Read the following information.

Free OET Writing Sample Test with Answer Subtest Medicine #10

Read the case notes and complete the writing task which follows:

Notes: Assume that today's date is 18 June 2018. You are a practitioner examining a 58-year-old male patient, Mr. John Smith.


Name: John Smith (Mr)

DOB: 14 April 1960

Address: 456 Oak Street, Oakville

Marital Status: Married, 3 adult children

Occupation: Accountant

Height: 175cm Weight: 68kg BMI: 22.2 (normal 18/6/18)

Social History: Non-smoker; Occasional social drinker (wine with meals)

Substance Intake: Nil

Allergies: None known

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

Maternal grandmother – osteoporosis; Maternal grandfather – heart disease

Paternal grandmother – Alzheimer's disease; Paternal grandfather – stroke

Previous Medical History: Childhood asthma; 1980 appendectomy; 2005 diagnosed with type 2 diabetes, managed with metformin; 2012 diagnosed with osteoarthritis in both knees; 2015 cataract surgery.

Presenting Complaint: Chronic knee pain worsened over the past year, affecting mobility and daily activities.

Provisional Diagnosis: Osteoarthritis of both knees

Plan: Recommend physical therapy, weight management, and potential knee joint injections or surgery.

Writing Task:

Using the information in the case notes, write a letter of referral for physical therapy and consultation regarding knee joint injections or surgery to Dr. Sarah Johnson, an orthopedic specialist at Oakville Regional Hospital, 789 Maple Avenue, Oakville. 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

Oakville Regional Hospital

789 Maple Avenue



18 June 2018


Dear Dr. Sarah Johnson,


Re: Mr. John Smith, DOB 14 April 1960


I am writing to refer you to my patient, Mr. John Smith, for a comprehensive assessment of his chronic knee pain, which has significantly impacted his mobility and daily activities over the past year. Mr. Smith, a 58-year-old accountant, presents with persistent knee pain that has worsened progressively, particularly affecting his quality of life.

Mr. Smith's medical history includes childhood asthma, an appendectomy in 1980, and a diagnosis of type 2 diabetes in 2005, which he currently manages with metformin. In 2012, he was diagnosed with osteoarthritis in both knees, and in 2015, he underwent cataract surgery.

Given the chronic nature and severity of his knee pain, I suspect a diagnosis of osteoarthritis of both knees. While I have recommended physical therapy and weight management as initial steps in his treatment plan, considering his history and the substantial impact of knee pain on his daily life, I believe it is essential to explore the possibility of knee joint injections or surgery.

I kindly request your expert evaluation and opinion on whether knee joint injections or surgery are viable options for Mr. Smith. Your expertise as an orthopedic specialist will provide valuable insights into the most appropriate course of action to alleviate his pain and improve his overall quality of life.

Your prompt attention to this matter is greatly appreciated. If you require any additional information or have questions regarding Mr. Smith's case, please do not hesitate to contact me.

Thank you for your assistance in the care and management of my patient.


Yours sincerely,


TIP : Refine your writing style to match the formal and professional tone required in the OET writing tasks.