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.

