OET Writing (DIETETICS) - 8

Occupational English Test

WRITING SUB-TEST: DIETETICS
TIME ALLOWED       : READING TIME: 5 MINUTES
                                       WRITING TIME : 40 MINUTES

Read the case notes below and complete the writing task which follows.

NOTES:
Assume that today's date is 10 October 2018
Peter Steve was referred to you by his GP for dietary advice. 

PATIENT DETAILS:

Patient                                        : Peter Steve (Mr)
DOB                                           : 09 September 1995  

10 October 2018
Presenting complaint:             : Anaemia  (Diagnosed by the referring GP)

History of presenting complaint: 
                                              
                                                  Irritable, withdrawn, moody lethargy, mild depression
                                                  Weight loss- 5 kilos

Past Medical History:            Asthma, for 5 years
                                                 Typhoid 2009
                                                 Chicken pox 2001
                                                 Blepharites 2015

Anthropomorphic Data:      Height: 181 cm
                                                Weight: 67 kg
                                                BMI: 20.5 

Biochemical Data:  FBE
                                               Hb:                 118g/L          (Ref: range: 130-180)
                                              Serum iron :    12 mol/L       (Ref: range: 10- 30)
                                              Ferrin:             30g/L            (ref: range: 30 -300)
                                              B12:                200 mol/L     (ref: range: 120- 680) 
                                              Serum folate:  36 mol/  L     (ref: range: 7 - 45 mol/L)
Medication:                          B12 (1000g) IM injection, every 3-6 months
                                              Ventolin inhaler  
                                           
Social History:                    Vegetarian for 6 years; eats egg. 
                                             University student, lives independently; Share cooking.
                                             No partner. 
                                             Body conscious, work out at gym 2 hrs each day6
                                             Non-smoker; no drugs use.
                                             Social drinker (weekends: 3 drinks at night) 
                                             Amino acid supplements

Dietary Information: 
                     Breakfast :      Cereal with low-fat-milk
                                             Toast (white bread) with jam, honey, or peanut butter
                                             Orange juice
                                             Coffee
                    Morning tea:  Whole meal salad sandwich
                                            Cola or sports drinks

                           Lunch:    Pasta with veg sauce Cake
                                           Tea or coffee
               Mid-afternoon:  High protein cereal bar or high protein milk shake 
               Dinner:               TV dinners/frozen dinners - soups, pasta with vegetarian sauce, rice,
                                           potatoes, ice creams &/or tinned fruits
               Supper :             Dry biscuits with cheese or chocolate bars, coffee

Management
Advice given:                   Increase veg source of iron -e.g., legumes, green leafy vegetables, dry                                                       apricots, figs, nuts combine with vit C containing foods (to increase                                                           absorption)  
                                         Reduce exercise (hour/intensity) to increase iron absorption

Immediate Plan:              Draw up dietary menu plan
                                          recommended fresh food especially fruits and veg
                                          iron supplements
                                          Patient willing to discontinue IM B12 - discuss with the GP
                                          Patient believes that his diet is good - reluctant to change exercise habits.


WRITING TASK

Using the information in the case notes, write a letter  to the referring GP, Dr Rita, St Peters' Clinic, 213 Low Street, Newtown outlining your assessment of Mr Peter Stave, his progress-to-date, and your management plan. Address the letter to Dr Rita Staford, Midland Hospital, 112 South street, Newport.

In your letter: 

* Expand the relevant case notes into complete sentences

* Do not use note forms

* Use correct letter format

The body of the letter should be approximately 180-200 words.




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