Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #8

Notes: Sarah Miller, a 32-year-old woman, has been referred to you by her primary care physician for nutritional counseling related to weight management and polycystic ovary syndrome (PCOS).


Patient: Ms. Sarah Miller DOB: 18th September 1993

15th July 2026

Presenting Complaint: Weight management and PCOS History of Presenting Complaint: Struggles with weight gain, irregular menstrual cycles, and acne associated with PCOS No known food allergies or intolerances

Past Medical History: Polycystic ovary syndrome (PCOS) diagnosed in 2014 No history of diabetes or cardiovascular events

Anthropometric Data: Height: 168 cm Weight: 82 kg BMI: 29.1

Biochemical Data: Fasting Blood Glucose: 105 mg/dL (Ref range: 70-100 mg/dL) HbA1c: 6.5% (Ref range: < 6> 40 mg/dL) LDL Cholesterol: 120 mg/dL (Ref range: < 130>

Medication: Oral contraceptive pill to regulate menstrual cycles

Social History: Single, office job, moderate stress levels Non-smoker, minimal alcohol consumption Minimal physical activity

Dietary Information: Breakfast: Cereal with whole milk and a banana Lunch: Sandwich or fast-food options (burgers, fries, sandwiches) Dinner: Home-cooked meals, including meat, pasta, and vegetables Snacks: Potato chips, cookies, and occasional fruit

Management: Advice given: Weight management through a balanced diet and portion control Recommendation for a low-glycemic index diet to manage PCOS symptoms Encouragement for regular physical activity and stress management Consideration of additional PCOS management with gynecologist

Immediate plan: Schedule regular follow-up appointments to monitor weight and PCOS symptoms Provide resources for low-glycemic index meal planning

Writing Task:

Using the information in the case notes, write a letter back to the referring primary care physician, Dr. Mark Taylor, Healthwise Clinic, 789 Oak Street, Townsville. 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. Mark Taylor

Healthwise Clinic

789 Oak Street



15th July 2026


Dear Dr. Taylor,


Re: Ms. Sarah Miller, DOB 18th September 1993.


I am writing to provide an update on the nutritional counseling and management of your patient, Ms. Sarah Miller, who was referred to our clinic for assistance with weight management and polycystic ovary syndrome (PCOS). Following our assessment, here is the plan we have developed:

Ms. Miller has been diagnosed with PCOS since 2014 and presents with concerns related to weight gain, irregular menstrual cycles, and acne, which are common symptoms associated with PCOS. Anthropometrically, her BMI is 29.1, indicating overweight status. Her biochemical data indicates elevated fasting blood glucose and HbA1c levels.

Socially, Sarah is single and holds an office job with moderate stress levels. She does not smoke, consumes minimal alcohol, and engages in minimal physical activity.

Our primary advice to Ms. Miller involves weight management through a balanced diet and portion control. We have recommended a low-glycemic index diet to help manage her PCOS symptoms, including regulating menstrual cycles and reducing insulin resistance. We have also encouraged her to engage in regular physical activity and provided stress management strategies.

In addition to dietary guidance, we suggest considering additional PCOS management options with her gynecologist to address her specific needs.

Our immediate plan includes scheduling regular follow-up appointments to monitor her weight and PCOS symptoms and provide ongoing support. We will also provide resources for low-glycemic index meal planning to support her dietary goals.

Please do not hesitate to reach out if you require any further information or have specific questions regarding Sarah's nutritional counseling and PCOS management.


Yours sincerely,

Registered Dietitian

TIP : Develop active listening techniques to capture essential details during the OET listening test.