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OE T OCCUPATIONAL
ENGLISH
TEST
Occupational English Test
Writing sub-test
Medicine
August 2014
Ploase print in BLOCK LETTERS.
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. YOU MUST NOT REMOVE OET MATERIAL FROM THE TEST ROOM
“elephore: +618 9652 0800
Facsimile: +4613 988@ 5329
[Link]
age Asses - August 2014 a OCCUPATIONAL ENGLISH TEST
WRITING SUB-TEST: MEDICINE
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES.
Read the case notes below and complete the writing task which follows,
Michael Weir is a patient in your general practice.
Name: Mr Michael Weir (DOB: 20 Sep 1970)
Height: 182cm
Background: Smoker
Overweight — long term
Depression — sertraline hydrochloride (Zoloft) since Sep 2012
Married — 8 children (13, 10 & Byts)
Real estate agent — reports no time for exercise/relaxation
Active member of local church congregation
Here for general check-up. Reports feeling ‘run down’: tired, stressed, ‘sluggish’,
BP: 96/83, Heart rate (HR): 70bpm
BMI: 27.8 (Wt: 98.1kg)
Chest clear
‘Skin check — no suspicious lesions found
CBC, cholesteroinipids
Plan: Riv in 1wk (discuss test results)
07.07.14
‘Subjective: Here 10 receive results of blood tests (cholesterol, CBC)
Sill tired, feeling ‘down’
Reports weakness in L leg
BP: 80/80, HR: 79 bpm
Chest clear
Sertraline hydrochloride — ongoing
BMI: 28.5 (Wt: 95.5kg)
Test results: Cholesterol: 6 37mmol.
CBC - low WEC; low RBC, low Hb & Het; other results in normal range
Assessment: Repeat assessment of hypercholesterolaemia in 3mths.
Monitor general health - tiredness, depressed feelings.
Pt should make lifestyle changes (smoking, diet, exercise, recreation),
Plan: Ptito ¢dletary saturated fat, incorporate regular exercise to +weight & cholesterol
levels; stop smoking
Riv in approx 1mth to assess general health, feelings of tiredness & being ‘down’. Examination:
Tests:
Assessment:
Plan:
wi
Mies
Complains of dizziness and reports two recent ‘blackouts! (a few minutes each).
Feels stressed - busy at work. Mood up and down since last visit. Reports tingling
in hands. L leg still fee's weak. Breathless, occasional constipation, short of energy.
Has been trying to eat better & exercise more - walks (80mins) x2-3/week.
Still smoking.
BP: 88/70, HR: 76bpm
BMI: 28 (Wt: 98.7kg)
Chest clear
Loss of sensation on L& R hands (sharp/olunt)
Reflexes - diminished L patallar reflex
Order head & lumbar spinal CT to try to determine cause(s) of leg weakness and
associated objective hyporetlexia (2central or spinal — check for spinal cysts!
tumours, etc.)
‘multiple sclerosis
Order CT
Refer to neurologist: a full neurological assessment; order MAI
Using the information given in the case notes, write a letter of referral to Dr M MoLaren, Neurologist,
Suite 8, 67 The Crescent, Newtown,
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.
