Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #2

Notes: John Anderson was referred to you by his primary care physician for diabetes management.


Patient: Mr. John Anderson

DOB: 10th December 1965

5th November 2023

Presenting Complaint: Poorly controlled diabetes

History of Presenting Complaint: Frequent thirst, excessive urination, fatigue, unexplained weight loss Type 2 Diabetes diagnosed in 2010

Past Medical History: Hypertension, diagnosed in 2012

Hyperlipidemia, diagnosed in 2015

No history of cardiovascular events

Anthropometric Data:

Height: 175cm

Weight: 90kg

BMI: 29.4

Biochemical Data:

HbA1c: 9.5% (Ref range: < 6>

Fasting Blood Glucose: 200 mg/dL (Ref range: 70-100 mg/dL)

LDL Cholesterol: 160 mg/dL (Ref range: < 100>

Blood Pressure: 140/90 mm Hg

Medication: Metformin (1000mg) twice daily

Amlodipine (5mg) once daily

Atorvastatin (20mg) once daily

Aspirin (81mg) once daily

Social History: Married, non-smoker, occasional alcohol use (2-3 drinks/month)

Sedentary lifestyle, office job

Family history of type 2 diabetes

Dietary Information:

Breakfast: Oatmeal with almond milk and berries

Lunch: Grilled chicken breast with vegetables and quinoa

Dinner: Baked fish with brown rice and steamed broccoli

Snacks: Carrot sticks with hummus


Advice given: Intensify glucose control with lifestyle changes and medication adjustment

Modify diet to lower carbohydrate intake Increase physical activity

Monitor blood glucose regularly

Immediate plan: Schedule frequent follow-up appointments to monitor progress

Adjust Metformin dose and consider additional diabetes medication if necessary

Writing Task:

Using the information in the case notes, write a letter back to the referring primary care physician, Dr. Lisa Roberts, 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. Lisa Roberts

Healthwise Clinic

789 Oak Street



5th November 2023


Dear Dr. Roberts,


Re: Mr. John Anderson, DOB 10th December 1965.


I am writing to update you on the management of your patient, Mr. John Anderson, who was referred to our clinic for diabetes management. After a thorough assessment, here is the plan we have discussed:

Mr. Anderson presents with poorly controlled type 2 diabetes, marked by symptoms of excessive thirst, frequent urination, fatigue, and unexplained weight loss. He was diagnosed with type 2 diabetes in 2010, and his recent HbA1c level is 9.5%, well above the target range.

In addition to diabetes, Mr. Anderson has a history of hypertension and hyperlipidemia, both of which require ongoing management. There is no history of cardiovascular events.

His anthropometric data reveals a BMI of 29.4, indicating overweight status. We have advised him to intensify glucose control through lifestyle changes, including a modification of his diet to lower carbohydrate intake and an increase in physical activity. Medication adjustments, such as an increase in Metformin dosage, are also being considered.

Our immediate plan involves scheduling frequent follow-up appointments to monitor progress and make necessary adjustments to his treatment regimen. We will continue to work closely with Mr. Anderson to improve his diabetes control.

Please do not hesitate to reach out if you have any further questions or require additional information regarding Mr. Anderson's care.


Yours sincerely,



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