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Free OET Writing Sample Test with Answer Subtest Veterinary Science #17

Cat with Kidney Failure Follow-Up

Case Notes

Patient: “Luna” — 10-year-old Domestic Short Hair (Female, spayed)
Owner: Mr. Anthony Clarke
Date: 15 September 2025

Presenting Complaint:

  • Increased thirst, reduced appetite

  • Occasional vomiting

  • Weight loss (~0.8 kg in 3 months)

Examination:

  • Mild dehydration, dull coat, low energy

  • Urinalysis: low specific gravity

  • Bloodwork: ? BUN, ? Creatinine, normal glucose

  • Diagnosis: Stage II Chronic Kidney Disease (IRIS guidelines)

Treatment Provided:

  • Started renal diet (Hill’s k/d)

  • Subcutaneous fluids twice weekly

  • Anti-nausea medication (Cerenia®)

  • Regular weight and hydration checks

Plan:

  • Refer to internal medicine specialist for long-term renal management and possible hypertension screening

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.

Letter

To: Dr. Nina Patel, Veterinary Internal Medicine Specialist
From: Dr. Ryan Collins, DVM
Date: 15 September 2025
Re: “Luna” — 10-year-old female cat with chronic kidney disease

 

Dear Dr. Patel,

I am referring Luna, a 10-year-old spayed cat, for further evaluation and management of chronic kidney disease diagnosed one month ago.

Luna presented with polyuria, polydipsia, and weight loss. Laboratory findings showed elevated BUN and creatinine with low urine concentration, confirming Stage II renal insufficiency. She has been started on a renal diet and subcutaneous fluids, with mild clinical improvement.

As her hydration and appetite fluctuate, I seek your advice regarding hypertension assessment, advanced diagnostics (SDMA, ultrasound), and long-term renal management options.

Mr. Clarke is highly cooperative and wishes to ensure the best quality of life for Luna.

Thank you for your assistance in this case.

Yours faithfully,
Dr. Ryan Collins, DVM

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