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Oet Writing Tasks Final-22-23

Mrs. Priya Sharma is a 60-year-old woman with a history of type 2 diabetes and high blood pressure who has been struggling to control her blood sugar levels. Her HbA1c was very poor at 10% and her fasting sugars are usually in the high range of 16+. Her primary care doctor has made medication changes but her sugars remain uncontrolled, so she is being referred to an endocrinologist for further management.

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250 views2 pages

Oet Writing Tasks Final-22-23

Mrs. Priya Sharma is a 60-year-old woman with a history of type 2 diabetes and high blood pressure who has been struggling to control her blood sugar levels. Her HbA1c was very poor at 10% and her fasting sugars are usually in the high range of 16+. Her primary care doctor has made medication changes but her sugars remain uncontrolled, so she is being referred to an endocrinologist for further management.

Uploaded by

MK Exam Section
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Medicine Letter 10

OCCUPATIONAL ENGLISH TEST


WRITING SUB-TEST: MEDICINE

TIME ALLOWED: READING TIME: 5 MINUTES


WRITING TIME: 40 MINUTES

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

Notes:

Patient: Mrs Priya Sharma


DOB: 08.05.53 (Age 60)
Residence: 71 Seaside Street, Newtown

Social Background: Married 40 years – 3 adult children, 5 grandchildren (overseas). Retired (clerical worker).

Family History: Many relatives with type 2 diabetes (NIDDM)


Nil else significant

Medical History: 1994 – NIDDM


Nil significant, no operations
Allergic to penicillin
Menopause 12 yrs
Never smoked, nil alcohol
No formal exercise

Current Drugs: Metformin 500mg 2 nocte


Glipizide 5mg 2 mane
No other prescribed, OTC, or recreational

29/12/13
Discussion: Concerned that her glucose levels are not well enough controlled – checks levels often
(worried?)
Attends health centre – feels not taking her concerns seriously
Recent blood sugar levels (BSL) 6-18
Checks BP at home
Last eye check October 2012 – OK
Wt steady, BMI 24
App good, good diet
Bowels normal, micturition normal

O/E: Full physical exam: NAD


BP 155/100
No peripheral neuropathy; pelvic exam not performed
Pathology requested: FBE, U&Es, creatinine, LFTs, full lipid profile, HbA1c
Medication added: candesartan (Atacand) tab 4mg 1 mane
Review 2 weeks

TURN OVER 2
05/01/14 Pathology report received:
FBE, U&Es, creatinine, LFTs in normal range
GFR > 60ml/min
HbA1c 10% (very poor control)
Lipids: Chol 6.2 (high), Trig 2.4, LDLC 3.7

12/01/14 Review of pathology results with Pt


Changes in medication recommended
Metformin regime changed from 2 nocte to 1 b.d.
Atorvastatin (Lipitor) 20mg 1 mane added
Glipizide 5mg 2 mane
Review 2 weeks

30/01/14 Home BP in range


Sugars improved
Pathology requested: fasting lipids, full profile

06/02/14 Pathology report received: Chol 3.2, Trig 1.7, LDLC 1.1

10/02/14 Pathology report reviewed with Mrs Sharma


Fasting sugar usually in 16+ (high) range
Other blood sugars 7-8
Refer to specialist at Diabetes Unit for further management of sugar levels

Writing Task:
Using the information in the case notes, write a letter of referral to Dr Smith, an endocrinologist at City
Hospital, for further management of Mrs Sharma’s sugar levels. Address the letter to Dr Lisa Smith,
Endocrinologist, City Hospital, Newtown.

In your answer:
• Expand the relevant notes into complete sentences
• Do not use note form
• Use letter format

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

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