Grade B OET Letter Sample | Adam Knowles OET Letter
OET is the English language test for medical professionals. Here is a grade B OET letter written by one of our students. You can find the case notes below.
Notes:
You are a doctor in a city clinic. Mr Knowles is a new patient in your surgery.
PATIENT DETAILS:
Name: Mr Adam Knowles
DOB: 22 Aug 1951 (age 68)
Social background:
Married, two grown-up children
Recently retired management consultant
Physically active, plays tennis/walks dog
Non-smoker for past 10 years
Social drinker
Family history: Nil significant
Medical background:
Severe childhood eczema
2008: gall bladder removed due to gallstones
History of depression past 4 years
Medication: 2016: started SSRI (fluoxetine)
02 Aug 2019
Discussion: Heartburn/indigestion – OTC antacids – ineffective
Pt concerned ?hernia
Objective exam: Full exam performed: NAD
Wt: 94kg
Omeprazole PPI 20 mg 2x/day for 8wks
Ordered FBC and liver function test
Review 4 wks
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.
Assume that today’s date is 30 August 2019.
30 Aug 2019 No improvement in reflux symptoms
Pt’s main concern is now back pain
New symptoms: diarrhoea, pale stools, abdominal pain on eating, fatigue
Wt Ô2kg since last appointment (now 92kg)
Abdomen tender on palpation, slightly swollen
Yellow discolouration skin and eyes
Pathology report:
Bilirubin 9mg/dL (high)
Amylase 400 u/L (high)
ALT 60 u/L (slightly high)
Albumin 6 g/dL (high)
Alkaline phosphatase 120 u/L (slightly high)
Discussion: Discussion of examination findings and blood results with Pt
Plan: Urgent referral to gastroenterologist for assessment and endoscopy
Pancreatic malignancy – patient aware of possibility
Writing Task:
Using the information given in the case notes, write a letter of referral to Dr Desai, a gastroenterologist at City
Hospital, for assessment of Mr Knowles. Address the letter to Dr Dev Desai, Gastroenterologist, City Hospital, Easton.
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.
Grade B OET Letter Sample
Dr. Dev Desai
Gastroenterologist
City Hospital
Easton
30 August 2019
Dear Dr. Desai
Re: Mr. Adam Knowles, DOB: 22 August 1951
I am writing to refer Mr. Knowles who is probably suffering from pancreatic malignancy. He requires further assessment and endoscopy.
Mr. Knowles visited my office / consulted me my office for the first time on 2nd August 2019 with complaints of heartburn and indigestion. He tried OTC antacids which were ineffective. A thorough objective examination was performed which showed normal results. He was prescribed omeprazole for 8 weeks and ordered to undertake an FBC and liver function test. A review was arranged 4 weeks later.
He visited my office on 30 August 2019 with no improvement in reflux symptoms. He developed new symptoms such as back pain, diarrhea, pale stools, abdominal pain on eating and fatigue. He had yellow discoloration of skin and eyes. The abdomen was slightly swollen and tender on palpation. The patient’s pathology reports show raised liver enzymes.
Please note that Mr. Knowles had his gall bladder removed due to gall stones in 2008. He has been suffering from depression for four years and he takes fluoxetine to manage it. There is no significant family history. The patient is a social drinker and had quit smoking 10 years ago.
I request you to conduct further assessment and endoscopy in order to make a definite diagnosis. In addition, I would like to inform you that the patient is aware of the possibility of a pancreatic malignancy.
If you need any more information, please do not hesitate to contact me.
Yours sincerely
Doctor
