Grade B OET Letter Sample | Tom Cribb OET Letter
OET is an English language test for healthcare professionals. Here is a grade B OET letter sample. You can find the case notes below.
TIME ALLOWED: READING TIME: 5 MINUTES Task 5
WRITING TIME: 40 MINUTES
Read the case notes below and complete the writing task which follows.
notes:
Assume Today’s Date: 01/06/10
Patient History
Tom Cribb D.O.B: 23/5/82
Unemployed – builder’s labourer recently made redundant because of lack of work
Married/no children
Wife works full time as shop assistant
No hobbies
Smokes 5-6 cig/day, drinks 2-5u of alcohol per week
Father has hypertension
Mother died at 60 due to breast cancer
No known allergies
12/05/10
Subjective
Very severe pain in lower R abdomen for 3 hrs, radiated to groin, nausea, no vomiting
No red colour urine – frequency normal
No history of trauma, No fever
Anxious about finding new job ASAP – has to make regular home mortgage repayments
Objective
BP: 120/80
PR: 80 BPM
Ab-mild tenderness in lower abdo, no guarding and rebound
Plan
Diagnosis? Ureteric colic due to renal stone
Diclofenac sodium 50mg suppository dose given and 50mg b.i.d. for 5 days
Advised to drink moderate amount of fluid with regular exercise, especially walking for 2-3 days
Review after 2 days with IVP report, UFR report
14/05/10
Subjective
No pain, no new complaints
Objective
IVP-L/kidney-nl R/enlarged kidney which was ectopic. No evidence of stones
UFR-few red cells
Advised to drink more fluid especially in hot weather
Ordered ultrasound of abdomen to exclude any kidney pathology and review in 2 weeks
01/06/10
Subjective
Had mild R sided lower abdominal pain 5 days ago, responded to Panadol
Ultrasound-severe hydronephrosis? Mass attached to the liver, L/kidney, spleen, pancreases normal
Rehired as builder’s labourer on new job due to start in two weeks -keen to get back to work.
Objective
BP: 140/90
PR: 98 regular
Ab-mass in R/lower abdominal area. RDE-felt a hard mass & kidney situated below normal site.
Hydronephrosis +
Plan
Refer to a urologist for further investigation including CT scan and assessment.
Writing Task:
You are a General Practitioner at a Southport Clinic. Tom Cribb is your patient.
Using the information in the case notes, write a letter of referral to urologist for CT scan and
assessment. Address the letter: Dr B Comber, Urologist, Southport Hospital, Gold Coast
In your answer:
● Expand the relevant case notes into complete sentences
● Do not use note form
● Use correct letter format
The body of your letter should be approximately 200 words. Use correct letter format.
Grade B OET Letter Sample
Dr. B. Comber
Urologist
Southport Hospital
Gold Coast
Date: 01/06/10
Dear Doctor
Re: Mr. Tom Cribb, DOB: 23/5/82
I am writing to refer Mr. Cribb who is suffering from hydronephrosis. He requires further assessment of his symptoms and a CT scan.
Mr. Cribb visited my clinic on 12the May, 2010 complaining of severe lower right abdominal pain radiating to the groin. It was associated with nausea without vomiting. The urine frequency was normal with no history of trauma or fever. The physical examination showed normal vitals. A mild tenderness could be felt in the lower abdomen but it was not associated with guarding or rigidity. The diagnosis was suspected to be ureteric colic due to renal stone for which he was prescribed diclofenac sodium. He was advised to drink moderate amount of fluid and take regular exercise. A review was arranged after 2 days with IVP and UFR reports.
On 14/05/10 his IVP report showed an enlarged and ectopic right kidney. There was no evidence of stones. The UFR showed few red cells. An ultrasound was ordered. On 01/06/10, Mr. Cribb presented to my clinic with his ultrasound report which showed a mass attached to the liver. On abdominal examination, a mass in the right lower abdominal area could be felt. On RDE, a hard mass could be felt and kidney was found to be situated below the normal site. The diagnosis was confirmed to be hydronephrosis.
Please note that Mr. Cribb has a significant family history of hypertension. He smokes 5-6 cigarettes per day and drinks 2-5 units of alcohol per week.
I would appreciate it if you could conduct an assessment of Mr. Cribb’s symptoms and carry out further investigations including a CT scan.
If you require any further information, please do not hesitate to contact me.
Yours sincerely
Doctor
