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:
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
eart attac at airport a ter long haul ight pain in aw nausea )
efibrillator 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 Óstress 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:
sing the in ormation given in the case notes write a letter o re erral to r aner ee consultant cardiologist.
n your letter brie y outline s ennet’s history and treatment so ar re uesting advice and a review o her
medication. ddress your letter to r ames aner ee Consultant Cardiologist anditon City ospital anditon.
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.