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Pharmacy

Read the following information.

Free OET Writing Sample Test with Answer Subtest Pharmacy #15

Warfarin Monitoring

Case Notes:

  • Patient: Mr. George Matthews, 68 yrs

  • Condition: Atrial fibrillation, on anticoagulation therapy

  • Medication: Warfarin 5mg OD

  • INR readings: Recent value 4.2 (above therapeutic range 2–3)

  • Symptoms: Reports easy bruising, occasional gum bleeding

  • Other medications: Simvastatin 20mg nocte

  • Diet: Recently increased intake of leafy greens, occasional alcohol

  • Concern: Risk of bleeding with current INR

  • Pharmacy notes: Advised patient to be cautious, avoid injury, and consult doctor.

  • Request: Inform doctor to review Warfarin dosage.

Writing Task: 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.

To: Dr. Lewis

Dear Dr. Lewis,

I am writing to inform you about Mr. George Matthews, a 68-year-old patient with atrial fibrillation who is currently on Warfarin 5mg daily.

His recent INR reading was 4.2, which is above the therapeutic range. He also reported easy bruising and occasional gum bleeding. While he has been generally compliant with his therapy, he mentioned a recent increase in the consumption of leafy greens and occasional alcohol intake, which may have affected his INR stability.

Given the elevated INR and associated bleeding symptoms, I recommend reviewing his anticoagulation management and adjusting the Warfarin dose accordingly. I have already advised him to exercise caution and avoid activities that may cause injury until he is reviewed.

Your urgent attention to his case would be valuable to minimize his bleeding risk.

Yours sincerely,
[Pharmacist’s Name]

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