Read the following information.

Free OET Writing Sample Test with Answer Subtest Medicine #1

Notes: Assume that today's date is 25 September 2018. You are a practitioner examining a 55-year old male patient, Mr. John Martinez. 


Name: John Martinez (Mr)

DOB: 10 May 1963

Height: 175cm Weight: 85kg BMI: 27.8 (overweight 25/9/18)

Social History: Accountant

Marital Status: Married, 3 children (born 1990, 1995, 1998)

Non-smoker (lifetime)

Social drinker – wine with meals

Substance Intake: Nil

Allergies: Penicillin; peanuts

Family History: Mother – breast cancer (survivor); Father – type 2 diabetes

Maternal grandmother – Alzheimer's disease; Maternal grandfather – unknown

Paternal grandmother – osteoporosis; Paternal grandfather – heart disease

Previous Medical History: Childhood allergies (unknown specifics)

1998 appendectomy

2005 gastroenteritis

2010 mild hypertension, managed with lifestyle changes

2013 herniated lumbar disc

2016 kidney stones

Presenting complaint: Chronic lower back pain for the past six months, unresponsive to OTC pain relievers and physiotherapy. No history of trauma or recent lifting.

Provisional diagnosis: Chronic non-specific lower back pain

Plan: Refer to orthopedic specialist for further evaluation and consideration of imaging (MRI or CT scan) if deemed necessary. Encourage continued physiotherapy.

Writing Task:

Using the information in the case notes, write a letter of referral for further evaluation and consultation to the orthopedic specialist, Dr. Sarah Johnson, at Riverside Orthopedic Clinic, 123 Oakwood Avenue, Riverside. 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.

Dr. Sarah Johnson

Riverside Orthopedic Clinic

123 Oakwood Avenue



25 September 2018


Dear Dr. Johnson,


Re: Mr. John Martinez, DOB 10.5.1963


I am writing to recommend Mr. John Martinez, a 55-year-old accountant, for additional testing and advice about his persistent lower back pain. His illness has not improved after six months of treatment with over-the-counter painkillers and physical therapy.


Mr. Martinez's medical history includes an appendectomy in 1998, gastroenteritis in 2005, and a diagnosis of mild hypertension in 2010, which he has managed with lifestyle changes. His family history includes his mother's survival of breast cancer and his father's type 2 diabetes. Additionally, his maternal grandmother had Alzheimer's disease, and his paternal grandmother had osteoporosis.


Presently, Mr. Martinez complains of chronic lower back pain, with no history of trauma or recent heavy lifting. Given the persistent nature of his condition, I suspect further evaluation is necessary. Therefore, I recommend that he be seen by an orthopedic specialist for a thorough assessment. If deemed appropriate by the specialist, I also suggest considering imaging such as an MRI or CT scan to rule out any structural abnormalities.


Mr. Martinez will continue with physiotherapy as recommended. Please feel free to contact me if you require any additional information or have specific questions regarding his case.


Thank you for your prompt attention to this matter.


Yours sincerely,


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