Writing Sub-Test: Physiotherapy

 Occupational English Test

Writing Sub-Test: Physiotherapy

Time Allowed: Reading time 5 Minutes

                          Writing Time 40 Minutes

Read the case notes and complete the writing task which follows:

Notes

Assume today's date is 15 May 2021.

You are a physiotherapist in Apollo Physiotherapy Clinic. Mrs Abrams is a regular patient at your clinic. 

Patient Details

Name:                         Mrs Doris Abrams

Address:                     840 Oceanview Street, Stillwater

DOB:                          03 April 1986  (35 y.o)

Social background:  Married - Husband James Abrams

                                   Sport: plays netball once/week

                                   Hiking once or twice/year

                                   Magazine editor (full time)

Family history:       Rheumatoid arthritis (RA)  ---maternal uncle & grandfather

Medical history:     Shoulder dislocation (2019)        

                                 Wrist sprain r. (03 Jan 2021

Weight:                   55 Kg

Height:                    165 cm

BMI:                        20.2 (n)

Current Medications: Nil

Treatment record:

02 Jan 2021

Presenting                  Pain in R  wrist. Suspects injured during netball game. 2 days        complaints:                before.

                                    Dull pain, mostly at night, difficulty sleeping

Physical 

assessment:              Swelling R wrist

                                  Some pain on flexion

Diagnosis:                R wrist sprain

Treatment:              Rest, ice, Tubigrip (elastic compression bandage)

                                 Review in 1 wk


 


10 Jan 2021

Progress:              Swelling Increased 

Recommended:  -- Resistance exercise with bands (gradual start to regain 

                              strength)

                             -- Returning in one wk if comfortable

                             -- pt to contact practice if injury not settling as expected

 15 May 2021

                             Dull aching pain  in fingers, occasionally feet, not related to 

                             activity, varies in presentation.

                            Sleep disturbed by aching in hand/feet joints at night.

                            Morning stiffness -- lasts 1 hr

                            Fatigue  (unusual for her)

                            Pt reports: appetite and wt loss  (2 kg)

Examination:     Hands & feet - joints warm & red-looking

                           Pain on resisted grip testing of hands.

                           Gait in bare feet -- compromised by discomfort

Possible

Diagnosis:        Rheumatoid arthritis (RA)

Discussion:      Pt reports previous concern re. RA risk  (Fx)

                         Pt agrees to see usual GP (Dr Rahimian)  --

                         Will return physio for further education & management if diagnosed                                with RA 

Treatment:      GP review for further investigation -- blood tests & X-rays as necessary.


WRITING TASK

Using the information in the case notes, write a letter to Dr Rahimian informing her of your suspected diagnosis  and requesting further investigation. Address the letter to Dr Sara Rahimian, Stillwater Private Practice, 124Main street.

IN YOUR ANSWER:

* Expand relevant notes into complete sentences

* Do not use note forms

* letter format

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



                                   --- -------



                                     






write a letter to Dr Rha

   


 








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