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Free OET Writing Sample Test with Answer Subtest Veterinary Science #16

Referral for Chronic Ear Infection (Dog)

Case Notes

Patient: “Max” — 5-year-old Golden Retriever (Male, neutered)
Owner: Mrs. Kelly Watson
Date: 8 October 2025

Presenting Problem:

  • Recurrent ear scratching and head shaking for 6 months

  • Foul odour from both ears

  • Redness, discharge, and discomfort

  • Previous topical antibiotic treatments gave temporary relief

Examination Findings:

  • Bilateral otitis externa

  • Thickened ear canal skin, excessive wax buildup

  • Ear cytology: Malassezia and Staphylococcus pseudintermedius

  • Pain noted on palpation, mild hearing reduction

Treatment to Date:

  • Topical antibiotic and antifungal drops (3 courses, minimal improvement)

  • Oral steroids for inflammation

  • Regular ear cleaning with chlorhexidine

Plan:

  • Refer to Veterinary Dermatologist for allergy testing and long-term management plan

  • Possible food allergy or atopic dermatitis

Social: Owner is highly compliant and willing to follow specialist recommendations

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. Caroline Benson, Veterinary Dermatologist
From: Dr. Thomas Reed, DVM
Date: 8 October 2025
Re: “Max” — 5-year-old Golden Retriever with chronic otitis externa

Dear Dr. Benson,

I am referring Max, a 5-year-old male Golden Retriever, for assessment and long-term management of chronic bilateral otitis externa unresponsive to repeated topical treatments.

Over the past six months, Max has experienced recurring ear inflammation characterized by scratching, odour, and discharge. Despite several courses of topical antibiotics, antifungal drops, and oral corticosteroids, improvement has been only temporary.

Examination revealed inflamed, thickened ear canals with significant wax accumulation. Cytology confirmed the presence of Malassezia and Staphylococcus pseudintermedius. As the infection appears recurrent and resistant, I suspect an underlying allergic or atopic condition.

Given your expertise in dermatological cases, I would appreciate your evaluation for potential food or environmental allergies and advice on a long-term management protocol. Mrs. Watson is fully committed to following your recommendations.

Please let me know your findings and any additional interventions that may be needed.

Yours sincerely,
Dr. Thomas Reed, DVM

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