Elenaor Bennet OET Letter Sample
Case notes
WRITING SUB-TEST – TEST BOOKLET
INSTRUCTIONS TO CANDIDATES
You must write your answer for the Writing sub-test in the Writing Answer Booklet.
You must NOT remove OET material from the test room.
Notes:
Assume that today’s date is 15 May 2021. You have been Ms Bennet’s GP for two years and have been treating her recently following her hospitalisation for cardiac problems.
PATIENT DETAILS:
Name: Eleanor Bennet
DOB: 06 Dec 1975 (45 y.o.)
Address: 32 Station Road, Oakville
Social background:
Commercial lawyer – frequent international travel
Divorced – 2 daughters (18 & 16 y.o.)
Children live mainly with children’s father (custody currently contested) – Pt reports extreme
stress re worries about quality of father’s childcare
Since 2019 Óalcohol intake from 10 Ò 40 units/wk; smokes 20 cigs/day
BMI 29 (overweight) – little exercise (gym x1/mth)
Family history: Father died 53 y.o. – heart disease
Older brother – mental health problems (2 suicide attempts in last 12 mths)
Medical history:
08 Feb 2021, 0800 hrs
Heart attack at airport after long-haul flight (pain in jaw, nausea, SOB)
Defibrillator applied by first-aider
08 Feb 2021, 0915 hrs
Emergency hospital admission (Oakville General Hospital)
Balloon-expandable stent applied via groin (arm tried initially, artery too small)
15 Feb 2021 Discharged, 4 weeks off work Ò gradual return to work
Mother moved in to give care. Pt reports Óstress (poor relationship)
Medications/treatment on discharge:
Captopril 50mg 2x/day
Atorvastatin 80mg daily
Referral for cardiac rehabilitation sessions – non-attendance
Counselling given re lifestyle changes
Presenting complaint:
15 May 2021 Side effects of captopril – dizziness and light-headedness, headaches, episodes of diarrhoea
Pt reports stress from side effects
Pt requests captopril discontinuation (side effects) – reluctant to start new meds
Plan: Referral to cardiologist re review of meds and ways to encourage lifestyle changes
Writing Task:
Using the information given in the case notes, write a letter of referral to Dr Banerjee, consultant cardiologist.
In your letter, briefly outline Ms Bennet’s history and treatment so far, requesting advice and a review of her
medication. Address your letter to Dr James Banerjee, Consultant Cardiologist, Sanditon City Hospital, Sanditon.
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.
Any answers recorded here will not be marked.
Grade B Letter Sample
Dr James Banerjee
Consultant Cardiologist
Sanditon City Hospital
Sanditon
15/05/2021
RE: Ms Eleanor Bennet; 45 Years old
Dear Dr Banerjee
I am writing to refer Ms Eleanor Bennet who suffers from cardiac problems for a review of her medications.
Ms Bennet had an episode of heart attack on 08/02/2021. She received Defibrillator at the airport and was transferred to Oakville General Hospital for Balloon-expandable stent application via groin.
Ms Bennet was discharged after 7 days and advised 4 weeks off work and then gradual return to work as it requires frequent international travel. She was prescribed Captopril, 50 mg, B.I.D.; Atorvastatin, 80 mg, once daily and counselling for lifestyle changes. She was also referred for cardiac rehabilitation sessions which she did not attend.
Ms Bennet came today with complaints of dizziness, light-headedness, headaches, and diarrhoeal episodes. She requested discontinuation of Captopril due to the side effects and is not ready to start any new drug. Ms Bennet’s BMI is 29 and she exercises less than once a month. Notably, her alcohol consumption has increased since 2019 from 10 units / week to 40 units. In addition, she smokes 20 cigarettes per day.
Ms Bennet is recently divorced and her two teenage daughters live with their father. The quality of father’s childcare worries her and is a reason for extreme stress. Her stress is compounded by the side effects of her current medication captopril.
Family History is suggestive of heart disease in father who died at 53 years of age.
Kindly advise and review her medications. Also, encourage her to make lifestyle changes.
If you have any queries, feel free to contact me.
Yours Sincerely
Doctor
