Occupational English Test

Writing Sub-Test: Medicine

Reading Time: 5 minutes; Writing Time: 40 minutes

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

Patient: Mr. Jones

Personal History: 

• Plumber for 30 years.
• DoB: 05 January 1972.
• 20 cigarettes a day since age 12.
• Divorced – 7 years ago.
• Father died of cardiac arrest.

PMHx:

• 1990: Broke Arm. No doctor visits since then.
• 2014: Smokers cough without blood. No wheeze.
• Stable weight.
• No chest tightness on exertion
• No fist clubbing.
• Abundant tar staining.
• Pulse: Sinus rhythm. Hard to feel.
• BP: 108/88 mm Hg
• Auscultation: crepitation at left base.

Diagnosis:

• Respiratory disorder suspected (Lung carcinoma suspected)
• Stenosis suspected (Hb – upper end)

Plan:

• Refer to a cardiologist for an opinion on possible Aortic Stenosis.

Writing Task:

Using the information in the case notes, write a letter of referral for further investigation and definitive diagnosis to the cardiologist, Dr. Janet, London Hospital, 11 Baker’s Street, London.