodone.
In the view of the above, I am referring this patient for follow up and repeat FBE and INR after one week. Comment [teacher9]: Kindly
For any queries, please call me.
Doctor
Report
Word length 217
Comments The letter has some inaccuracies pertaining to
grammar, capitalization, word choice and sentence
way considering that the addressee is the patient’s
GP. Overall, the letter does not meet the
expectations.
Estimated Grade C+
practice-tests
correction

Dr. Jones
Newton Memory Clinic
400 Rail Road
Newtown
19/04/2015
Dear Dr. Jones,
Re: Mrs. Patricia Welshman, DOB: 28/03/1930
I am writing this letter to refer Mrs. Welshman, an 85-year-old widowed woman who is suffering from a
poor short-term memory.
Mrs. Welshman has been my patient for the past eight years. She lives alone and has five adult children. In
terms of her medical records, she is a known case of osteoporosis and dementia which have been managed
accordingly. Moreover, she has a family history of Alzheimer's disease.
On 14/12/2014, the patient attended my clinic for a regular check-up. At that visit, spare prescriptions
were noticed which demonstrated that she is not taking the medications regularly; thus, she was advised Commented [MOU1]: had not been
to use a Webster pack.
On today's visit, the patient, accompanied by her daughter, visited my clinic concerned about her memory
issues as she was forgetting dinner engagements and social events. In addition, behavioral changes and
decision-making issues were reported. On her mini memory assessment, she was unable to recall days,
dates and months even after several attempts.
In light of the above, I am referring Mrs. Welshman for a full memory assessment and diagnosis. For any
queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 186

Comments Excellent! Past perfect cont. is preferred to show
something that started in the past and continued
up to another time in the past.
Estimated Grade A
Advice 1. Always proofread the letter after finishing it.
Helpful links { HYPERLINK
"https://www.google.com/url?q=https://www.benchmarked
u.com.au/oet-reading-practice-
tests&sa=D&source=hangouts&ust=1527674207774000&usg
=AFQjCNEx7QrbCbTNf7tm9Mx1pw-pMC9lew" \t "_blank" }
{ HYPERLINK
u.com.au/oet-writing-
correction&sa=D&source=hangouts&ust=1527674268762000
&usg=AFQjCNG7tgInDSUuc_pXSfUytHbGAhdt7Q" \t "_blank"
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Filename: 4488.docx
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Documents
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Containers/UBF8T346G9.Office/User Content.localized/Templates.localized/Normal.dotm
Title:
Subject:
Author: www.ielts-blog.com
Keywords:
Comments:
Creation Date: 6/19/18 3:31:00 PM
Change Number: 2
Last Saved On: 6/19/18 3:31:00 PM
Last Saved By: Microsoft Office User
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Last Printed On: 6/19/18 3:31:00 PM
As of Last Complete Printing
Number of Pages: 2
Number of Words: 342 (approx.)
Number of Characters: 1,955 (approx.)
Ticket Id:
Dr Jones
Newtown Memory Clinic
400 Rail Rod
Newtown
19-04-2015
Dear Dr Jones
Re: Mrs Patricia Welshman D.O.B.: 28-03-1930
Thank you for seeing Mrs Welshman, an 85-year-old patient, who has features of early stage of Alzheimer. Comment [teacher1]: an
Your further assessment is highly appreciated. Comment [teacher2]: Alzheimer’s
Mrs Welshman is a widow woman who lives alone. Regarding her past medical history, she has had
osteoporosis and dementia; therefore, she has been taking vitamin D, atrovastatin, ibuprofen, metoprolol Comment [teacher4]: hypercholesterol
emia
and paracetamol. Be noted, she has family history of Alzheimer disease.
Comment [teacher5]: a
On 19-07-2014, Mrs Welshman had a trauma to her nose when she fell and she was managed accordingly. Comment [teacher6]: Alzheimer’s
On 27-07-2014, an occupational therapist attended to her home for assessment. On 14-12-2014, she Comment [teacher7]: fell at home
attended for her regular followup. Blood tests were ordered which revealed increased LDL and decreased Comment [teacher8]: her blood tests
vitamin D. Consequently, Webster pack was suggested and she was commenced to adher to her Comment [teacher9]: a
medications regimen. A 2-month later, blood samples were taken which showed no improvement. Comment [teacher10]: to help her
adhere better
The message of compliance to her medications was reinforced and she fortunately, agreed to use Webster Comment [teacher11]: She resisted
pack. but 2 months
Comment [teacher12]: a
Today, Mrs Welshman daughter reported having poor memory incidents such as forgetting hair dresser Comment [teacher13]: came with her
and missing social events. Mini memory assessment was done for her which revealed poor short term Comment [teacher14]: and
memory. Thus, Alzheimer’s disease was suspected. Comment [teacher15]: appointments
In view of the above, I am referring this patient for more assessment before diagnosis. Please contact me Comment [teacher16]: or dementia
for further queries. Comment [teacher17]: to reach a
Yours sincerely
Doctor
Report
Word length 213
Comments The letter is full of inaccuracies pertaining to
spelling, articles, tenses, capitalization, word
choice and sentence formation. Information could
be written in a better way. Overall, the letter does
not meet the expectations.
Estimated Grade C
practice-tests
correction

Ticket Id:

Ticket Id: 10463
19.04.2015
Dr Jones
Newton Memory Clinic
400 Rail Rd
Newtown
Dear Dr Jones,
Re: Mrs. Patricia Welshman, DOB: 28.03.1930
I am writing to refer Mrs. Welshman, a 85-year-old widow whose features are suggestive of early stage Commented [jc1]: an
Alzheimer disease. Your further assessment would be highly appreciated. Commented [jc2]: Alzheimer’s
Mrs. Welshman has a five adult children, and she lives alone. She is hypertensive, hyperlipidaemiac and Commented [jc3]: spelling
osteoporotic on regular medication. Furthermore, she has a family history of Alzheimer's. Please note, she Commented [jc4]: for which she is
has been visiting me regularly since 2007.
On 14.11.2014, the possibility that Mrs. Welshman was not taking her medication or filling the scripts was
considered. She presented with mild elevation in BP and her blood investigations showed an increase in
cholesterol, And a decrease in vitamin D. Therefore, the use of a Webster pack was suggested; however, Commented [jc5]: and
she was reluctant and promised to adhere to her medication regimen. Tow months later, Mrs. Welshman Commented [jc6]: Two
investigations were worsened. Thus, she finally agreed to use the Webster pack. Commented [jc7]: Welshman’s
Commented [jc8]: had
On today's visit, Mrs. Welshman presented with her daughter Christine. They were informed about the
improvement in the results; however, they were worried about her memory. A behavioural changes and Commented [jc9]: Behavioural
decision-making issue were noticed by her family. In addition, she was forgetting personal and social Commented [jc10]: issues
events. Therefore, a mini memory assessment was done which revealed a poor short term memory today Commented [jc11]: short-term
and date in several attempts despite of confirming the year correctly. Consequently, the causes of Commented [jc12]: for the day
dementia and the association between it and Alzheimer disease were explained. Commented [jc13]: dementia
Commented [jc14]: Alzheimer’s
In view of the above, I would be grateful if you could fully assess Mrs. Welshman memory in order to reach
Commented [jc15]: Welshman’s
the diagnosis. For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 263
case notes and logical paragraphing. Information
has been written in relevant order as well. The
letter meets the expectations. Some mistakes in
grammar and sentence formation are visible, but
they do not reduce communication.
Estimated Grade B
3. Pay attention to apostrophes
practice-tests
correction

Ticket Id: 10463

Ticket Id: 7809
Dr Jones
Newtown Memory Clinic
400 Rail Rd
Newtown
19/4/2015
Dear Dr Jones
Re: Mrs. Patricia Welshman D.O.B: 28/3/1930
Thank you for seeing Mrs. Welshman 85-year-old widow whose features are suggestive of Alzheimer's Comment [teacher1]: , a
disease. Your further management is highly appreciated.
Regarding her medical history, she was diagnosed with osteoporosis and she is on regular medications
including Ostevit-D, atcorvastatin, ibuprofen, metoprolol and paracetamol. However, her compliance on Comment [teacher2]: atorvastatin
medication was irregular, so Webster pack was suggested to her and, after some reluctance from her, she Comment [teacher3]: recently,
agreed to use to insure medications intake. Her family history is notable for Alzheimer's disease. It is worth Comment [teacher4]: with
mentioning that she had high LDL level and Low vitamin D on routine investigations but that was corrected Comment [teacher5]: it
later one and her other blood investigations were within average. Comment [teacher6]: repetitive
Today, the patient and her daughter were concerned about her memory because she was forgetting social
events, dinner engagements and hair dresser. She also showed behavioral changes and decision-making Comment [teacher7]: appointments.
problems. On examinations there was an obvious poor short memory as she was unable to tell day and Comment [teacher8]: examination,
date correctly; moreover, she could remember the year but she remembered the correct month after 3 Comment [teacher9]: however
attempts. They required knowing more information about dementia so the difference between dementia Comment [teacher10]: immediately
and told
and Alzheimer's disease was clarified to them.
Comment [teacher11]: asked for
In view of the above, I am referring this patient for full memory assessment and diagnosis confirmation.
For any queries, please contact me.
Doctor
Report
Word length 216
Comments The letter has many inaccuracies pertaining to
spelling, articles, tenses, word choice and sentence
way. Overall, the letter does not meet the
expectations.
Estimated Grade C+
practice-tests
correction

Ticket Id:
Dr Malcolm Still
Reumatologist Comment [teacher1]: Rheumatologist
5 Grant Street
Fairmount
03-05-2014
Dear Dr Still,
Re: Mr James Seymour DOB. 19-09-53 Comment [teacher2]: :
Thank you for seeing Mr Seymour, a 60-year-old retired academic, who has features of gouty arthritis. Your
further management is highly appreciated.
Mr Seymour is divorced and lives alone. Regarding his family history, his father had rheumatoid arthritis at
the age of 28. His past medical history revealed that he has had regular episodes of inflammation since Comment [teacher3]: own
2010; therefore, he has been taking colchicines, indomethacin and allopurinol after the last acute attack.
Be noted, he is a non-smoker; however, he is a heavy drinker.
On 25-04-2014, he reported having an episode of gout. He was unfortunately not compliant to his Comment [teacher4]: presented with a
4-week
medication’s regimen and he was thinking that his medications are not working. Clinically, the first left toe
Comment [teacher5]: with
was moderately inflamed and very painful. Consequently, he was encouraged to adher to his medications
Comment [teacher6]: adhere
in addition to paracetamol and oxycodone. Furthermore, improving lifestyle and decreasing alcohol intake
Comment [teacher7]: taking
were recommended. Blood tests and a left foot xray were requested. I worth to mentioning that he was
Comment [teacher8]: X-ray
insisting on the possibility of having rheumatoid arthritis, the reason why he was not complying to his
Comment [teacher9]: It is worth
medications.
Comment [teacher10]: with
Today, x-ray showed minor degenerative changes. Blood tests revealed elevation with MCH, urate and Comment [teacher11]: his X
CRP. Fortunately, gout episode subsided.
In view of the above, I am referring this patient upon his request. Please contact me for further queries.
Yours sincerely,
Doctor
Report
Word length 219
Comments The letter has a few inaccuracies pertaining to
grammar and word choice. However, it covers all
relevant case notes and the flow of information is
smooth. The letter meets the expectations.
Estimated Grade B
practice-tests
correction

Ticket Id:

Ticket Id: 5308
Dr Malcolm Still
Rheumatologist
5 Grant St
Fairmont
3/5/2014
Dear Dr Still,
Re: Mr. James Seymour, DOB: 19/9/1953
I am writing to refer Mr. Seymour, a 60-year-old retired academic, whose features are suggestive of gout.
Your management would be greatly appreciated.
Mr. Seymour is a heavy drinker. He has been suffering from regular episodes of gout affecting his first toe
since 2010. Consequently, he has been commenced on colchicine, indomethacin and allopurinol. Please
note, he has a family history of rheumatoid arthritis (RA) related to his father.
On 25/4/2014, he presented with a 4-week duration gouty bout, which was the third episode in the past 8
months. Regrettably, he was non-compliant regarding taking his medication regularly and claimed that
they were not working; moreover, he was convinced that he has RA like his father. On examination, the
first left toe appeared red and tender. Consequently, he was advised to take his previous medication in
addition to paracetamol regularly and oxycodone only on demand. Besides that, diet modification and
reducing alcohol intake were discussed and some investigations were ordered.
On today's visit, his condition was in remission; however, X-ray showed minor degenerative changes of the Commented [AH1]: an
left first metatarsophalangeal joint. Moreover, urate and CRP levels were elevated. In addition to the
previous advice, synovial sample stat next episode was suggested. A copy of pathology results will be Commented [AH2]: a
attached. Commented [AH3]: his
Yours sincerely,
Doctor
Report
Word length 222
Comments The letter is slightly long. Although there has been
a good attempt to summarise the case notes in a
logical manner, it could be more concise to allow
the purpose to stand out more. The language is
generally polite and formal. Only minor issues
involving pronouns, articles, and wording are
evident. Good work.
Estimated Grade B
Advice 1. Revise countable and uncountable nouns to
enable correct use of articles.
2. Revise vocabulary to improve word choice to
enhance clarity.
3. Always plan your work focus on key points
from the case notes prior to writing and stick to
a 200-word limit.
4. Allow time to proofread your letter once it is
finished.

Ticket Id: 5308

practice-tests
correction

Dr. Malcom still Comment [Benchmark1]: S
Rheumatologist
5 Grant Street
Fairmont
3/05/2014
Dear Dr. Still,
Re: Mr. James Seymour, DOB: 19/09/1953
I am writing this letter to refer , a sixty-year-old retired academic whose features are suggestive of gout. Comment [Benchmark2]: Mr.
Seymour
Mr. Seymour has quitted smoking since 1994, nevertheless, he is a heavy drinker. According to his medical
history, he has had several episodes of inflammation of the first toe since 2010. Therfore, the patient was Comment [Benchmark3]: Therefore,
commenced on colchicine and indomethacin as well as allopurinol which was prescribed after the last
acute attack. Please note, he has no known allergies. Comment [Benchmark4]: , and he has
a family history of rheumatoid arthritis.
On 25/04/14, patient presented with a 4-week history of a swollen left large toe which was his third Comment [Benchmark5]: the
episode of gout in the last 8 months. Additionally, he reported ceasing his medications a couple of months
ago. 2-weeks after this episode he resumed colchicine. On examination, the first toe was red and Comment [Benchmark6]: However, 2
weeks
moderately inflamed. As a result, a full dose of colchicine and indomethacin were resumed. Imaging
Comment [Benchmark7]: doses
studies and blood tests were ordered.
Comment [Benchmark8]: also
On review today, his symptoms had subsided. However, the patient thinks he has RA due to his positive
family history. X-ray showed minor degenerative changes of the left toe while FBE revealed elevated urate
and CRP . Comment [Benchmark9]: levels
In light of the above, I would be grateful if you could manage this patient as you think appropriate.
If you require any further information, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 203
However, there are some grammatical errors. In
addition, the ending of the letter is missing. Overall,
the letter needs further improvement.
Estimated Grade C+
sentences.
3. Always end the letter properly.
4. Avoid writing information that has no relevance.
5. Always proofread the letter after finishing writing
it.

Ticket Id: 11755
23/05/2015
Dr. Lorna Bradbury

General Practitioner
Stillwater Medical Clinic
12 Main Street
Stillwater
Dear Dr. Bradbury,
Re: Ms. Isabel Garcia, DOB: 01/01/1995
Your patient (Ms. Garcia) has been diagnosed with bacterial meningitis. I am writing to update you on her
health status and follow up treatment.
When admitted, Ms. Garcia complained of painful neck and other joints stiffness, headache, photophobia
and increasingly spreading bruises and skin rashes for a week ago. On examination, her left arm was
bruised with noticeable abdominal and lower limbs petechial rashes. She also had a difficulty in neck
flexion during a supine position, which suggested meningitis. Her investigations revealed a presence of Commented [JG1]: while in
septicaemia in blood tests, leucocytosis with predominant polymorphonuclear cells in a lumber puncture Commented [JG2]: leukocytosis
and Neisseria Meningitidis in subsequent microscopy and culture. Commented [JG3]: the lumbar
Eventually, she has improved on medications, which including; dexamethasone and ceftriaxone. The later Commented [JG4]: included
had been supplanted by benzyl penicillin following the lumber puncture results. Commented [JG5]: latter
Commented [JG6]: lumbar
It is worth mentioning that the Department of Human Services has been notified. In addition, I have
confirmed that all her family members and close friends have been immunised.
In view of the above, I would be grateful if you could counsel her close contacts as soon as possible
regarding chemoprophylaxis as well as advise them to report any unexplained symptoms to the nearest
healthcare facility.
For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 206
Comments Despite some misspellings, the letter is clear and
appropriate. The information covered is relevant
and straightforward
Estimated Grade B
Advice 1. Always proofread your work to minimize spelling
inaccuracies
practice-tests
correction

Ticket Id:
Dr Lorna Bradbury
12 Main Street
Stillwater
23-05-2015
Dear Dr Bradbury
Re: Ms Isabel Garcia D.O.B.: 01-01-1995
I am writing this letter to update you regarding Ms Garcia, a 20-year-old patient, who has been treated Comment [teacher1]: is being
from meningitis. Your follow up is highly appreciated. Comment [teacher2]: for
Today, she was referred to the emergency department when she was complaining of a rash, photophobia, Comment [teacher3]: with
headache and neck stiffness. Moreover, she had a week history of painful stiff joints. Clinically, she was
afebrile; however, she had bruises on the left arm along with petechial rashes on the abdomen and legs.
Be noted, she was unable to touch her chin to the chest when she was lying supine. Blood tests were
ordered beside a lumber puncture and blood culture. Simultaneously, the treatment was initiated by
dexamethosone then ceftriaxon while awaiting for the lumber puncture result.
Unfortunately, the culture and microscopy reports revealed having Neisseria meningitidis. Consequently,
the treatment was initiated by dexamethosone then ceftriaxon while awaiting for the lumber puncture
result. Mr Garcia the lumber puncture result showed responding to benzyl penicillin which was Comment [teacher4]: Hence,
commenced immediately, luckily, she responded well to the treatment. Subsequently, the Department of Comment [teacher5]: has
Human Services was notified of her condition as well as her family was counselled to be immunized.
In view of the above, I am writing this letter to update you about Ms Garcia’s condition and to contact her Comment [teacher6]: request you
family along with close friends looking for any unexplained illness. Also, those of a recent contact should Comment [teacher7]: to seek
immediate attention for
be given chemoprophylaxis.
Please, contact me for further queries.
Yours sincerely,
Doctor
Report
Word length 190
Comments An effort to accomplish the task is visible.
However, the letter has a few inaccuracies
pertaining to word choice, grammar and spelling.
Also, coherence-related issues exist as information
selection is below par or it is not written in
relevant order. Overall, the letter does not meet
the expectations.
Estimated Grade C+

Ticket Id:
practice-tests
correction

Ticket Id: 11631
23/05/2015
Dr. Lorna Bradbury
12 Main Street, Stillwater
Dear Dr. Bradbury,
I am writing to refer Ms. Garcia, back into your care who has been diagnosed with bacterial meningitis. Commented [JG1]: , back into your care.
Your follow up of her treatment would be highly appreciated.
Today, Ms. Garcia presented with signs and symptoms that are suggestive of an acute meningitis for a one- Commented [JG2]: of
week- duration. On examination, her left arm was bruised and associated with abdominal and lower limbs
petechial rashes. Also, she had difficulty in the neck flexion during a supine position, which is considered as Commented [JG3]: while in
a positive sign of meningitis. Her investigations revealed presence of septicaemia in blood tests,
leucocytosis with predominant polymorphonuclear cells in a lumber puncture and Neisseria Meningitidis in Commented [JG4]: the
blood cultures. At the same time, she was given Ceftriaxon which has been changed into benzylpenicillin Commented [JG5]: lumbar
1.8g IV/ 4 hours for five days along with Dexamethazone 10 mg IV / 6hours for 4 days. By the end she has Commented [JG6]: ceftriaxone
been improved on the previous management. Commented [JG7]: dexamethasone
Commented [JG8]: started improving.
Please note, I have sent a notification to the department of Human Services about this case. Also, a
Commented [JG9]: I had a
discussion about immunisation with her family was done and I have confirmed that all have been
protected against the disease.
In view of the above, I would be grateful if you could arrange an appointment with her close family and
friends as soon as possible to give them information about the early signs of the disease and the possibility
of chemoprophylaxis for her recently close contacted people.
Yours sincerely,
Doctor
Report
Word length 243
Comments The letter covers the case well, but it is long and
contains errors in sentence structure, article use
and spelling. Overall further improvement is
needed
Estimated Grade C+
Advice 1. Review proper sentence structure
2. Keep letter between 180-200 words
3. Review use of definite and indefinite articles
4. Always proofread your work to minimize spelling
errors
practice-tests
correction

Ticket Id: 11535
23/05/2015
Dr. Lorna Bradbury

12 Main Street, Stillwater
Dear Dr. Bradbury,
I am writing to refer Ms. Garcia, back into your care who has been diagnosed with bacterial meningitis, . Comment [benchmark1]: back into
your care.
Your follow up of her treatment would be highly appreciated.
Today, Ms. Garcia presented with signs and symptoms that are suggestive of an acute meningitis for a one-
week- duration. On examination, her left arm was bruised and associated with abdominal and lower limbs Comment [benchmark2]: today
complaining of headache, neck stiffness,
petechial rashes. Also, she had difficulty in the neck flexion during a supine position, which is considered as photophobia and increasingly spreading
a positive sign of meningitis. Her investigations revealed presence of septicaemia in blood tests, skin rash.
leucocytosis with predominant polymorphonuclear cells in a lumber puncture and Neisseria Meningitidis in Comment [benchmark3]: suggested
blood cultures. At the same time, she was given Ceftriaxon which has been changed into benzylpenicillin Comment [benchmark4]: Ceftriaxone
1.8g IV/ 4 hours for five days along with Dexamethazone 10 mg IV / 6hours for 4 days. By the end she has Comment [benchmark5]: had
been improved on the previous management. Comment [benchmark6]: replaced
with
Please note, I have sent a notification to the department of Human Services about this case. Also, a Comment [benchmark7]: Dexamethas
discussion about immunisation with her family was done and I have confirmed that all have been one
protected against the disease. Comment [benchmark8]: D

Comment [benchmark9]: has been
In view of the above, I would be grateful if you could arrange an appointment with her close family and notified
friends as soon as possible to give them information about the early signs of the disease and the possibility Comment [benchmark10]: has been
of chemoprophylaxis for her recently close contacted people. Comment [benchmark11]: counsel
Comment [benchmark12]: contacts
For any queries, please contact me. Comment [benchmark13]: regarding
chemoprophylaxis as well as advise them to
Yours sincerely, report any unexplainable symptoms to the
nearest healthcare facility.
Doctor Comment [benchmark14]: do not
hesitate to
Report
Word length 243
However, the length of the letter is more than
desired. In addition, there are mistakes mainly
related to spelling, word choice and sentence
formation. Overall, the letter can be improved
further.
Estimated Grade C+
Advice 1. Try to summarise information wherever
possible and finish your letter in 200 words.
sentences.
3. Need to improve word choice and be careful
with spelling.
practice-tests
correction

Ticket Id: 10428
23.05.2015
Dr Lorna Bradbury
12 Main Street
Stillwater
Dear Dr Bradbury,
Re: Ms Isabel Garcia, DOB: 01.01.1995
I am writing to update you regarding Ms Garcia condition who is now confirmed to be suffering from Comment [benchmark1]: the
condition of
bacterial meningitis. Your further follow-up of her treatment would be highly appreciated.
Ms Garcia was referred with symptoms of meningitis. On examination, petechial rash over the abdomen Comment [benchmark2]: presented
today complaining of headache, neck
and legs, and bruises over the left arm were noticed; moreover, she was not able to extend her neck . stiffness, photophobia and increasingly
Therefore, blood investigations icluding culture and a lumbar puncture were ordered. spreading skin rash. On examination,
The blood result of Ms Garcia showed an increase in the white cell count and the CRP; in addition, the
lumbar puncture revealed a raise in the protein and white cell count with PMN predominance and a
Comment [benchmark5]: bend
decrease in the glucose. Furthermore, the blood culture confirmed the presence of neisseria meningitidis.
Comment [benchmark6]: forward
while lying flat
Initially, Ms Garcia received IV Dexamethasone followed by IV Ceftriaxone; however, after the result of the
Comment [benchmark7]: including
lumbar puncture IV Benzylpenicillin was given. Consequently, she responded well to the treatment.
Comment [benchmark8]: test
In view of the above, Ms Garcia is being discharged with Dexamethasone 10mg IV every six hours for four- Comment [benchmark9]: rise
day and Benzylpenicillin 1.8g IV every four hours for five-day. I would be grateful if you could contact her Comment [benchmark10]: N
close family and friends advising them to seek urgent medical attention if they develope any unexplained Comment [benchmark11]: d
signs, and those who has been in recent close contact with her might require a chemoprophylaxis. Please Comment [benchmark12]: c
not that the Department of Human Services was notified Comment [benchmark13]: b
Comment [benchmark14]: d
Comment [benchmark15]: b
Yours sincerely, Comment [benchmark16]: five days

Comment [benchmark17]: develop
Doctor Comment [benchmark18]: have
Comment [benchmark19]: note
Report
Word length 246
However, the length of the letter is more than
desired. In addition, there are many mistakes
mainly related to spelling, capitalisation, word
choice, grammar and sentence formation. Overall,
the letter needs further improvement.
Estimated Grade C
Advice 1. Try to summarise information wherever
possible and finish your letter in 200 words.
sentences.
4. Be careful with spelling and capitalisation.
practice-tests
correction

Ticket Id: 7811
Dr Lorna Bradbury
12 Main Street
Stillwater
23/5/2015
Dear Dr Bradbury
Re: Ms Isabel Garcia
Thank you for referring Ms Garcia who is recently diagnosed with bacterial meningitis. Your further follow Comment [teacher1]: now confirmed
up is highly appreciated. as a case of
She had been complaining from Painful joints stiffness since 1 week that accompanied with light sensitivity
Comment [teacher3]: p
and increased bruising. She also suffered from headache, neck stiffness, photophobia and rash. On
examination, her temperature was average and there was bruising on her left arm with petechial rash on Comment [teacher4]: for past
her abdomen and legs. Moreover, she couldn’t flex her chin to touch chest when she was lying supine. Comment [teacher5]: but
So, some investigations were required including FBC, renal function, LFT, CRP, lumber puncture and blood Comment [teacher6]: requested
culture. Her test results showed that there was an increase in the white cell count in CSF, predominantly
PMN, with reduced glucose and high protein levels. Therefore, ceftriaxone was given before lumber
puncture but it was changed to benzylpenicillin after the appearance of the test results. Fortunately, she
was showing an average response on treatment. It's worth mentioning that Neisseria meningitidis was Comment [teacher7]: is
isolated form her CSF. Subsequently, the Department of Human Services was notified of her condition as Comment [teacher8]: from
well as her family was counselled to be immunized.
In view of the above, I am recommending close observation of her family and close friends for any disease
manifestation. Furthermore, the possibility of chemoprophylaxis and immunization should be discussed
with them. For any queries, please contact me. Comment [teacher9]: should be
evaluated
Doctor
Report
Word length 204
Comments There are some inaccuracies pertaining to
spelling, word choice and grammar. Also,
some important information is missing.
Nevertheless, the letter meets the
expectations.
Estimated Grade B
practice-tests
correction

Ticket Id: 8291
Dr Charles White
Bay veiw Private Hospital Commented [jc1]: View
81 Canyon Road
Bay veiw Commented [jc2]: View
1/6/2014
Dear Dr White,
Re: Ms Lola Duval D.O.B 27/5/1990
I am writing this letter to refer Ms Duval, a 24-year-old university student who has symptoms and signs
suggestive of hypothyroidism. Your further management would be highly appreciated.
Ms Duval has an unremarkable medical history apart from anxiety and insomnia, for which she uses
sleeping pills occasionally.
Initially, Ms Duval presented with a complaint of losing ten kgs of her weight over the last two months
despite eating well. Moreover, she reported tremors, occasional palpitations, sweating as well as heat
intolerance for the same period. Her medical examination was unremarkable apart from slightly enlarged Commented [jc3]: a
non-tender thyroid gland in addition to hands tremors. Please note that mild exophthalmos with lid lag
was observed.
On today’s review, her ECG revealed sinus tachycardia. Furthermore, thyroid function test detected low Commented [jc4]: the
TSH level and elevated T3 and T4 levels. Consequently, Ms Duval was discussed about the possibility of Commented [jc5]: educated
Grave’s disease as a trigger to hyperthyroidism. Moreover, thyroid auto-antibody tests and thyroid scan
were requested.
In light of the above, I am referring this patient for your urgent assessment. Please note that the patient is
anxious about her condition. Should there be any queries, kindly do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 195
Comments This is an excellent letter with appropriate
hardly any inaccuracies and the letter meets the
expectations.
Estimated Grade A
practice-tests
correction

Ticket Id: 5435
Dr Chalrles White Comment [MOK1]: Charles

Thyroid Specialist
Bay view Private Hospital
81 Canyon Road
Bay view
1/6/2014
Dear Dr White,
Re: Ms Lola Duval, DOB: 27/6/1990
I am writing this letter in order to request an early review of Ms Duval, a 24-year-old engineering university
student, whose features are suggestive of hyperthyroidism due to Grave's disease.
Ms Duval suffers from anxiety and sleep disturbance; hence, she takes sleeping pill occasionally.
Initially, on 31/5/2014, Ms Duval presented complaining of tremors, episodic palpitation, sweating, and
heat intolerance for the previous 2 months. Furthermore, she has experienced fatigue and anxiety more Comment [MOK2]: been experiencing
recently. However, her main concern was unexplained significant weight loss despite her good appetite
because she has lost 10kg for the previous 2 months. On examination, she was noticed to be underweight, Comment [MOK3]: had
the thyroid gland was non-tender and slightly enlarged as well as hand tremors and some exophthalmos Comment [MOK4]: over the last
were also noticed. Consequently, some investigations were ordered to reveals her condition. Comment [MOK5]: . In addition, hand
On today's review, unfortunately, her investigations came in and showed sinus tachycardia in ECG,
elevated T3 and T4 levels while TSH level was decreased; hence, further investigations were requested
including thyroid auto-antibody and thyroid scan.
Yours sincerely,
Doctor
Report
Word length 180
Comments The letter covers relevant case notes well.
Paragraphing and coherence are logical. There are
a few mistakes pertaining to grammar,
punctuation, sentence formation. Overall, the
Estimated Grade B
Advice 1. Be careful with grammar, punctuation and
sentence formation
practice-tests
correction

Dr.Charles White
Thyroid Specialist
Bayview Private Hospital
81 Canyon Road
Bayview
01/06/14
Dear Dr. White,
Re: Ms. Lola Duval, DOB : 27/05/90
I am writing this letter to refer Ms Duval, a twenty four – year -old engineer student whose features are Comment [teacher1]: engineering
suggestive of hyperthyroidism due to Grave’s disease. In terms of her medical history, she has anxiety and Comment [teacher2]: change
paragraph here
insomnia for which she takes sleeping pills occasionally.
On her first visit, on 31/05/14, she came to my clinic complaining that despite her good appetite, she had Comment [teacher3]: complained
lost 10 kg of her weight over the last two months. Upon questioning, she reported that she had Comment [teacher4]: previous
experienced tremors , episodic palpitation , sweating , and heat intolerance for the last two months. her Comment [teacher5]: Also
examination revealed a slightly enlarged non-tender thyroid gland , tremors of both hands and some Comment [teacher6]: H
exophthalmos with lid lag. therefore, blood tests ,ECG and thyroid function tests were ordered. Comment [teacher7]: T
Regrettably , on today’s review , ECG detected sinus tachycardia while thyroid function tests showed
decreased TSH level and elevated T3 and T4 level , whereas FBE and UEC results were normal; thus, Comment [teacher8]: as well as
thyroid autoantibody test and thyroid scan were ordered. Comment [teacher9]: levels
Comment [teacher10]: plus
In light of the above, I am refering Ms Duval for your further assessment. If there is any queries, please do
Comment [teacher11]: referring
not hesitate to contact me.
Comment [teacher12]: are
Yours sincerely,
Doctor
Report
Word length 195
grammar, word choice and spelling. Some
sentences are long and lack complexity (as
highlighted above). Overall, the letter does not
meet the expectations.
Estimated Grade C+
writing it.
practice-tests
correction

Ticket Id: 9218
Dr Charlies White
81 Canyon road
Bay view
01/06/2014
Dr White
Re: Ms Lola Duval D.O.B.27/05/1990
I am writing to refer you Ms Duval, a 24-year-old university student whose signs and symptoms are
consistent with hyperthyroidism.
Ms Duval has a past medical history of laryngitis, anxiety and insomnia. She is taking sleeping pills
occasionally to overcome her insomnia. Please note that her mother suffers from depression.
On 31/05/2014, Ms Duval attended my surgery with a complaint of weight loss over the past 2 months
despite eating well. By detailed history taking patient experienced tremors, heat intolerance, palpitation Commented [jc1]: Check
for last 2 months in addition to fatigue month ago. On examination, the patient was anxious, Commented [jc2]: the
exophthalmos and lid lag was exist. Commented [jc3]: 1
Commented [jc4]: , and
On today’s visit, results revealed low TSH and high both FT3 and FT4 along with sinus tachycardia,
Commented [jc5]: were
therefore thyroid antibodies and thyroid scan were requested.
Commented [jc6]: existent
In view of the above, my provisional diagnosis is Grave’s disease. Urgent review of the patient would be Commented [jc7]: both high
highly appreciated as she is anxious. For any queries please contact me.
Yours Sincerely,
Report
Word length 158
Comments The letter covers the case notes well and
information has been written in relevant order.
There are minor inaccuracies in word choice, but
they do not reduce communication. However, the
letter is considerably less than the advised 180
words and needs further improvements.
Estimated Grade C+
3. Improve choice of words
4. Write at least 180 words
practice-tests
correction

Dr. Charles White
Thyroid Specialist
81 Canyon Road
Bayview
1/06/2014
Dear Dr. White
Re: Ms. Lola Duval, DOB: 27/05/90
I am writing this letter to refer, a 24-year-old female engineering student who is presenting with signs and
symptoms suggestive of hyperthyroidism due to Grave's disease.
Ms. Duval has a medical history of anxiety and insomnia for which she takes sleeping pills occasionally.
On 31/05/14, the patient visited my clinic complaining of unexplained weight loss over the previous 2
months despite her good appetite. She also reported having tremors, palpitations, sweating and heat
intolerance. On examination, her vital signs were in the normal range. However, a non-tender slightly
enlarged thyroid gland as well as tremors in both hands were noticed. Additionally, Eye examination Comment [teacher1]: e
revealed minimal exophthalmos with lid lag. Therefore, blood tests, ECG and TFT were ordered. Comment [teacher2]: some
Unfortunately, on review today, her TFT results showed elevated T3 and T4 with no abnormalities in the
other tests. As a result, thyroid auto-antibodies plus thyroid scan were ordered. Comment [teacher3]: with low TSH
while ECG showed sinus tachycardia
In view of the above, I am referring her for your further management. Please note, she is anxious about her
condition and needs an early review. For any quires, please contact me. Comment [teacher4]: queries
Yours sincerely,
Doctor
Report
Word length 178
Comments Only a few grammatical and spelling errors are
visible and paragraphing is logical. However,
some parts can be written in a better way.
Overall, the letter meets the expectations.
Estimated Grade B
practice-tests
correction

Ms. Jane Graham
Occupational Therapist
Newtown Occupational Therapy
10 Johnston Street
Newtown
20/06/15
Dear Ms. Graham,
Re: Mr. Barry Jones, DOB: 01/04/1972
Thank you for seeing this 44-year-old man, whose features are suggestive of a severe lower back strain. He
is therefore in need of your workplace assessment. Commented [AH1]: a
Mr. Jones is married and works as a forklift driver, which requires him to sit for prolonged periods of time.
In addition, he sometimes lifts heavy objects as a part of his job.
On 21/03/15, the patient attended my clinic complaining of a typical lower back strain pain that he
developed after lifting a heavy box from the ground at work. Consequently, he was advised to rest for a
month, exercise, and to take pain-killers. After one month, he reported that his back was still sore and very
stiff. As a result, he was given another thirty days off work to rest. On 19/05/15, the patient was recovering
well; however, he was still in pain, even after exercising and attending physiotherapy sessions; thus, his
medication dose was increased, and he was given another extended time off work. Commented [AH2]: certificate for
On today's visit, he reported that his back was still stiff despite an increase in the range of motion.
Additionally, the patient was bored and wanted to return back to work; therefore, he was advised to have
regular breaks and to not lift any objects while working.
In light of the above, an assessment of Mr. Jones’ workplace is needed plus advice about what certain Commented [AH3]: required, as well as
duties he can perform at work. For any queries, please do not hesitate to contact me. Commented [AH4]: there
Yours sincerely,
Doctor
Report
Word length 244

Comments The letter is well structured but too long. Minor
flaws in using connective devices and word choice
are present, but these do not impede the overall
quality of the letter.
Estimated Grade B+
Advice 1. Try to finish the letter in 200 words.
2. Improve vocabulary to enhance formality and
avoid repetition.
use of conjunctions, punctuation).
writing it.
practice-tests

correction

Ticket Id: 11824
20/06/2015
Ms. Jane Graham

10 Johnston Street
Newtown
Dear Ms. Graham,
Re: Mr. Barry Jones, DOB: 01/04/1972
As Mr. Jones is recovering from a lower back strain following an occupational injury, I am writing to request
your assessment of workplace. Commented [JG1]: his
Mr. Jones job is a forklift driver in a large store, which requires prolonged sitting with occasional heavy- Commented [JG2]: works as
lifting.
When attended (21/03/2015), he had a history of four-day occupational back pain following lifting a heavy Commented [JG3]: attending
box. From then on, he had ever had work breaks and his pain worsened. His x-ray showed no disc Commented [JG4]: (unclear sentence)
problems. He was diagnosed with severe lower back strain. Therefore, I commenced him on analgesics and Commented [JG5]: X
referred him to physiotherapist. In addition, he was advised to take a rest from his job and do regular
Commented [JG6]: a
progressive walking.
Over the last three months of sick leave, Mr. Jones has been attending his physiotherapist and follow-up
appointments regularly. Although he has recovered well, he has been still suffering of pain with a difficulty Commented [JG7]: is
during movement. Commented [JG8]: from
Based on the patient’s desire to return-work, I have recommended him to avoid lifting heavy objects and
taking regular breaks. I would be grateful for your thoughts on what are the best job duties might be and
how he should perform after return-work. Would you kindly send a supportive letter regarding his Commented [JG9]: returning to
condition to his employer?
Yours sincerely,
Doctor
Report
Word length 215
Comments Despite some inaccuracies, the letter is satisfactory
and covers the notes well. The information is clear
and accurate
Estimated Grade B
Advice 1. Review verb tenses
2. Always proofread your work to avoid
inaccuracies
practice-tests
correction

Ticket Id: 10376
20.06.2015
Ms Jane Graham
10 Johnston St
Newtown
Dear Ms Graham,
Re: Mr. Barry Jones, DOB: 01.014.1972
I am writing to refer Mr. Jones, a 44-year-old forklift driver who has been diagnosed with a lower back
strain since 3 months, and he wants to return to work. Your assessment of his workplace would be highly Commented [jc1]: for the last
appreciated.
Mr. Jones works in a large warehouse, and his jop requires prolonged sitting and heavy lifting. Commented [jc2]: job
Initially, on 21.03.2015, Mr. Jones presented with a 4 days history of progressive severe lower back pain Commented [jc3]: 4-day
after lifting a heavy object. Therefore, Naproxen and Carisoprodol were prescribed and he was advised to
walk daily. Furthermore, he was referred to a physiotherapist, and 30 days off work was given.
On the following two visits, Mr. Jones walking time had increased from less than 10 minutes up to 20 Commented [jc4]: Jones’
minutes; however, his movement was still very stiffy and painful. Thus, the dose of Naproxen was raised Commented [jc5]: stiff
and his work off was extended for another 30 days in each visit. Commented [jc6]: certificate for time off work
On today's review, Mr. Jones was recovering well. His range of motions were improving and he was able to
walk up to 30 minutes in spite of pain. However, he was feeling bored, discouraged and he wanted to Commented [jc7]: despite felling pain
return to work. At this stage, he was instructed to take regular breaks during work time and not to lift any Commented [jc8]: and
objects.
In view of the above, I would be grateful if you could advise him on the duties that he can perform in his
work. Should there be any queries, please to not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 251
sentence formation and word choice are visible,
but they do not reduce communication.
Estimated Grade B
practice-tests

Ticket Id: 10376
correction

Ticket Id: 8202
Ms Jane Graham
10 Johnston St
Newtown
20/6/2015
Dear Ms Graham,
Re: Barry Jones D.O.B: 1/4/1972
Thank you for seeing Mr. Jones, a 44-year-old forklift driver who desires to return to his work after
recovering from a back injury. Your further assessment of his work place would be highly appreciated.
On 21/3/2015, he presented with a 4-day-history of back pain after lifting a heavy box, and pain intensity Commented [AH1]: 4-day history
had been increasing since then. After exclusion of disc problems by X-ray, he was asked to practice daily Commented [AH2]: the intensity of his pain has
exercises, and he was commenced on naproxen and carisoprodol. Also, he was referred to a
physiotherapist and a certificate was issued to take 30-day off work. On his next visit, his back condition
was the same with difficulty on movement. Despite of the patient compliance to physiotherapy, he Commented [AH3]: patient’s
described exercises to be very painful. Therefore, his sick-leave was expanded another 30 days. Commented [AH4]: extended for
Fortunately, after one month, he showed some improvement in spite of his back pain. He was able to walk
approximately 15- 20 minutes at a time; however, he still had pain. So naproxen dose was increased, and Commented [AH5]: Therefore, his
another 30 days was added to his sick-leave.
Today, he was recovering well, and his range of movement was improving but his back was still painful. He Commented [AH6]: has improved; however,
has had regular visits to a physiotherapist. However, he felt bored and he asked to return to his work. Commented [AH7]: is persistent
Commented [AH8]: ; h
In the view of the above, I am referring this patient to assess his workplace and advice on duties that he
Commented [AH9]: reports feeling
can perform. For any queries, please contact me.
Commented [AH10]: has
Yours sincerely, Commented [AH11]: for an assessment of
Doctor
Report
Word length 223
Comments The letter is quite long and wordy. Some
information could be presented more concisely,
and language could be more formal at times. issues
involving articles, tenses, cohesive devices and
sentence formation impede fluency. Good effort.
Estimated Grade C
Advice 1. Consider combining ideas to present
information more concisely. Try to write no
more than 200 words.
2. Practise verb usage, including tenses and
subject-verb agreements.
3. Improve cohesion within paragraphs (i.e. use of
conjunctions, punctuation).
4. Revise vocabulary to improve spelling and word
choice.
practice-tests
correction

Ticket Id: 5453
Dr B White
Neurosurgeon
City Hospital
Newtown
28/6/2014
Dear Dr White
Re: Mr. George Poulos, 45 years of age
I am writing to refer Mr. Poulos, a 45-year-old stockbroker, whose features are suggestive of discogenic
lower back pain with radiculopathy who I believe he needs an MRI and possible surgery. Your further Comment [MOK1]: .
management would be greatly appreciated.
Mr. Poulos is a smoker and heavy drinker. He is slightly overweight and does not exercise. Please note, he Comment [MOK2]: a
is allergic to pethidine, pencillins and an unknown radiographic contrast medium.
Initially, on 21/6/2014, Mr. Poulos presented with a complaint of severe non-radiating lower back pain as a
result of lifting heavy objects. Moreover, he felt a click and was locked in a semi-flexed position. The
examination revealed limited extension and loss of lumbar lordosis; hence, he was commenced on
analgesics and was advised to rest. One week later, the pain has been radiating downward to the right Comment [MOK3]: was
lower limb with some limitation of lumbar flexion and SLR on both sides. Comment [MOK4]: positive
Today, regrettably, he became almost immobile and he has been suffering from severe pain of the right leg
as well as a tingling sensation in the right calf. In addition, his lumbar flexion and SLR on both legs have
become progressively limited as well as light touch sensation and ankle reflex on the right side were almost
lost.
Yours sincerely,
Doctor
Report
Word length 219
Comments The letter covers relevant case notes well.
Paragraphing is logical and there is good
communication throughout the letter. Although
there are a few inaccuracies, overall the letter
meets the expectations.
Estimated Grade B+
Advice 1. Try to finish the letter in 200 words.
3. Be careful with articles.
practice-tests
correction

Dr. B White
Neurosurgeon
City Hospital
Newtown
05/07/14
Dear Dr. White,
Re: Mr. George Poulos
I am writing this letter to refer, a 45-year-old male whose features are suggestive of lower back discogenic Comment [MOU1]: Mr. Poulos,
radiculopathy.
Mr. Poulos is a married stockbroker. He is a smoker and drinks alcohol. Moreover, the patient is allergic to
pethidine, penicillin and unknown radiographic contrast agent. Comment [MOU2]: an
On 21/06/14, the patient attended my clinic complaining of a sudden sever lower back pain that began Comment [MOU3]: severe
after bending his back to lift heavy logs from the ground. His examination showed an expression of back
pain on extension and flexion. Therefore, he was advised to rest and take paracetamol. After one week,
the pain extended to the back of his right thigh, lateral calf and dorsum of the foot. At that time, his
examination revealed worsened lumbar flexion and decreased angle in the SLR test from 90 to 85 plus
from 90 to 60 in the left and right leg respectively. Comment [MOU4]: ,
Unfortunately, today, his pain has deteriorated even more as he is now nearly unable to perform lumbar
flexion. Additionally, loss of light touch sensation in the lateral distal calf and plantar aspect of the foot was
noticed.
In view of the above, I am referring this patient to see if he requires any surgical intervention. Please note,
he needs an MRI scan.
Yours sincerely,
Doctor
Report
Word length 208
Comments There are only a few inaccuracies. Nevertheless,
they do not reduce communication. Keep up the
good work!
Estimated Grade B+
Advice 1. Be careful with spelling, punctuation and
articles.

Dr. B White
Neurosurgeon
City Hospital
Newtown
05/07/14
Dear Dr. White,
Re: George Poulos, Aged 45 years old
I am writing this letter to refer, a 45-year-old married man whose symptoms are suggestive of discogenic Comment [MOU1]: Mr Poulos,
lower back pain with radiculopathy.
Mr. Poulos is a smoker and an alcohol drinker. His medical and family history are unremarkable. It is worth
mentioning that he has an allergy to pethidine, penicillin and radiographic agent. Comment [MOU2]: a
Initially, on 21/06/2014, he presented with a complaint of sudden sever back pain while he was lifting logs Comment [MOU3]: severe
at home. However, the pain was not radiating to his thighs. His examination was normal except for a loss of
lumbar lordosis and an expression of pain on the flexion of fingertips to patella. Thus, he was advised to
rest from work as well as analgesia was prescribed. After one week, he complained that the pain had Comment [MOU4]: and
extended down to the back of his right leg. Comment [MOU5]: analgesics were
Comment [MOU6]: been extending
Regrettably, on review today, his condition continued to worsen as he is almost immobile now. On
examination, his lumbar flexion was almost nil whereas the light sensation of his foot and the ankle reflex Comment [MOU7]: absent
were lost. Comment [MOU8]: . Additionally,
In light of the above, I am referring Mr. Poulos for your further assessment and advise regarding the
possibility of surgery. Please note, the patient may require an MRI.
Yours sincerely,
Doctor
Report
Word length 202
Comments The letter contains mistakes pertaining to articles,
spelling and word choice. Further improvements
are required.
Estimated Grade C
2. Be careful with spelling, articles and
conjunctions.

Dr. B White
Neurosurgeon
City Hospital
Newtown
05/07/14
Dear Dr. White,
Re: George Poulos, Aged 45 years old
I am writing this letter to refer, a 45-year-old married man whose symptoms are suggestive of discogenic Comment [MOU1]: Mr Poulos,
lower back pain with radiculopathy.
Mr. Poulos is a smoker and an alcohol drinker. His medical and family history are unremarkable. It is worth
mentioning that he has an allergy to pethidine, penicillin and radiographic agent. Comment [MOU2]: a
Initially, on 21/06/2014, he presented with a complaint of sudden sever back pain while he was lifting logs Comment [MOU3]: severe
at home. However, the pain was not radiating to his thighs. His examination was normal except for a loss of
lumbar lordosis and an expression of pain on the flexion of fingertips to patella. Thus, he was advised to
rest from work as well as analgesia was prescribed. After one week, he complained that the pain had Comment [MOU4]: and
extended down to the back of his right leg. Comment [MOU5]: analgesics were
Comment [MOU6]: been extending
Regrettably, on review today, his condition continued to worsen as he is almost immobile now. On
examination, his lumbar flexion was almost nil whereas the light sensation of his foot and the ankle reflex Comment [MOU7]: absent
were lost. Comment [MOU8]: . Additionally,
In light of the above, I am referring Mr. Poulos for your further assessment and advise regarding the
possibility of surgery. Please note, the patient may require an MRI.
Yours sincerely,
Doctor
Report
Word length 202
Comments The letter contains mistakes pertaining to articles,
spelling and word choice. Further improvements
are required.
Estimated Grade C
2. Be careful with spelling, articles and
conjunctions.

Ticket Id: 11592
25/07/2015
Dr. M. Jones
Psychiatrist
23 Sandy Road
South Sea town
Dear Dr. Jones,
Re: Mrs. Katherine Walter, DOB: 26/11/1975
Thank you for urgently seeing Mrs. Walter, who presented today with severe depression. Your further
assessment and management would be highly appreciated.
Mrs. Walter is married and has two children. She is a housewife with no special hobbies or sports. Please
note, her family history is strongly positive for depression.
During the early two visits of Mrs. Walter, she had elevated mood signs. However, on her first visit
(19/11/2014), she reported a tiredness feeling. Her examination revealed that she was overweight (BW: Commented [JG1]: feeling of tiredness
82kg), for which she was advised on lifestyle modifications. On her second visit six months later, she
presented with the signs of high energy included; multiple social activities and regular exercises, which Commented [JG2]: including
reduced her weight to 69.5kg.
Today, she attended my clinic with warning symptoms of depression. She expressed a variety of feelings of Commented [JG3]: about being
overwhelming with responsibilities, and a loss of energy and appetite. In addition, she had suicidal Commented [JG4]: overwhelmed
thoughts and insomnia. On examination, she lost about 20 kg since the last visit.
Based on my provisional diagnosis of severe bipolar disorder, I have discussed a child care and a household
maintenance topic with her husband. I would be grateful for your urgent attention and treatment of her
depression and suicidal thoughts.
Yours sincerely,
Doctor
Report
Word length 210
Comments Good job! The letter is professional and accurate.
The information is clear, and the grammar and
lexis and correct
Estimated Grade B+
Advice 1. Always proofread your work to avoid
inaccuracies
practice-tests
correction

Dr. M Jones
Psychiatrist
23 Sandy Road
South Seatown
25/07/15
Dear Dr. Jones,
Re: Katherine Walter, DOB: 26/11/75
I am writing this letter to refer , a forty-year-old married woman whose symptoms are suggestive of severe Comment [Benchmark1]: Mrs. Walter
depression plus bipolar disorder.
Regarding her medical history, she has had asthma since childhood and chronic fungal infections on both
feet for which she takes Pulmicort inhaler and Canesten. Moreover, she has a family history of depression.
Initially, on 19/11/2014, she came to my clinic for a general check up and reported having more asthmatic
attacks this year, flared up fungal infections and fatigue. Her examination was unremarkable except for a Comment [Benchmark2]: that
weight of 82 kg. Thus, she was advised to reduce weight and exercise. Additionally, CBC and Pap smear Comment [Benchmark3]: her body
were ordered.
After six months, she presented at my clinic and reported that asthma had flared up two months ago but
had no attacks since then, whereas the fungal infections had improved. On examination, her weight 69.5 Comment [Benchmark4]: was
kg. In addition, her tests were normal.
Regrettably, on today’s visit, she complained that she has feelings of not coping, wanting to die and being Comment [Benchmark5]: had
overwhelmed with responsibilities. On examination, she had lost a further 19.5 kg of weight. Please note, Comment [Benchmark6]: her weight
by
she has suicidal thoughts.
In view of the above, I am referring Mrs. Walter for your further assessment and management.
Yours sincerely,
Doctor
Report
Word length 204
Comments The candidate has attempted the task well. Flow of
information is logical and relevant case notes have
been covered well. Overall, other than minor
inaccuracies pertaining to grammar and word
choice, the letter meets the expectations.
Estimated Grade B
range and accuracy.
2. Be careful with word choice.
writing it.

Dear Dr. M Jones
Psychiatrist
23 Sandy Road
South Seatown
25/07/15
Dear Dr. Jones,
Re: Mrs. Katherine Walter, DOB: 26/11/1975
I am writing this letter to refer Mrs. Walter, a 39-year-old housewife whose features are suggestive of severe
depression and bipolar disorder.
Mrs. Walter is married with 2 children and has a medical history of asthma which has been managed accordingly.
Additionally, she has a family history of depression.
On 19/11/14, the patient attended my clinic for a general check-up. At that time, she looked happy and well. Her
examination was unremarkable except for a high BMI (28.4); thus, she was advised to lose weight and to exercise.
After six months, on her second visit, she stated that she was feeling more energetic especially after her
participation at her children's school as a president of the parents' association. In addition, she followed a healthier Commented [MOU1]: the
lifestyle evident by a decrease in her BMI to 24. Commented [MOU2]: as evidenced
Unfortunately, on today's visit, the patient reported that she has suicidal thoughts and feels overwhelmed with Commented [MOU3]: had
responsibilities plus having no energy to do household chores. Furthermore, her appetite declined significantly as Commented [MOU4]: felt
her BMI was decreased to 17. Commented [MOU5]: by
Commented [MOU6]: in addition to
In light of the above, I am referring her for your urgent assessment and management. Please note, her husband was
contacted to discuss child care.
For any quires, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 206
Comments The letter contains mistakes pertaining to articles
and prepositions. However, these do not reduce
communication.
Estimated Grade B
Advice 1. Be careful with articles and prepositions.
2. Revise grammar.
Helpful links { HYPERLINK
u.com.au/oet-reading-practice-
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Filename: 4335.docx
Directory:
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Documents
Template: /Users/ezelbersuhosgor/Library/Group
Containers/UBF8T346G9.Office/User Content.localized/Templates.localized/Normal.dotm
Title:
Subject:
Author: www.ielts-blog.com
Keywords:
Comments:
Creation Date: 6/17/18 7:32:00 AM
Change Number: 2
Last Saved On: 6/17/18 7:32:00 AM
Last Saved By: Microsoft Office User
Total Editing Time: 1 Minute
Last Printed On: 6/17/18 7:32:00 AM
As of Last Complete Printing
Number of Pages: 2
Number of Words: 369 (approx.)
Number of Characters: 2,107 (approx.)
Ticket Id: 10312
25.07.2017
Dr M Jones
Psychiatrist
23 Sandy Road
South Sea town
Dear Dr Jones,
Re: Mrs. Katherine Walter, DOB: 26.11.1975
I am writing to refer Mrs. Walter, a 40 -year-old housewife who has been diagnosed with severe
depression and possible bipolar disorder. Your urgent assessment and treatment would be highly
appreciated.
The patient has two children, and she has a strong family history of depression. She is asthmatic and has
been suffering from chronic fungal skin infections in both feet since 1999. Her current medications are
budesonide inhaler and clotrimazole.
Initially, on 19.11.2014, Mrs. Walter came for check-up. She complained of a fungal infection which was
flaring up periodically; however, she seemed well, happy and was volunteering at her children's school. On
examination, her BMI was 28.4. Therefore, miconazole was prescribed and she was advised to decrease
her weight through fitness. An appointment after three months to follow her progress was scheduled. Comment [benchmark1]: In addition,
an
Six-month later, Mrs. Walter's fungal infection improved and she lost weight. In addition, she reported that Comment [benchmark2]: Six months
she was feelling energetic, was training daily, and her involvement at the school was increasing; as a result,
Comment [benchmark3]: feeling
she was very busy to attend the scheduled review. On examination, her BMI was 24.
Comment [benchmark4]: increasing
Today, Mrs. Walter presented with symptoms of depression including: tiredness with no energy to her participation in
complete household tasks, over sleeping, loss of appetite, and suicidal thoughts. Her BMI was 17.3. At this Comment [benchmark5]: too
stage, her husband was contacted in order to discuss child care and house hold maintenance.
In view of the above, Mrs. Walter requires further management. Please note that she has a two children Comment [benchmark6]: I would
and She has a strong family history of depression. Moreover, her extended family live in other states. Thus, appreciate if you could assess and manage
the condition of Mrs. Walter.
her husband was contacted to discuss child care and household maintenance.
For any queries, please to not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 228
Comments An effort to cover relevant case notes is visible. However, there are some
mistakes related to grammar and sentence formation. In addition,
paragraphing of the letter could be better. Overall, the letter can be
improved further.
Estimated Grade C+
Advice 1. Pay more attention to grammar and improve sentences.
2. Write social/medical history of the patient in a separate (2nd) paragraph.
Helpful links https://www.benchmarkedu.com.au/oet-reading-practice-tests
https://www.benchmarkedu.com.au/oet-writing-correction

Ticket Id: 7810
Dr M Jones
Psychiatrist
23 Sandy Road
South Sea town
25/7/2015
Dear Dr Jones,
Re: Mrs. Katherine Walter. D.O.B.: 26/11/1975
I am writing this letter to refer Mrs. Walter, a 39-year-old married woman who has symptoms and sings Comment [teacher1]: signs
suggestive of sever depression with suspected bipolar disorder. Your further management would be highly Comment [teacher2]: severe
appreciated.
Mrs. Walter has a remarkable family history of depression. Furthermore, she is known to be asthmatic, for
which she uses Pulmicort. Please note, the patient uses Canesten for a fungal infection. Comment [teacher3]: chronic
Mrs. Walter, presented twice last year for her regular check-ups. Fortunately, her medical examinations as
well as investigations were reassuring. It is worth mentioning that the patient was slightly overweight on
the first visit; however, she has lost about 30 kgs during the following months. Comment [teacher4]: 13 kg when she
came for a follow up 6 months later. On
Unfortunately, today, Mrs. Walter came in reporting fatigue, disturbed sleep and loss of appetite. both these visits, she looked in good sprits
Moreover, she has had thoughts of suicide. Her medical examination was unremarkable apart from the
significant weight loss. Her husband has been contacting to discuss household maintenance.
In light of the above, I am referring this patient for your urgent assessment and management. Should there
be any queries, kindly do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 169
Comments The letter is shorter than 180 words and is missing
important case notes. However, it has only a few
inaccuracies pertaining to punctuation, spelling,
word choice and grammar. Overall, the letter does
not meet the expectations.
Estimated Grade C+
4. Try to write at least 180 words.
practice-tests
correction

Ticket Id: 11079
09.08.2014
Dr M McLaren
Neurologist
Suite 3
67 The Crescent
Newtown
Dear Dr McLaren,
Re: Mr. Michael Weir, DOB: 20.09.1970
I am writing to refer Mr. Weir, a 54-year-old real estate agent whose features are suggestive of multiple
sclerosis. Your further assessment would be highly appreciated.
Mr. Weir is a smoker and he is overweight. He has had depression since 2012 for which he has been taking
Zoloft. Furthermore, he has been feeling tiredness for almost one year. Commented [jc1]: fatigue
On 07.07.2014, Mr. Weir presented with a weakness in the left leg. Moreover, hypercholesterolaemia was
detected from a previously ordered investigations. On examination, he was hypotensive. Therefore, he was
advised to modify his lifestyle through diet, exercise and smoking cessation.
Today, in addition to the previous weakness, Mr. Weir complained of dizziness, two recent blackouts and a
tingling sensation in both hands. On examination, generally, his blood pressure was still low and initial
neurological examination revealed, bilateral loss of sensation in the upper limb with a hyporeflexia in the Commented [jc2]: limbs
left patella. Consequently, head and lumbar CT scan was ordered to determine the possible causes.
In view of the above, Mr. Weir requires a full neurological evaluation and I would be grateful if you could
consider ordering an MRI. For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 196
Comments This is an excellent letter with appropriate
hardly any inaccuracies and the letter meets the
expectations.
Estimated Grade A
practice-tests
correction

Ticket Id:
Dr M McLarn Commented [jc1]: Check spelling
Neurologist
Suite 3
67 The Crescent
09-08-2014
Dear Dr McLarn,
Re: Mr Michael Weir DOB: 20-09-1970
Thank you for seeing Mr Weir, a 44-year-old patient, who has features of multiple sclerosis. Your
management and assessment would be appreciated.
Mr Weir is a real estate agent who is married with 3 children. Regarding his medical history, he has had
depression, therefore, he has been taking Zoloft. Be noted, he is an overweight smoker. Commented [jc2]: Please note,
On 22-06-2014, he attended for general checkup when he was tried and stressed. The clinical examination
was unremarkable. Thus, blood tests were ordered. A week later, he had no improvement beside having Commented [jc3]: besides
weakness in the left leg. Blood tests revealed low WBC, RBC, Hb and Hct along with high cholesterol.
Consequently, modifying lifestyle was recommended. Today, he reported having dizziness, breathlessness
and constipation. Moreover, he had tingling in both hands and swinging mood beside 2 blackouts. Commented [jc4]: as well as
Clinically, he lost the sensation in both hands; in addition, the patellar reflex was diminished. Hence, head Commented [jc5]: had
and lumber spine CTs were requested.
In view of the above, I am referring this patient for full neurological assessment and MRI. Please, contact
me for further queries.
Yours sincerely
Doctor
Report
Word length 177
Comments This is a very good letter with appropriate
only minor inaccuracies and the letter meets the
expectations.
Estimated Grade B+
practice-tests

Ticket Id:
correction

Ticket Id: 5551
Dr M McLaren
Neurologist
Suite 3
67 The Crescent
Newtown
9/8/2014
Dear Dr McLaren,
Re; Mr. Michael Weir, DOB: 20/9/2014
I am writing to refer Mr. Weir, a 44-year-old real estate agent, whose features are suggestive of multiple
sclerosis. Your further management would be greatly appreciated.
Mr. Weir is a smoker and overweight. He has been taking Zoloft for depression since 2012.
On 29/6/2014, Mr. Weir initially presented with a complaint of being tired, stressed and run-down. The
examination was unremarkable apart from noticeable overweight; therefore, some investigations were
ordered which revealed anaemia and hypercholesterolemia. Hence, he was advised to make some lifestyle
changes such as doing regular exercise, eating a low fat diet, quitting smoking and having some
recreational activities.
Unfortunately, Mr. Weir presented today complaining of dizziness and 2 recent blackouts of short Comment [Benchmark1]: episodes of
duration, as well as feeling stressed due to work overload. Moreover, he reported that he had had a Comment [Benchmark2]: stress
tingling sensation in both hands, weakness of the left leg, shortness of breath and energy plus occasional Comment [Benchmark3]: in
constipation. The examination revealed loss of sensation in both hands and a diminished left patellar
reflex. Consequently, head and lumbar spine CT scans were requested to reveal the cause of his symptoms.
In light of the above, I believe he needs an MRI and full neurological assessment. Should you have any Comment [Benchmark4]: scan
further queries, please feel free to contact me.
Yours sincerely,
Doctor
Report
Word length 209
inaccuracies, the letter is up to the mark.
Estimated Grade B+
range and accuracy.
practice-tests
correction

Dr. M McLaren
Neurologist
Suite 3
67 The Crescent
Newtown
09/08/14
Dear Dr. McLaren,
Re: Mr. Michael Weir, DOB: 20/09/1970
I am writing this letter to refer , a 43-year-old married man, whose features are suggestive of multiple Comment [AH1]: Mr. Weir
OR “…to refer this 43-year-old man…” (no
sclerosis. comma)
Mr. Weir is a smoker and has had depression since September 2012, for which he takes Zoloft.
On 26/06/14, the patient attended my clinic complaining of fatigue and stress. His examination was
unremarkable except for BP of 96/83 and high BMI (27.8). Therefore, CBC and lipid tests were ordered. Comment [AH2]: a
After one week, on results day, he reported having weakness in his left leg. Test results showed decreased
levels of CBC, RBC, Hb and Hct, whereas cholesterol level was 6.37 mmol/L; thus, the patient was advised Comment [AH3]: WBC
to decrease saturated fat intake and to exercise in order to lose weight. Comment [AH4]: his
Unfortunately, today he presented with dizziness and two recent blackouts as well as tingling sensation in Comment [AH5]: a
his hands. His examination revealed loss of sensation on both hands plus diminished Left patellar reflex. As Comment [AH6]: a
a result, CTs of the head and lumbar spine was ordered, however, an MRI might also be needed. Comment [AH7]: a
Comment [AH8]: l
In view of the above, I am referring this patient for your further neurological assessment. Please do not
Comment [AH9]: were
hesitate to contact me
Yours sincerely,
Doctor
Report
Word length 188
Comments Article usage requires revision. Otherwise, the
letter contains relevant information and is well
structured. Good Job!
Estimated Grade B+
writing it.

Dr. M McLaren
Neurologist
Suite 3
67 The Crescent
Newtown
09/08/14
Dear Dr. McLaren,
Re: Mr. Michael Weir, DOB: 20/09/70
I am writing this letter to refer a 44-year-old real estate agent, whose symptoms are suggestive of multiple Commented [AH1]: Mr Weir,
sclerosis.
Mr. Weir is married and a smoker. His medical history revealed he has a long-term history of being Commented [AH2]: that
overweight, as well as depression since September 2012, for which he takes Zoloft.
On his first visit, on 29/06/14, he came for a general check-up and reported having feelings of running
down and tiredness. His examination was normal, except for BMI of 27.8, and a blood pressure of 96/83. Commented [AH3]: being run-down
Therefore, CBC and cholesterol tests were ordered. Commented [AH4]: his
After one week, his condition remained unchanged. His tests revealed decreased WBC, RBC, Hb, and Hct
while cholesterol level was 6.37mmol/L. Thus, he was advised to stop smoking, exercise and follow Commented [AH5]: a
reduced fat diet.
Regrettably, today, he presented with complaints of dizziness, two recent blackouts, tingling sensation in Commented [AH6]: he presented today
his hands and weakness in the left leg. On examination, a loss of sharp and blunt sensations were noticed Commented [AH7]: a
on both hands, whereas the left patellar reflex was diminished. As a result, head plus lumbar spinal CT Commented [AH8]: losses
scans were ordered to determine the cause of his condition. Commented [AH9]: in
Commented [AH10]: and
In light of the above, I am referring Mr. Weir for your further neurological assessment regarding his
condition. Please note, patient may require MRI. Commented [AH11]: that the
Commented [AH12]: an
Report
Word length 215
Comments The content is mostly relevant however the
sentences are often wordy. Revision on article
usage and vocabulary would be helpful. Overall a
good effort.
Estimated Grade C+
2. Improve sentence structure and choice of
words (try not to over-complicate sentences).
writing it.

Ticket Id: 7813
Dr M McLaren
Neurologist
Suite 3
67 The Crescent
Newtown
9/8/2014
Dear Dr McLaren,
Re: Mr. Michael Weir D.O.B 20/9/1970
I am writing this letter to refer Mr. Weir, a 44-year-old real estate agent who has symptoms and signs
suggestive of multiple sclerosis. Your further management would be highly appreciated.
Mr. Weir is a married overweight smoker. He has had a long history of depression since 2012, for which he
has been using Zoloft.
During initial visit on 26/6/2014, Mr. Weir presented with a complaint of being tired and stressed. Comment [teacher1]: the
However, his medical examination was unremarkable apart from being overweight. Comment [teacher2]: no need for
paragraph change
Therefore, some blood tests were ordered and a review after one week was scheduled.
One week later, Mr. Weir was still tired and depressed. Moreover, he reported weakness in his left leg.
Except for anaemia and hypercholesterolemia, his test results were within normal values. Comment [teacher3]: no need for
paragraph change
Consequently, he was advised to quit smoking and follow a healthy life style.
On today’s review, the patient was still overweight in spite of exercising and better eating. Comment [teacher4]: no need for
paragraph change
Unfortunately, he reported dizziness and two recent blackouts. In addition to breathlessness, a tingling in Comment [teacher5]: in
both hands. Comment [teacher6]: and
Comment [teacher7]: no need for
His examination revealed a loss of sensation on both hands as well as a diminished left patellar reflex. As a paragraph change
result, head and lumber CTs were ordered.
In light of the above, I am referring this patient for your further assessment and possible MRI imaging.
Should there be any queries, kindly do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 226
Comments The letter has only a few inaccuracies and covers
all the case notes adequately. However, it can be
organised in a better way.
Estimated Grade B+
practice-tests
correction

Dr. Penny Clifton
Thoracic Surgeon
Central Hospital
Main Road
Stillwater
22/08/15
Dear Dr. Clifton,
Re: Mrs. Mary Clarke, DOB: 17/09/1960
I am writing this letter to refer Mrs. Clarke, a 54-year-old woman whose features are suggestive of
bronchogenic carcinoma.
Mrs. Clarke is a married office clerk, who has a history of smoking 30-35 cigarettes per day for more than
thirty years. Regarding her family history, her mother died due to laryngeal cancer and her father also died
due to a mining-related lung disease. Please note, she has no known history of allergies.
On 04/07/15, the patient attended my clinic complaining of sore throat, fever and cough which was
managed with Augmentin antibiotic.
On today's visit, she reported having a 7-week history of non-productive cough, SOB and heaviness in
chest, which she treated with Augmentin. Her examination was unremarkable except for signs of Comment [teacher1]: and I again
prescribed
consolidation and wheezing in the right lung. As a result, sputum cytology was ordered and showed normal
Comment [teacher2]: which
findings. Additionally, chest X-ray and CT scan were done, which unfortunately revealed a right middle lobe
atelectasis with enlarged right hilum.
In light of the above, I am referring this patient for follow-up investigations and assessment, particularly
bronchoscopy and biopsy.
For any quires, please do not hesitate to contact me. Comment [teacher3]: queries
Yours sincerely,
Doctor
Report
Word length 189
Comments Apart from a few inaccuracies, the letter is well
written and covers all the case notes adequately.
Estimated Grade B+
practice-tests
correction

Dr. Penny Clifton
Department of Cardiothoracic Surgery
Central Hospital
Main Street
Stillwater
22/08/15
Dear Dr. Clifton,

Re: Mrs. Mary Clarke, DOB: 17/09/60
I am writing this letter to refer Mrs Clarke, a 54-year-old married women whose signs and symptoms are Comment [teacher1]: woman
suggestive of bronchogenic carcinoma.
Mrs Clarke is a heavy smoker and works as office clerk. In terms of her family history, her father died of Comment [teacher2]: an
mining-related lung disease at the age of 54, while her mother died of laryngeal carcinoma at the age of Comment [teacher3]: a
66.
On 04/07/15, she came to my clinic and reported having a sore throat, body aches, fever and cough; thus,
Augmentin was commenced. Regrettably, today she attended my clinic with complaints of a seven-week
history of dry non-productive cough associated with shortness of breath especially at the night and chest
heaviness. However, the patient did not report fever, night sweating or chills. Her examination was
unremarkable except for signs of consolidation plus monophonic wheezing in the right middle zone of her
lung. In addition, chest X-ray and CT scan revealed atelectasis in the right middle lobe and an enlarged right Comment [teacher4]: x
hilum.
In light of the above, I am referring Mrs Clarke for your further investigations and assessment. Please note,
a biopsy and bronchoscopy might be required.
Yours sincerely,
Doctor
Report
Word length 188
Estimated Grade B+
practice-tests
correction

Ticket Id: 10261
22.08.2015
Dr Penny Clifton
Thoracic Surgeon
Department Of Cardiothoracic Surgery
Central Hospital
Main Street
Stillwater
Dear Dr Clifton,
Re: Mrs. Mary Clarke, DOB: 17.09.1960
I am writing to refer Mrs. Clarke, a 54-year-old office clerk whose features are suggestive of bronchogenic
carcinoma. Your further investigations and assessment would be highly appreciated.
Mrs. Clarke has been smoking for more than 30 years. Moreover, she has a family history of laryngeal Comment [benchmark1]: is married
carcinoma and mining-related lung disease. and lives with her husband and her 20-year-
old son. She
Comment [benchmark2]: 30 to 35
Initially, on 04.07.2015, Mrs. Clarke complained of flu-like symptoms including a dry cough for which
cigarettes per day
Augmentin was prescribed.
On today's review, Mrs. Clark's cough was not subsided; in addition, it was associated with mild shortness Comment [benchmark3]: did not
of breath, especially at night, and a strange sensation of heaviness in the chest. On respiratory subside
examination, there were signs of consolidation associated with monophonic wheeze in the right mid-zone.
Consequently, sputum cytology, chest x-ray and CT scan were ordered. The result showed normal cytology; Comment [benchmark4]: X
however, the imaging studies revealed right middle lobe atelectasis and enlarged right hilum. Therefore,
Mrs. Clarke was counselled on the potential diagnosis and the need of further investigations. Comment [benchmark5]: for
In view of the above, Mrs. Clarke requires a bronchoscopy and lung biopsy. For any queries, please to not
hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 181
grammatical errors, the letter meets the
expectations.
Estimated Grade B
range and accuracy.
practice-tests
correction

Ticket Id: 8203
Dr Penny Clifton
Department of Cardiothoracic Surgery
Central Hospital
Main Street
Stillwater
22/8/2015
Dear Dr Clifton,
Re: Mrs. Mary Clarke D.O.B:17/9/1960
I am writing this letter to refer Mrs. Clarke, a 55-year-old office clerk, whose manifestations are suggestive
of bronchogenic carcinoma. Your further assessment would be highly appreciated.
Mrs. Clarke is smoker for more than 30 years. Her family history is notable for laryngeal carcinoma related Commented [AH1]: has been
to her mother. Moreover, her father died due to a mining-related lung disease.
Today, she presented with a dry non-reproductive cough for the past seven days that was associated with Commented [AH2]: productive
flu-like symptoms, but it was improved by Augmentin. She also complained from mild dyspnea and Commented [AH3]: weeks
heaviness sensations in her chest, especially at night; however, these symptoms were not interfering with Commented [AH4]: . This
her exercises. It is worth mentioning that she had no haemoptysis, fever, night sweats or rigors. Commented [AH5]: which were
Commented [AH6]: of
After meticulous examination, signs of consolidation and monophonic wheeze were noticed in the middle
Commented [AH7]: dyspnoea
zone of the right lung; apart from this she was normal. Therefore, a chest X-ray and CT scan were required
Commented [AH8]: had not been
and those investigations revealed an enlarged right hilum associated with right middle lobe atelectasis.
Commented [AH9]: requested,
In light of the above, the possibility of lung cancer was discussed with the patient. So I am referring this Commented [AH10]: Therefore,
patient for your kind assessment and further investigations. For any queries, please contact me. Commented [AH11]: her
Yours sincerely,
Doctor
Report
Word length 196
Comments The letter has a polite tone and is structured in a
logical manner. Some sentences are wordy and
lacking in coherence, and issues involving tenses,
time indicators, articles, and prepositions are
evident. revision of cohesive devices and
vocabulary would be helpful. Good effort.
Estimated Grade C+
Advice 1. Practise sentence formation and verb usage,
including tenses and subject-verb agreements.
2. Revise countable and uncountable nouns to
4. Revise vocabulary, including prepositions, to
improve word choice and enable clarity.
writing it.
practice-tests
correction

Admitting Officer
Newtown Hospital
13/09/14
Dear Sir/Madam,
Re: Ms. Sally McConville, aged 38 years old
I am writing this letter to refer Ms McConville, a 38-year-old single woman whose symptoms are suggestive
of pneumonia.
Ms McConville is a non-smoker and works as an administrator. In terms of her medical history, she has
asthma and hypertension which have been managed accordingly.
Initially, on 10/09/14, she reported having a two-day history of a runny nose, productive cough, slight fever
and shortness of breath. On examination, she was febrile with a respiratory rate of 12, whereas an obvious
nasal congestion and a red throat were noticed. Thus, Ventolin 2 puffs every 4 hours was prescribed.
After two days, her condition continued to worsen as she had increased shortness of breath and wheezing
over the previous 24 hours. On auscultation, widespread wheezes were heard. As a result, amoxicillin and Comment [Benchmark1]: 500mg
prednisolone were commenced. Comment [Benchmark2]: 25mg three
times daily
Regrettably, today, her condition continued to deteriorate as she had more shortness of breath . On Comment [Benchmark3]: was present
examination, obvious accessory muscles usage and bi-basal crepitations were presented. Hence, Ventolin at rest.
nebules 5mg had been commenced; however, her condition did not improve. Comment [Benchmark4]: N
In light of the above, I am referring Ms McConville for your further investigation and acute management.
Should you have any further inquiries, please do not hesitate to contact me.
Yours faithfully,
Doctor
Report
Word length 188
Comments Other than minor inaccuracies, the letter is up to
the mark.
Estimated Grade B+
range and accuracy.
practice-tests
correction

Ticket Id: 5680
Admitting Officer
Newtown Hospital
13/9/2014
Dear Doctor,
Re: Ms Sally McConville, 38 years of age
I am writing to request acute management and investigation of this 38-year-old lady who is suffering from
acute asthma and superadded pneumonia.
Ms McConville has been suffering from asthma, depression and hypertension which have been managed
by using ramipril, paroxetine, fluticasone and Ventolin.
On 10/9/2014, Ms McConville initially presented with complaints typical of an upper respiratory tract
infection and acute exacerbation of asthma, which include a mild fever, runny nose, productive cough plus Comment [teacher1]: included
chest wheezes; however, no shortness of breath was noted. Consequently, she was commenced on
Ventolin 2 puffs every 4 hours and advised to continue using preventer. On review yesterday, her condition Comment [teacher2]: the
has been worsened, because her temperature and respiratory rate were increased. Moreover, she has Comment [teacher3]: had
shown increased work of breathing; hence, Amoxicillin and prednisolone were added to the previous Comment [teacher4]: had
medications. Comment [teacher5]: a
Unfortunately, Ms McConville presented today complaining of feeling feverish and unwell despite taking
medications. The examination revealed shortness of breath at rest, tachypnea, tachycardia as well as more
increase of work of breathing, which was evident by usage of accessory respiratory muscles. On chest
auscultation, there were widespread wheezes and bibasal crepitations. Subsequently, Ventolin Nebules Comment [teacher6]: n
was prescribed; however, no improvement of her condition was noted. Comment [teacher7]: administered
Comment [teacher8]: even after 15
Should you have any queries, feel free to contact me. minutes.
Yours faithfully,
Doctor
Report
Word length 208
Comments The letter has mistakes pertaining to subject-
capitalisation, tenses, article and word choice.
However, flow of information is logical and all
Estimated Grade B
practice-tests
correction

Ticket Id: 11203
13.09.2014
Admitting Officer
Newtown Hospitals
Dear Sir/Madam,
Re: Ms Sally McConville, aged 38 years
Thank you for your urgent attention to this patient whose asthma has been worsening. Your acute
management and investigation would be highly appreciated.
Ms McConville is a non-smoker single administrator. She suffers from asthma for which she is taking Commented [jc1]: non-smoking
fluticasone 2 puffs daily and ventolin 2 puffs if required.
Initially, on 10.09.2014, Ms McConville's asthma was exacerbating due to a viral upper respiratory tract
infection. At that time, she presented with runny nose and productive cough of yellow sputum. On
examination, she was febrile and scattered wheeze in the chest was noticed. Therefore, she was advised to
use the ventolin every 4-hour. Commented [jc2]: V
Commented [jc3]: Inhaler
Two-day later, Ms McConville's symptoms were worsening. Moreover, she was feeling dyspnea on minimal
Commented [jc4]: 4-hours
exertion. On examination, she was still febrile and widespread wheeze was detected. Thus, Amoxicillin and
prednisolone were added to her medication.
Today, Ms McConville was experiencing respiratory distress. She became dyspneic even at rest. On
examination, her vitals were consistent with an increase in the work of breath by using the accessory
muscle; in addition, she developed bibasal crepitations. Consequently, a ventolin nebules of 5mg was Commented [jc5]: had
given; however, she showed no improvement. Commented [jc6]: were
In view of the above, pneumonia might be the cause of Ms McConville's condition. Hence, she requires
further treatment and evaluation as early as possible. For any queries, please do not hesitate to contact
me.
Yours faithfully,
Doctor
Report
Word length 223
Estimated Grade B
practice-tests
correction

Ticket Id:
Dr David Smith
Cardiologist
Main hospital
Coast City
20-09-2015
Dear Dr Smith
Re: Mrs Lucy Clark D.O.B.: 11-03-1951 Comment [teacher1]: Clarke
Thank you for seeing Mrs Clark, a 64-year-old patient, who has features of unstable angina. Your further
management is highly appreciated.
Mrs Clarke is a retired office clerk who lives with husband. Regarding her past medical history, she has had Comment [teacher2]: her
diabetes mellitus since 2001, hyperlipidemia since 2003 and hypertension since 2005. Consequently, she
has been taking sitagliptin, insulin, atrovastatin and irbesartan. Her family history revealed acute Comment [teacher3]: her mother who
had
myocardial infarction at the age of 57 and she passed away due to ischemic stroke at 57 years old. Be
Comment [teacher4]: 59 years
noted, she is a social drinker.
Today, Mrs Clarke atended to my clinic complaining of a one week history of central crushing chest pain on Comment [teacher5]: attended
exertion. The pain was associated with dyspnoea and it was radiating down to the left arm. However, the
pain was relieved by rest. Be noted, she had no orthoppnoea or paroxysmal nocturnal dyspnea. Comment [teacher6]: orthopnoea
Clinical examination and ECG were unremarkable. Mrs Clarke was anxious; moreover, she believe that she Comment [teacher7]: The clinical
had a heart attack. Comment [teacher8]: as she believed
Comment [teacher9]: had
In view of the above, I am referring Mrs Clarke to your facility for urgent assessment and admission. Please,
contact me for further queries.
Yours sincerely,
Doctor
Report
Word length 187
structure, tenses, spelling, article and word
choice. However, flow of information is logical
and all relevant case notes have been covered.
Estimated Grade B
practice-tests
correction

Dr. David Smith
Cardiologist
Main Hospital
Coast City
20/9/2015
Dear Dr. Smith,
Re: Mrs. Lucy Clarke, DOB: 11/03/1951
I am writing this letter to refer Mrs. Clarke, a 63-year-old woman whose features are suggestive of unstable Comment [Benchmark1]: retired
office clerk
angina. Your urgent management would be highly appreciated.
Mrs. Clarke is a married retired office clerk. She has a medical history of diabetes mellitus, hypertension Comment [Benchmark2]: significant
and hyperlipidemia which have been managed accordingly. In terms of her family records, her mother had Comment [Benchmark3]: for which
she is taking insulin and lipid lowering drugs
a heart attack and died due to ischemic stroke. Moreover, she is a social drinker and denies smoking.
Comment [Benchmark4]: Moreover,
though she is a non-smoker, she is a social
Unfortunately, today, the patient attended my clinic complaining of a 1-week history of a typical chest pain drinker.
that happens on exertion and lasts for less than 15 minutes. Additionally, she reported having difficulty Comment [Benchmark5]: medical
breathing and radiation of the pain to the left arm. Furthermore, her symptoms were relieved by rest. Her Comment [Benchmark6]: However,
examination and ECG were unremarkable. Please note, the patient was counseled about the increased risk
of having an MI.
In view of the above, I am referring her for your urgent assessment . For any queries, please do not Comment [Benchmark7]: Taking into
account of her history, I believe that this
hesitate to contact me. could be a case of unstable angina.
Therefore,
Yours sincerely, Comment [Benchmark8]: and
management
Doctor.
Report
Word length 170
Comments An effort to finish the task is visible. However, the
length of the letter is slightly less than the
minimum word limit. In addition, there are
instances where some pieces of information could
be explained in a better way. Overall, the letter
can be improved further.
Estimated Grade C+
Advice 1. Try to finish your letter in about 180-200 words.
2. Need to improve sentences.
practice-tests
correction

Ticket Id: 8204
Dr David Smith
Cardiologist
Main Hospital
Coast City
20/9/2015
Dear Dr Smith,
Re: Mrs. Lucky Clarke D.O.B: 11/3/1951 Commented [AH1]: Lucy
I am writing this letter to refer Mrs. Clarke, a 64-year-old retired office clerk, whose manifestations are
constant with unstable angina. Your urgent management would be highly appreciated. Commented [AH2]: consistent
Mrs. Clarke is a non-smoker, but she is a social drinker. Regarding her medical history, she is known to be Commented [AH3]: has been
diabetic for 14 years now, she is also diagnosed with hyperlipidemia and hypertension. It is worth Commented [AH4]: also has
mentioning that her family history is notable for myocardial infarction and ischemic stroke related to her
mother. The patient is compliant on her regular mediccations including sitagliptin, insulin, atorvastatin and Commented [AH5]: with
irbesartan. Commented [AH6]: medications
Today, she has been complain of central crushing chest pain on exertion for 3 times of (less than 15 Commented [AH7]: complaining
minutes each) that was associated with dyspnea and radiating pain to the left arm, but the pain improved Commented [AH8]: , which has occurred
with rest. She has had no palpitations, orthopnea or paroxysmal nocturnal dyspnea. After meticulous Commented [AH9]: and
examination, her general signs, systems review, and resting ECG were within average. Commented [AH10]: and was relieved
Commented [AH11]: normal parameters
In light of the above, my provisional diagnosis is stable angina, which requires urgent hospitalization for
assessment. Moreover, the patient is very anxious and needs counseling on her risk for myocardial
infarction. For any queries, please contact me.
Yours sincerely,
Doctor
Report
Word length 193
Comments The letter has a generally logical structure and
presents mostly relevant information in a logical
manner. Language could be more formal, but the
tone is polite. Issues involving spelling, tenses, and
cohesive devices impede fluency somewhat.
Sentence formation requires revision.
Estimated Grade C
Advice 1. Revise sentence formation.
3. Revise vocabulary, including prepositions, to
improve word choice and enable clarity.
4. Practise verb usage, including tenses and
subject-verb agreements.
writing it.
practice-tests
correction

Dr. Tanya Williams
Respiratory Specialist
81 Canyon Road
Bayview
18/10/14
Dear Dr. Williams,
Re: Mr. Zach Foster, DOB: 25/10/91
I am writing this letter to refer Mr. Foster, a 22-year-old male whose features are suggestive of unstable Comment [Benchmark1]: builder
asthma, possibly triggered by GORD.
He is a smoker and has a medical history of asthma since he was 3 years old, for which he takes Pulmicort Comment [Benchmark2]: Mr. Foster
and Ventolin. Moreover, he is allergic to cats and has hay fever. Comment [Benchmark3]: had
On 11/10/14, the patient attended my clinic complaining of exercise induced SOB, nocturnal wheezing and
cough plus increased usage of Ventolin. Additionally, he reported having heartburn after meals. Please
note, the patient was unsure of his adherence to the asthma treatment plan as he used Pulmicort
preventative inhaler only occasionally. Therefore, the importance of following the treatment plan for his
asthma and smoking cessation were discussed. In addition, he was managed with pantoprazole for his Comment [Benchmark4]: was
GORD and CXR plus FBE were ordered.
Luckily, today, his CXR and FBE were normal and the patient reported that PPIs were effective, therefore,
he was advised to take them for another 7 weeks. However, the patient forgot to take Pulmicort and failed
to stop smoking; thus, he was counseled about missed doses of Pulmicort, nicotine patches and joining a
support group for smoking cessation.
In light of the above, I am referring this patient for a lung function test and advice about his asthma Comment [Benchmark5]: on
management.
For further queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 218
inaccuracies, the letter meets the expectations.
Estimated Grade B
range and accuracy.
writing it.

Dr. Tanya Williams
81 Canyon Road
Bayview
18/10/14
Dear Dr. Williams,
I am writing this letter to refer Mr Foster, a 22- year-old man whose symptoms are suggestive of unstable Comment [Benchmark1]: builder
asthma, possibly GORD triggered.
Mr Foster is a smoker. His medical history revealed that he has had asthma since the age of three which Comment [Benchmark2]: reveals
has been managed accordingly. Furthermore, he has a family history of asthma. Please note, he is allergic
to cats and hay fever.
Initially, the patient attended my clinic with complaints of a 3-week history of shortness of breath when he
was playing sports, wheezing and cough waking him at night. He also reported having a burning sensation
in the lower part of his chest and an unclear compliance with Pulmicort. However, His examination was Comment [Benchmark3]: h
unremarkable. Thus, FBE and chest x-ray were ordered plus he was advised to use Pulmicort and stop Comment [Benchmark4]: X
smoking . Additionally, a trial of pantoprazole was commenced.
Today, he reported that he had failed to follow the advice regarding smoking cessation and Pulmicort Comment [Benchmark5]: on
usage; however , the FBE and chest x-ray were normal. Therefore, he was ensured to follow the treatment Comment [Benchmark6]: X
plan and pantoprazole was prescribed for a further 7 weeks.
In light of the above, I am referring Mr Foster for your further assessment and management.
Comment [Benchmark7]: If you

Doctor
Report
Word length 203
been covered well. However, there are minor
inaccuracies related to grammar and word choice.
Nevertheless, the letter meets the expectations.
Estimated Grade B
range and accuracy.
2. Be careful with word choice and capitalization.
practice-tests
correction

Ticket Id:
Dr Tanya Williams
81 Canyon Road
Bayview
18-10-2014
Dear Dr Williams
Re: Mr Zach Foster D.O.B.: 25-10-2014
Thank you for seeing Mr Foster, a 22-year-old patient, who has features of unstable asthma besides GORD.
Your management and assessment are highly appreciated.
Mr Foster is a single builder. Regarding his medical history, he has had asthma since childhood therefore
he has been taking ventolin and pulmicort. Be noted, he was admitted to the hospital 2 times because of Comment [teacher1]: V
asthma. It is worth to mentioning that he is a smoker and he is allergic to cats together with hay fever. Comment [teacher2]: P
On 11-10-2014, he attended complaining of shortness of breath along with wheezing and a cough.
Moreover, he had a burning sensation in the lower part of the chest especially after meals. The patient was
not complaint to his medications. Consequently, the patient was encouraged to adhere to his medication’s Comment [teacher3]: with
regimen and quitting cigarettes in addition to taking pantoprazole. He got an appointment to follow after a Comment [teacher4]: quit
week. Comment [teacher5]: . For GORD, he
was commenced on
Today, Mr Foster was unfortunately not compliance to his medications and he did not cease smoking. Comment [teacher6]: still lacked
However, the burning sensation was improved. The message of compliance to his medication’s was Comment [teacher7]: with his asthma
reinforced along with discussing smoking ceasing technics. Comment [teacher8]: techniques
In view of the above, I am referring this patient for a lung function test and advice about asthma
management. Please, contact me for any queries.
Yours sincerely,
Doctor
Report
Word length 211
structure, tenses, spelling, article and word
and all relevant case notes have been covered.
Estimated Grade B
practice-tests
correction

Ticket Id:

Ticket Id: 10790
18/10/2014
Dr Tanya Williams
81 Canyon Road
Bay view
Dear Dr Williams,
I an writing to refer Mr. Foster, a 22-year-old builder who suffers from asthma. Your further management Commented [jc1]: am
would be highly appreciated.
Mr. Foster has had asthma for 19 years for which he has been taking ventolin and pulmicort. In addition,
he has been smoking for the last four years and he is allergic to cats hayfever. Please not that his sister Commented [jc2]: ,
suffers from asthma as well. Commented [jc3]: and he has
Commented [jc4]: note
On 11/10/2014, Mr. Foster's asthma was triggered by GORD causing worsening of his symptoms. He
Commented [jc5]: ,
presented with dyspnoea, cough and wheeze chest alongside a burning sensation after meals. On
Commented [jc6]: wheeze or a wheezy chest
examination, his respiratory peak flow was 500L/minute. Therefore, pantoprazole was prescribed an he
Commented [jc7]: and
was advised to quit smoking and to comply with pulmicort.
On today's review, Mr. Foster was still smoking and keeps on forgetting the pulmicort. However, the Commented [jc8]: to take
pantoprazole was effective. As a result, pantoprazole was extended and he was instructed on how to take
the missed dose of pulmicort. Moreover, a several smoking cessation aid were adviced. Commented [jc9]: aids
Commented [jc10]: advised
In view of the above, I would be grateful if you could assess Mr. Foster's lung function and advise him on
asthma treatment. For any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 197
Estimated Grade B
practice-tests
correction

Ticket Id:
Dr Tanya Williams
81 Canyon Road
Bayview
18/10/2014
Dear Dr Williams,
Re: Mr Zach Foster D.O.B. 25/10/1991
I am writing this letter to refer Mr Foster, a 22-year-old builder who is suffering from bronchial asthma. Your further
management would be highly appreciated.
Mr Foster has been complaining of asthma since the age of three for which he was commenced on Ventolin and Commented [JG1]: suffering
Pulmicort. It is worth mentioning that he is a smoker and his sister is also asthmatic. Commented [JG2]: from
On 11/10/2014, he presented with shortness of breath, wheezes, coughing and burning sensation in the lower part
of the chest for the past three weeks. Also, he was non-compliant with Pulmicort. Therefore, he was advised to quit
smoking and to take Pulmicort regularly. Pantoprazole was also prescribed to relieve gastro-oesophageal reflux
disease. CXR and FBE were ordered.
On today's review, his CXR and FBE were within normal parameter. Unfortunately, he did not cease smoking and he Commented [JG3]: parameters
forgot to take Pulmicort frequently. Therefore, he was advised to take Pulmicort as soon as remember, but he must Commented [JG4]: frequently
avoid doubling of its dose. Moreover, to help in stop smoking, different options were discussed with him including Commented [JG5]: he
nicotine patch, information brochures as well as support groups. Commented [JG6]: remembers
In light of the above, I am referring him for further assessment and lung function test. For any queries, please Commented [JG7]: with
contact me. Commented [JG8]: cessation,
Yours sincerely,
Doctor
Report
Word length 205
Comments Aside from minor errors in punctuation and word
choice, the letter accurately covers the case notes.
The information is presented in a logical and
chronological way
Estimated Grade B
Advice 1. Always proofread to minimize errors
practice-tests
correction

Ticket Id: 8295
Dr Bronwyn Clarke
Orthopaedic Surgeon
Orthopaedic Department
Main Hospital
Greenville
17/10/2015
Dear Dr Clarke,
Re: Mrs. Maria Santini D.O.B 8/1/1948
I am writing this letter to refer Mrs. Santini, a 67-year-old widow who has symptoms and signs suggestive
of Baker’s cyst in the right knee and worsening of chronic osteoarthritis. Your further management would
be highly appreciated.
Mrs. Santini has a medical history of hypertension, hyperlipidemia and atrial fibrillation, for which she uses
Trandolapril, Indapamide ;Simvastatin ;Flecainide and digoxin, respectively. Furthermore, she was initially Commented [jc1]: ,
diagnosed with OA 15 years ago. Five years later, she underwent lumber laminectomy. Then, two years Commented [jc2]: ,
later, she had bilateral hip replacement surgery. Commented [jc3]: a
On today’s review, Mrs. Santini presented with a 6-week-history of right and left knee joints pain which
was progressive in course and increased by flexion and extension. Moreover, she reported a 4-week- Commented [jc4]: was
history of a soft lump on the back of the right knee, which restricted the joint mobility and associated with Commented [jc5]: was
pain. Unfortunately, activities of daily living have been compromised. Moreover, she has developed
depressive symptoms. Her medical examination was unremarkable apart from concomitant crepitus in
both knee joints on movement, and her MRI revealed degeneration consistent with OA.
Therefore, a referral to a physiotherapist and a nursing home assessment were recommended.
In light of the above, I am referring this patient for your assessment and possible joint steroid injection.
Kindly do not hesitate to contact me for any queries.
Yours sincerely,
Doctor
Report
Word length 218
coherence throughout. Minor mistakes pertaining
to sentence formation are visible. However, these
do not reduce communication. The letter meets
the expectations.
Estimated Grade B+
practice-tests
correction

Ticket Id: 10147
17.10.2015
Dr Bronwyn Clarke
Orthopaedic Surgeon
Orthopaedic Department
Main Hospital
Greenville
Dear Dr Clarke
Re: Mrs. Maria Santini, DOB: 08.01.1948
I am writing to refer Mrs. Santini, a 67-year-old widow who suffers from OA with a recent history of Comment [benchmark1]: presented
worsening symptoms and Baker's cyst formation in the right knee. Your assessment and management with a Baker's cyst cyst in her right knee
joint and
would be highly appreciated.
Comment [benchmark2]: of
osteoarthritis0
Mrs. Santini has been diagnosed with OA since 2003; in addition, she is a known case of hypertension,
Comment [benchmark3]: had
hyperlipidaemia and paroxysmal a trial fibrillation. On 2008, she underwent lumbar laminectomy and two
years after that, bilateral hip replacement was preformed. Her symptoms and mobility was significantly Comment [benchmark4]: In
improved after the last surgery. Comment [benchmark5]: later
Comment [benchmark6]: had
Today, Mrs. Santini presented with a six week history of bilateral progressive knee joints pain with a lump Comment [benchmark7]: joint
sensation on the back of the right knee. She also reported a decrease in daily activities including stairs Comment [benchmark8]: soft
climbing affecting her social life. On examination, a concomitant creptus was noticed on flexion and
Comment [benchmark9]: stair
extension. Her MRI revealed degeneration of both joints.
Comment [benchmark10]: crepitus
In view of the above, Mrs. Santini has been referred into your care for further evaluation and possible Comment [benchmark11]: requires
steroid injection . Please note, a referral was sent to a physiotherapist and she might need a district home less repetitive
nurse assesstent as she lives alone. Comment [benchmark12]: under
your care
For any queries, please contact me. Comment [benchmark13]: assistant

Comment [benchmark14]: do not
Yours sincerely, hesitate to
Doctor
Report
Word length 195
Comments An effort to finish the task is visible. The letter covers relevant
case notes. However, there are some mistakes related to
grammar and word choice. In addition, formation of some
sentences could be better at some places. Overall, the letter
can be improved further.
Estimated Grade C+
Advice 1. Pay more attention to grammar and improve sentences.
Helpful links https://www.benchmarkedu.com.au/oet-reading-practice-tests
https://www.benchmarkedu.com.au/oet-writing-correction

Dr. John McLennan
Psychiatrist
Royal Mental Clinic
177 Park Avenue
Newtown
29/11/14
Dear Dr. McLennan
Re: Ms. Dolores Hoffmann, DOB: 22/06/1986
I am writing this letter to refer Ms. Hoffmann, a 28-year-old female whose features are suggestive of
reactive depression and anxiety.
Ms. Hoffmann is a single sales assistant, who lives alone and has no family members in Australia.
Moreover, she is allergic to penicillin.
On 11/12/13, the patient attended my clinic complaining of light-headedness, decreased appetite and
stress from work. Therefore, a general check-up was done which showed no abnormalities on examination
and blood tests; thus, she was advised to rest. After 9 months, she presented complaining of typical
symptoms of URTI and was managed accordingly. At the same visit, she reported having anxiety from her Comment [teacher1]: On
co-worker who was diagnosed with EBV infection; therefore, blood tests were done to reassure the patient Comment [teacher2]: as
which were negative. Please note, at that time, she was living with her boyfriend. Comment [teacher3]: came
On 22/11/14, she visited my clinic complaining of work related stress, depression, insomnia, poor memory
and loss of libido. In addition, she stated that her relationship with her boyfriend ended and currently, she
lives alone. Consequently, temazepam was commenced after she refused to be referred to a psychiatrist.
Today, the patient accepted to be referred to a psychiatrist after having issues with the previously Comment [teacher4]: and told that
she never started the
prescribed drug.
In view of the above, I am referring this patient for your further management.
Yours sincerely,
Doctor
Report
Word length 216
Estimated Grade B
writing it.

Dr. John McLennan
Psychiatrist
Royal Mental Health Clinic
177 Park Avenue
Newtown
29/11/14
Dear Dr. McLennan,
RE: Ms .Dolores Hoffmann, DOB: 22/6/86
I am writing this letter to refer Ms Hoffmann, a 28- year-old sales assistant woman whose features are
suggestive of reactive depression plus anxiety.
Ms Hoffmann is a smoker and lives alone after she split up with her boyfriend. It is worth mentioning that Comment [Benchmark1]: has been
living alone since
she is allergic to pencillin. Also, she is considering quitting her job due to huge work stress that is
Comment [Benchmark2]: long-term
affecting her life.
Initially, on 7/8/14, she reported that she had fainted and remained unconscious for 5-10 minutes after
drinking 2 glasses of wine in the night before. Despite normal vitals and blood tests, she was pale; Comment [Benchmark3]: previous
therefore, she was advised to rest. One month later, she presented with symptoms of URTI as she had
shortness of breath, chest tightness and wheezing over the previous two weeks; thus, blood tests were
ordered which revealed neutrophilia. As a result, erythromycin was commenced. Comment [Benchmark4]: Irrelevant
information.
On 22/11/14, the patient attended my clinic with complaints of depression, insomnia, night mares and low Comment [Benchmark5]: nightmares
libido due to severe job stress. she also reported having loss of appetite, confidence and pleasure. Hence, Comment [Benchmark6]: S
temazepam was prescribed and a referral to a psychiatrist was recommended. Today, she has agreed to be
referred.
In light of the above, I am referring Ms Hoffman for your further assessment and management. Please
note, she has not filled the temazepam script. Comment [Benchmark7]: Please do
not hesitate to contact me if you require
Yours sincerely, any further information.
Doctor
Report
Word length 203
Comments An effort to finish the task is visible. However,
there are some mistakes related to grammar and
sentence formation. Besides this, there is some
irrelevant information. Overall, the letter can be
improved further.
Estimated Grade C
sentences.
2. Focus more on social factors and behavioural
problems when writing a letter to a
psychiatrist.

Ticket Id: 10784
29/11/2014
Dr John McLennan
Psychiatrist
177 Park Avenue
Newtown
Dear Dr McLennan,
Re: Ms Dolores Hoffmann, DOB: 22/06/1986
I am writing to refer Ms Hoffmann, a 28-year-old single women who requires a psychiatric care as she has Comment [benchmark1]: woman
been diagnosed with reactive depression and anxiety.
Ms Hoffmann works as a sale assistant in a department store. She has no family in Australia; however, she Comment [benchmark2]: sales
used to live with her long-term boyfriend. Comment [benchmark3]: has been
living alone since her break-up with her
On 11/12/2014, Ms Hoffmann fainted after she had consumed two glasses of wine and several cocktails. In long-term boyfriend; moreover, she
addition, she reported that her job environment is busy and stressful. However, her examination and Comment [benchmark4]: was
investigations were normal; thus, she was discharged.
Almost one year later, Ms Hoffmann was still working at the same department and she recently had slpited Comment [benchmark5]: in
up with her boyfriend. As a result she was depressed. Moreover, she had not only experienced loss of Comment [benchmark6]: split
appetite, pleasure and confidence but also nightmares, insomnia and poor memory and concentration. Comment [benchmark7]: As a result,
she was depressed and was considering to
Therefore, temazepam was prescribed and I recommended a referral to a psychiatrist; however, she quit her job.
refused . Comment [benchmark8]: it.
On today's review, Ms Hoffmann reported that she is not keen on drug treatment and she had not filled Comment [benchmark9]: was
the temazepam script. Even though, she finally agreed to be seen by a psychiatrist. Comment [benchmark10]: Therefore,
In view of the above, I would be grateful if you could evaluate and manage Ms Hoffmann as you fell Comment [benchmark11]: highly
appreciate
appropriate.
Comment [benchmark12]: feel
Should there be any queries, please do not hesitate to contact me.
Yours sincerely,
Doctor
Report
Word length 221
Comments Mistakes mainly pertain to grammar and word
choice. In addition, formation of sentences could
be better at some places. However, an effort to
cover relevant case notes is visible. Overall, the
letter can be improved further.
Estimated Grade C+
sentences.
practice-tests
correction

Ticket Id:
Dr John Mclennan
Psychiatrist
177 Park Avenue
Newtown
29/11/2014
Dear DrMclennan,
Re: Ms Dolores Hoffmann D.O.B 22/6/1986
I am writing this letter to refer Ms Hoffmann, a 28-year-old sales assistant whose manifestations are suggestive of
reactive depression and anxiety. Your further management would be highly appreciated.
Ms Hoffmann is single and she has no family members in Australia; however, she was engaged in a long term Commented [JG1]: long-term
relationship with her boyfriend, but she split up last week. She is smoker and drinker. Commented [JG2]: they
Commented [JG3]: a
It is worth mentioning that she is allergic to penicillin.
On 22/11/2014, she presented with orofacial HSV-1 for the past three days for which she received acyclovir. Commented [JG4]: previous
Furthermore, she had been complaining of excessive job stress that caused depression, nightmares and inability to Commented [JG5]: her to have
eat or sleep properly. She also reported feeling of loss of confidence and pleasure and inability to concentrate.
Therefore, she was advised to be referred psychiatrist but she refused. Thus, temazepam was prescribed and her Commented [JG6]: to a
next visit would be after one week.
Today, she reported that she did not take her drugs and she preferred to avoid any further medications.
Additionally, she agreed to be referred to psychiatrist. Commented [JG7]: a
In light of the above, I am referring this patient for further management. For any queries, please contact me.
Yours sincerely,
Doctor
Report
Word length 194
Comments Aside from minor errors (prepositions and articles),
the letter is well written and clear. The case notes
are covered in a thorough and accurate manner
Estimated Grade B+
Advice 1. Don’t forget articles and prepositions
practice-tests
correction

Ticket Id: 6664
Dr. Suzanne O’Brien

Psychiatrist
67 Sigmund Street
Brighton 3186
05/01/08
Dear Dr. O’Brien,
Re: Ms. Janet Bird, aged 16 years.
Thank you for seeing this patient whose features are suggestive of anorexia nervosa. I would be very
grateful if you could manage her condition. Comment [teacher1]: would
Ms. Bird is a secondary school student and living with her family.
Initially, she presented to me alone on 11/11/07, complaining of constipation for the last 3-month duration
and requesting strong laxative treatment. Regarding her dietary habits, it includes 2 table spoons bran in Comment [teacher2]: included
the morning. In terms of her medications, she took laxatives by herself. On examination, she was Comment [teacher3]: and she had
taken some OTC laxatives
underweight (HT: 172cm, WT: 52kgs). Therefore, her request was refused and she was advised to increase
vegetables, fibre and fluids intake. On review one month later, she came to me accompanied by her Comment [teacher4]: change
paragraph here
mother who showed concerns that her daughter may lost her body weight markedly due to lack of
Comment [teacher5]: about her falling
appetite. Regrettably, Ms. Bird body weight had reduced to 47kgs and she was pale on examination. Today,
Comment [teacher6]: I ordered some
she complained of her parents “over reaction” and denied presence of vomiting. She feels that her ideal tests which came normal.
weight is 40 kg. Moreover, she has lost 7 kg weight since the last visit.
Based on my provisional diagnosis, I am referring her for further management of her condition. For any
queries, please contact me.
Yours sincerely,
Doctor
Report
Word length 195
Comments The letter has only a few inaccuracies pertaining to
grammar and word choice. It covers almost all case
notes and the flow of information is smooth. The
Estimated Grade B
practice-tests
correction

5/1/2008
Dr O'Brien
Psychiatrist
67 Sigmund Street
Brighton 3186
Dear Dr O'Brien,
Re: M&s Janet BIRD
I am writing this letter to refer this 16-year-old patient whose symptoms and signs are consistent with
anorexia nervosa.
In terms of her social history, she lives with her parents and a younger brother. She is in year 11 in a local
secondary school.
Initially, she visited me alone on 11/11/2007 complaining of constipation for 3 months that didn’t improve
with bran containing diet or ordinary laxatives. Her examination was normal apart from her weight that Comment [teacher1]: low
was 52 kg. Her request to prescribe a strong laxative was rejected and she was advised to increase the
vegetables, fiber and fluids content in her diet. 48 days later, accompanied with her mother, there was a Comment [teacher2]: when she came
maternal concern regarding her weight loss and decreased appetite. Unfortunately, Ms BIRD’S weight Comment [teacher3]: by
dropped to 47 kg. Therefore, routine investigations were requested including (LFT, Thyroid function and Comment [teacher4]: had
full blood count) and a revisit with Ms BIRD alone was scheduled. Comment [teacher5]: ,
Today, her tests results were normal though she believes that her parents are over-reacting to her
condition and her ideal body weight should be 40 kg. Additionally, she denied any vomiting. Comment [teacher6]: is
In view of the above, the diagnosis of anorexia nervosa was made and your valuable further management Comment [teacher7]: thus,
would be much appreciated.
Yours sincerely,
Doctor
Report
Word length 202
Comments There are only a few minor inaccuracies. The
flow of information is logical and relevant case
notes have been covered. Overall, the letter
meets the expectations.
Estimated Grade B
writing it.

23/1/2007
Dr Andrew Mcdonald Comment [teacher1]: D

General Surgeon
North Melbourne Private Hospital
86 Elm Road
North Melbourne 3051
Dear Dr Mcdonald, Comment [teacher2]: D
Re: Mrs Daniela Starkovic
I am writing to refer this 45-year-old patient who is having signs and symptoms consistent
with cholelithiasis.
Initially, Mrs Starkovic attended my surgery on 20/1/207 complaining of 10 days history of

abdominal pain associated with decreased appetite to fatty meals. Her pain was localised in
the epigastric area and was radiated to the right side. Additionally, the pain was associated
with nausea and started 1 hour after dinner and lasted for 1 hour. However, in the night Comment [teacher3]: ,
before her visit, her condition deteriorated. She experienced a vomiting attack and a two-
hour-duration of colicky pain that wasn’t alleviated with aspirin.
On examination, she was overweight and there was a mild tenderness in the right upper
abdominal quadrant. Therefore, liver function test and biliary ultrasound were requested and
a follow up visit after 3 days was planned.
On review today, the patient was anxious regarding the possibility of having cancer. Her LFTs
were normal apart from mildly elevated Alkaline phosphatase. Her ultrasound revealed small
contracted gallbladder with multiple gallstones. Based on that, I have reassured Mrs Starkovic
for not having cancer. Comment [teacher4]: of
In view of the above , I believe Mrs Starkovic is having cholelithiasis and I am referring her for
your valuable assessment and the possibility of cholecystectomy. Should there be any further
queries, kindly contact me.
Yours faithfully,
Doctor
Report
Word length 215
Comments There are minor inaccuracies of grammar.
Nevertheless, the letter meets the expectations.
Grade B+
writing it.

Ticket Id: 6578
Dr. Elvira Sterinberg

Gynaecologist
123 Church Street
Richmond 3121
02/02/2007
Dear Dr. Sterinberg,
Re: Mrs. Larissa Zaneeta, aged 38 years.
Thank you for seeing this lady and her husband who have been trying to conceive for approximately two
years without success.
Mrs. Zaneeta is married with one 4- year- old child. Comment [teacher1]: They have
Initially, she presented to me on 11/07/05, complaining of tiredness and insomnia for the last 2-month Comment [teacher2]: Mrs Zaneeta
duration due to the work stress. She made plan with her husband to get pregnant after 12 months. Comment [teacher3]: months
However, she was on oral contraceptive pills at that time. Therefore, she was advised to stop contraceptive Comment [teacher4]: her
treatment and reduce her working hours. After 4 months of stopping oral contraceptive pills, she showed Comment [teacher5]: mentioned her
concerns that she was too old and may not conceive easily. Her menstrual period was regular, as well as Comment [teacher6]: Please note
her pap smear and pelvic examination were normal. Hence, she was prescribed Valium and I have tried to Comment [teacher7]: use relaxation
techniques
reassure her that there is no reason to be concerned. However, Mrs. Zaneeta was anxious to get pregnant
Comment [teacher8]: was
sooner rather than later.
Today, she and her husband did some investigations and all of them were normal including her husband’s Comment [teacher9]: came to discuss
the results of investigations I had ordered
sperm count. on their last visit. These
In view of the above, I am referring this couple for further assessment and management of their
conditions. For any queries, please contact me.
Yours sincerely,
Doctor
Report
Word length 200
Comments The letter has only a few inaccuracies pertaining to
grammar and word choice. It covers almost all case
notes and the flow of information is smooth. The
Estimated Grade B
practice-tests
correction

22/1/2007
Dr Jose Jiminez
The Surgeon
Melbourne Private Hospital
19 Grange Road
Melbourne 3000
Dear Dr Jiminez,
Re: Mrs. Ann Howard
Thank you for urgently seeing this 36-year-old patient whose symptoms and signs are suggestive of either
diverticulitis or bowel carcinoma.
Mrs. Howard is married and a mother of three children. She had a medical history of ovarian cystectomy
and appendectomy.
3 days back, Mrs. Howard visited me complaining of intense sudden abdominal pain that started the day Comment [Benchmark1]: on
20/01/2007
before. This pain affected mainly left lower abdomen and was worsened with walking and bending.
Comment [Benchmark2]: the sudden
However, it was relieved by Valium. Her examination revealed severe tenderness with light palpitation and onset of severe
a vague abdominal mass. Therefore, pregnancy test, ESR and a full blood exam were requested. Comment [Benchmark3]: the
Yesterday, after constipation for 3 days, she passed hard stool coated with bright red blood. Although her Comment [Benchmark4]: by
pain persisted, she experienced a considerable improvement in its intensity. Unfortunately, she attended Comment [Benchmark5]: a
my surgery today with a deteriorating condition. Her pain was severer after eating. Distress and tense Comment [Benchmark6]: suffering
from
abdomen were noted. Additionally, she did not open her bowel neither for stool nor for flatus with quiet
Comment [Benchmark7]: Abdominal
bowel sounds. Her haemoglobin was 9.3 g /dl with mild shift to the left . distress
Comment [Benchmark8]: neither
In view of the above, I believe she may be suffering from diverticulitis or bowels carcinoma and your opened
further management would be much appreciated. Comment [Benchmark9]: is
Comment [Benchmark10]: thus
Yours sincerely,
Doctor
Report
Word length 205
However, there are several mistakes mainly
pertaining to grammar and sentence formation.
Overall, the letter needs further improvement.
Estimated Grade C+
sentences.

18/6/2010
Dr Joson Roberts Comment [Benchmark1]: Jason

The Gastroenterologist
Newtown Hospital
111 High Street
Newtown
Dear Dr Roberts,
Re: Ms Ann Hall
Thank you for seeing this 45-year-old patient whose symptoms and signs are suggestive of gastro- Comment [Benchmark2]: , a divorced
teacher,
oesophageal-reflux with the possibility of associated stricture.
In terms of her social history, Ms Hall, who is divorced, works as a teacher and she is a mother of two
children. She is non-smoker; however, she is a social drinker. Her medical history revealed an obesity Comment [Benchmark3]: Ms Hall
problem over the last 10 years that did not respond to weight reduction medical advices. Her father had a Comment [Benchmark4]: a
peptic ulcer and she is known to be allergic to Codeine, dust mites and sulphur dioxide. Comment [Benchmark5]: advice
Comment [Benchmark6]: In addition,
Today, Ms Hall presented to me with the complaint of dysphagia for solids that has started 2 weeks earlier. her father had a peptic ulcer.
Her symptoms appeared after a viral URTI that was self-treated with a Chinese herbal product with Comment [Benchmark7]: had
unknown ingredients. Concomitantly, she has experienced epigastric pain that was radiating to the back at Comment [Benchmark8]: had
the level of T 12. Furthermore, there has been a recent loss of 22 kg from her weight. Ms Hall takes Aspirin Comment [Benchmark9]: she has
occasionally. However, she has increased her coffee consumption recently. recently lost
Comment [Benchmark10]: of
In view of the above, I believe this patient is suffering from gastro-oesophageal-reflux with a chance for Comment [Benchmark11]: possibility
astricture. Therefore, your further management and endoscopy if required would be much appreciated. of developing
Comment [Benchmark12]: If you

Dr
Report
Word length 205
Comments An effort to finish the task is visible. However,
there are several mistakes related to word choice,
grammar and sentence formation. In addition,
there is some irrelevant information. Overall, the
letter needs further improvement.
Estimated Grade C+
Advice 1. Pay more attention to grammar, especially
tense and countable/uncountable nouns, and
improve sentences.
2. Need t improve word choice.

19/1/2007
Dr George Lasacson Comment [teacher1]: Isaacson
Cardiologist
45 Inkerman Street Caulfield 3162
Caulfield 3162
Dear Dr Lasacson, Comment [teacher2]: Isaacson
Re: Mr Jing Zu
Thank you for urgently seeing this 72-year-old, married patient who is having a recent attack of ischaemic
heart disease.
Mr Zu's risk factors include: hypertension for 18 years, ischaemic heart disease for 10 years, acute
myocardial infarction attack in 1999 and congestive cardiac failure for 5 years. However, fortunately, he is Comment [teacher3]: 5 years ago
not smoker. His current medications are Lasix, Enalapril, slow K TT, Nifedipin and Anginine. Comment [teacher4]: a
Comment [teacher5]: nifedipine
Initially, Mr Zu visited me on 3/1/2007 complaining of angina with simple activity which was improving
with rest and Anginine. No orthopnea was noted. His examination was normal apart from bilateral chest
crepitations, JVP of +3 cm and mild ankle oedema. Therefore, watchful monitoring was planned.
Unfortunately, 12 days later, he presented with worsening dyspnea, till knee joint leg oedema and evolving Comment [teacher6]: progressing
orthopnea. His JVP escalated up to +6 cm and chest crepitations were heared in the mid zones. Based on Comment [teacher7]: heard
the diagnosis of deteriorating CCF, Lasix dose was increased and ECG was requested. Comment [teacher8]: an
Today, despite the noticeable improvement in his dyspnea and chest crepitations, he experienced anginal
pain for 10 minutes yesterday. In addition to this, his ECG illustrated ? anterolateral ischaemic changes.
In view of the above, I believe this patient suffers from ischaemic heart disease that requires your valuable
further management.
Yours sincerely,
Doctor
Report
Word length 208
Comments Mistakes pertain to spelling, article and word
and relevant case notes have been covered.
Estimated Grade B
practice-tests
correction

Ticket Id:
Dr Ben Hinds
Psychiatry Registrar
Maroubra Hospital
Lakes road
Maroubra
07/03/2011
Dear Dr Hinds,
Re: Mr Yuxiang Meng
I am writing this letter to refer you Mr Meng, a 21-year-old Chinese student chef whose features are consistent with Commented [JG1]: to
acute mania. Your further management would be highly appreciated.
Mr Meng is single and he lives with his uncle. On 02/03/2011, elevated mood was noticed by me in addition to
delusions, therefore laboratory investigations and urgent CT were requested to exclude organic causes. Diazepam
10 mg was prescribed.
On next day, mental health team with the help of interpreter established initial diagnosis of non organic mania. Commented [JG2]: the
Unfortunately, Mr Meng and his uncle preferd to avoid hospitalization due to stigma of mental illness in China. His Commented [JG3]: the
laboratory and imaging results were within normal values except for hypokalemia and hypoprotienemia. Quetiapine Commented [JG4]: an
was added to his medications. Commented [JG5]: an
Commented [JG6]: preferred
On today's visit, Mr Meng uncle mentioned that his nephew ran naked in the street yesterday.
Commented [JG7]: hypoproteinemia
On examination, the patient is suffering from elevated mood, pressured speech, delusions in addition to stripping in
Commented [JG8]: Meng’s
public. Based on refusal of medications and referral to MHA, both police and ambulance were called in order to
Commented [JG9]: was
send the patient to emergency department.
Commented [JG10]: and
In view of the above, my provisional diagnosis is acute mania. Please note that he will need an interpreter due to his Commented [JG11]: the
low level of English. For any queries please contact me.
Yours Sincerely, Commented [JG12]: sincerely

Doctor X
Report
Word length 214
Comments Aside from a lack of articles in this letter, the
content is thorough, and the sentence structure is
good. The information is detailed and accurate and
follows a chronological and logical order.
Estimated Grade B
Advice 1. Review definite and indefinite articles!
2. Always proofread your work
practice-tests
correction

7/3/2011
Dr Ben Hinds
Psychiatry Registrar
Maroubra Hospital
Lakes Rd
Maroubra
Dear Dr Hinds,
Re :Mr Yuxiang Meng
I am referring this 21-year-old patient for your urgent evaluation as he is having symptoms
consistent with acute manic episode. Comment [teacher1]: an
Regarding his social history, Mr Meng is a Chinese Overseas student who doesn’t have a good Comment [teacher2]: o
command of English. His uncle accompanies him during his visits.
His medical history is free apart from mania which was diagnosed by the Mental Health Team
on 3/3/2011. He was referred to that team one day before in view of delusions about fixing Comment [teacher3]: by me
the world’s nuclear waste problems. As there is no language barrier between us, the patient Comment [teacher4]: plus other symptoms such as
elevated mood and chronic insomnia. Please note, both the
was referred back to me for follow-up and Quetiapine and diazepam were commenced. patient and his uncle refused hospitalization due to the fear
of the stigma attached to psychiatric wards.
Today, Mr Meng visited me accompanied by his uncle who complained of unusual behaviour Comment [teacher5]: and his uncle
affecting the patient. That was manifested in running naked down streets and insomnia. His Comment [teacher6]: that
uncle reported initial improvement in the patient’s condition. However, he thought that the Comment [teacher7]: singing Chinese revolutionary
songs
patient was not compliant on his medication as before. While examination, the patient was in
Comment [teacher8]: suspected that
elevated mode and he stripped naked in front of me. Therefore, the diagnosis of acute manic
Comment [teacher9]: . On
episode was made but the patient refused to receive any rescue medications.
In view of the above, I believe Mr Meng suffers from acute manic episode and your valuable Comment [teacher10]: he was transferred by
ambulance
instant assessment is highly appreciated.
Yours faithfully,
Doctor
Report
Word length 213
articles, capitalisation, word choice and sentence
formation. Also, some case notes can be covered in
a better way. Overall, the letter meets the
expectations.
Grade B
writing it.

The Duty Registrar
Emergency Pediatric Unit
Brisbane General Hospital
140 Grange Road
Kelvin Grove QLD 4222
14/10/12
Dear Doctor,
Re: Amina Ahmed
Thank you for urgently seeing this 8-year-old female, who is presenting with features suggestive of Comment [teacher1]: child
meningococcal meningitis.
She is the first child of a family of 5, which includes her parents and younger siblings. The family
immigrated from Somalia 7 years ago. Although, they understand English. Comment [teacher2]: however
The patient, accompanied by her parents, initially presented on 09/10/12 complaining of fever, runny
nose, mild cough and loss of appetite. On examination, her vitals were normal except for a temperature of
39.4 Celsius. However, neck stiffness or rash was not noticed. After three days, she reported having Comment [teacher3]: At that time
constant headaches and lethargy with the deterioration of her earlier symptoms. Additionally, her Comment [teacher4]: were
temperature was not responding to antipyretic. Therefore, blood and urine tests were ordered. Comment [teacher5]: the
Unfortunately, today, Amina became lethargic and listless. Her parents were worried as she vomited twice
last night and her headaches have been worsening. Examination revealed that she was severely febrile
with a temperature of 40.2 and a pulse rate of 110 per minute. A maculopapular rash over the legs and
neck stiffness were also observed. The blood test showed elevated WBC with a left shift. As a result,
penicillin IV was commenced.
In view of the above, I believe she needs urgent admission.
Yours sincerely, Comment [teacher6]: faithfully
Doctor
Report
Word length 203
Comments Mistakes pertain to grammar and word choice.
However, flow of information is logical and
Estimated Grade B
writing it.

Ticket Id:
Dr Jeremy Barnett
Emergency Registrar
Maroubra Hospital
Lakes Rd
Maroubra
01/06/2011
Dear Dr Barnett
Re: John Elvin
I am writing this letter to refer you Mr Elvin, a 48-year-old male whose signs and symptoms are suggestive
of anterior MI. Your urgent management would be highly appreciated.
Mr Elvin is a smoker and alcohol dependent. The patient has a past medical history of bronchial asthma for
which he is on Seretide twice daily and salbutamol as per needed. Please note that Mr Elvin has a stressful
work conditions.
On 05/05/2011, the patient attended my surgery with a complaint of chest pain on exertion. His medical
examination was unremarkable in addition to normal troponin level, therefore exercise stress test was Commented [jc1]: an
requested. The results revealed elevated cholesterol and mild ischemic heart changes, consequently
Lipitor, nitrates, aspirin and as per needed Anginine were described. Commented [jc2]: Anginine as needed
Commented [jc3]: prescribed
On 26/05/2011, Mr Elvin was complaining of mild wheezes as a results of bad compliance to medications.
The patient was advised to put a reminder for medications on his fridge in order to improve his
compliance. ETOH dependence treatment pharmacotherapy was offered.
On today, Mr Elvin came complaining of sudden crushing chest pain which is not responding to Anginine. Commented [jc4]: Today
On examination, bilateral wheezes, mild bilateral crackles, s3 sound were auscultated in addition to ECG
revealed mild ST elevation in anterior leads. It is worth to mention that Mr Elvin O2 saturation was 86% on Commented [jc5]: revealing
room air. Therefore, O2 15L via non-rebreather, GTN patch, IV morphine 5 mg, frusemide and ipratropium Commented [jc6]: mentioning
bromide 500 micrograms were given. Commented [jc7]: Elvin’s
In view of the above, my provisional diagnosis is likely anterior MI, acute exacerbation of asthma and
possible mild APO. For any queries please contact me.
Yours Sincerely,
Dr Mahmoud
Report
Word length 264
sentence formation and word choice are visible,
but they do not reduce communication.
Estimated Grade B
Advice 1. Try to finish the letter in 200 words by writing
information in brief wherever possible
2. Revise grammar
practice-tests

Ticket Id:
correction

1/6/2011
Dr Jeremy Barnett
Maroubra Hospital
Lakes Rd
Maroubra
Dear Dr Barnett,
Re: Mr. John Elvin (48-year-old) Comment [teacher1]: repeated in the introduction
I am writing to refer this 48 year - old patient to your urgent evaluation as his Comment [teacher2]: -
symptoms are consistent with acute myocardial Infarction and exacerbation of asthma. Your
rapid assessment is highly appreciated. Comment [teacher3]: repetitive of the previous
sentence and the conclusion
Regarding his social history, he is known to be a heavy smoker and habituated to alcohol.
Moreover, he has been suffering from stressful business life. His medical history is free apart
from bronchial asthma which is controlled by seretide and salbutamol puffs. Comment [teacher4]: S
The patient attended my surgery on 5/5/2011 complaining of central chest pain for which Comment [teacher5]: the
exercise stress test was requested. One week later, that test result revealed slight ischemic
changes. Hence, asprin and prn anginine were prescribed. However, a follow up visit after Comment [teacher6]: aspirin
another 2 weeks showed that the patient was suffering from chest pain for 1 week. That was Comment [teacher7]: A
attributed to drugs incompliance caused by alcoholism. Therefore, it was advised to abort Comment [teacher8]: he
alcohol intake and alcohol dependence pharmacotherapy was offered.
Regrettably, today, Mr. Elvin came with crushing chest pain with bilateral crackles.
Unfortunately, he was desaturating in RA and the ECG illustrated mild ST elevation. Comment [teacher9]: Also
Therefore, fursemide, ipratroprium nebulizer, morphine, oxygen and GTN patch were Comment [teacher10]: furosemide
commenced as a rescue treatment for AMI. Comment [teacher11]: I
Comment [teacher12]: M
In view of the above, I believe that this patient suffers from AMI and needs you valuable
instant care. Should there be any queries, kindly contact me at once.
Yours faithfully,
Doctor
Report
Word length 227
Comments The letter contains more than 200 words. Also,
some inaccuracies pertaining to spelling,
capitalisation, articles and word choice are visible.
Nevertheless, these do not reduce communication.
Grade B
writing it.

Ticket Id: 11410
15/06/2018
Dr D Kurac
Surgeon
The Weight Centre
393 Victorian Road
Richmond, Melbourne
Dear Dr Kurac,
Re: Andy Williams, aged 65 years
I am writing to refer Mr. Williams into your care, who has morbid obesity and concerned about Commented [JG1]: is
complications from bariatric surgery. Your further evaluation would be highly appreciated.
Mr. Williams is divorced recently and lives with partner who does all cooking and shopping. In terms of his Commented [JG2]: recently
medical history, he suffers from type 2 diabetes, hypertension, sleep apnea, gout and hyperlipidemia Commented [JG3]: a
which have been managed accordingly. He has a positive family history for obesity. His height: 183cm, Commented [JG4]: the
weight: 155.5 kg and BMI: 46.6kg/m2.
He has a history of childhood obesity which has been controlled irregularly by his participation in
commercial and medical weight- loss programs. He was advised on his diet control by dietician, but Commented [JG5]: a
unfortunately, he has some infrequent attacks of binge eating due to stress and his largest meal is dinner
at 7:30 p.m.
Please note, he has some concerns about his life health and weight- loss surgery. I am therefore referring
him for further evaluation of his obesity and recommendations for different surgical options. I would be
very grateful if you could encourage his partner to control his diet.
Yours sincerely,
Doctor
Report
Word length 188
Comments The letter is well written and explains the case
thoroughly. Despite small inaccuracies, most of the
grammar is correct
Estimated Grade B+
Advice 1. Always proofread your work to minimize
inaccuracies
practice-tests
correction


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Re: Joshua Vance, DOB: 17/11/13

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Re: Mr. Brett Collister, DOB: 20/11/1970

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Dear Doctor Anderson, Comment [teacher1]: Dr

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Associate Professor Simon Anderson

Dear Dr Anderson, Commented [AH1]: Assoc. Professor

Re: Mr. Daniel McCrae, DOB: 17/10/1962

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Re: Mr. Daniel McCrae, DOB : 17/10/1962

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Re: Mr. Daniel McCrae, DOB: 17.10.1962

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Dear Dr. Thomas,

Re: Mr. Patrick Newton, DOB: 06/07/1989

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Re: Mr Patric Newton Comment [teacher1]: Patrick

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Your sincerely Comment [teacher12]: Yours

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Dear Dr. Clayton,

Re: Mrs. Tracy Bowen, DOB: 22/07/88

296 Henley Beach Rd, Underdale, 5032

Re: Ms Tracy Bowen, DOB: 22/7/1988

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Dear Doctor Clayton, Comment [teacher2]: Dr

Re: Mrs. Tracy Bowen, DOB: 22/07/88

296 Henley Beach Rd, Underdale, 5032

Dear Dr. Clayton,

296 Henley Beach Rd, Underdale, 5032

296 Henley Beach Rd, Underdale, 5032

Re: Ms Tracy Bowen, DOB: 22.07.1988

296 Henley Beach Rd, Underdale, 5032

296 Henley Beach Rd, Underdale, 5032

Re: Mrs. Tracy Bowen D.O.B 23/07/1988

296 Henley Beach Rd, Underdale, 5032

296 Henley Beach Rd, Underdale, 5032