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. Alex Turner

Age: 54 years, 7 months

Social History:

• Occasional drinker
• Non-Smoker
• Accountant

Allergies: None

PMHx: 

• 1978: Knee injury during an accident
• 1982: Whiplash injury
• 1982: Mild Asthma
• 2000: Hypertension
• 2012: Depression
• Pain in joints, wrist, knees.
• February 2018: Redness in eyes, Episcleritis in eyes

March 2018:

• Sensitivity and tenderness in ears – 3 months ago
• Red and sore ears – 6 weeks ago
• Ringing feeling in ears
• Auricular inflammation
• Swollen pinnae
• ECG, Chest X-ray, lung function tests normal
• No related respiratory tract or cardiovascular involvement
• Provisional Diagnosis: Relapsing Polychondritis (RP) suspected.

Plan:

• Refer ENT doctor for an opinion and conduct test for RP.

Writing Task:

Using the information in the case notes, write a letter of referral for further investigation and definitive diagnosis to the otorhinolaryngologist (ENT doctor), Dr. Amit Dhar, Sydney Hospital, 21 Elizabeth Street, Sydney.

If you’re a doctor and wish to take this test, feel free to email your answer at [email protected]