Occupational English Test

WRITING SUB-TEST: MEDICINE

TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

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

Notes:
Jamie Brown is a patient in your General Practice. He is a 5-year-old boy accompanied by his
mother.

25.02.20
Examination: Sore throat and husky voice, febrile and irritable
Temp = 39
Large, infected tonsils with exudate
Tender enlarged cervical nodes
Assessment: Tonsillitis
Plan: Penicillin V 250mg q.i.d. for 7 days
18.03.20
Examination: Mum noticed that Jamie had brown urine 4 days ago
She says he is tired and lethargic
No history of frequency, dysuria or trauma
ENT – tonsillar hypertrophy
BP – 90/60
Urinalysis – macroscopic haematuria
Assessment: ? Post streptococcal nephritis
? UTI
Plan: Review in 2 days; drink plenty of fluids
Investigations: FBE + diff
Urea + creatinine
Electrolytes
ASOT titre
MSU M/C/S + cell morphology
20.03.20
Examinations: Patient still asymptomatic
­BP 110/90
Urinalysis - macroscopic haematuria
Results: FBE – normal
Urea + creatinine – sl. elevated
ASOT – elevated +++
MSU – 4 x 10 # RBC of renal origin
Assessment: Post-streptococcal nephritis with early renal failure
Plan: Refer to paediatrician Dr F. Goldman
Writing task:

Using the information in the case notes, write a letter of referral to Dr F. Goldman, 171
Victoria St, Northfield.

In your answer:

• Expand the relevant notes into complete sentences

• Do not use note form
• Use letter format

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