Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #10

Notes: Emily Turner, a 38-year-old woman, has been referred to you by her oncologist for dietary guidance during her breast cancer treatment.


Patient: Ms. Emily Turner DOB: 22nd March 1988

10th October 2026

Presenting Complaint: Breast cancer treatment and nutrition History of Presenting Complaint: Recently diagnosed with breast cancer, undergoing chemotherapy, experiencing fatigue, nausea, and appetite changes No known food allergies or intolerances

Past Medical History: No significant medical conditions No history of cancer or chemotherapy

Anthropometric Data: Height: 170 cm Weight: 60 kg BMI: 20.8

Biochemical Data: Hemoglobin: 12.0 g/dL (Ref range: 12-16 g/dL) Serum Albumin: 4.2 g/dL (Ref range: 3.5-5.0 g/dL) C-reactive protein (CRP): 10 mg/L (Ref range: < 5>

Medication: Chemotherapy regimen as prescribed by the oncologist

Social History: Married with two children, part-time job, moderate stress levels Non-smoker, non-drinker Limited physical activity due to fatigue

Dietary Information: Breakfast: Whole-grain cereal with low-fat milk and berries Lunch: Soup and whole-grain crackers Dinner: Smaller home-cooked meals, including lean protein, vegetables, and quinoa Snacks: Yogurt, fresh fruit, and occasional nuts

Management: Advice given: Nutrient-rich diet to support cancer treatment and manage side effects Recommendation for smaller, more frequent meals to combat nausea Encouragement for gentle physical activity and stress management Consideration of appetite stimulants or supplements with oncologist

Immediate plan: Schedule regular follow-up appointments to monitor nutritional status and side effects Provide resources for cancer-supportive meal planning

Writing Task:

Using the information in the case notes, write a letter back to the referring oncologist, Dr. Rebecca Davis, CancerCare Center, 789 Pine Street, 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. Rebecca Davis 

CancerCare Center 

789 Pine Street Oakville


10th October 2026


Dear Dr. Davis,


Re: Ms. Emily Turner, DOB 22nd March 1988.


I am writing to provide you with an update on the dietary guidance and management of your patient, Ms. Emily Turner, who was referred to our clinic for assistance with her nutrition during breast cancer treatment. Following our assessment, here is the plan we have developed:

Ms. Turner has recently been diagnosed with breast cancer and is currently undergoing chemotherapy. She presents with common side effects of treatment, including fatigue, nausea, and changes in appetite. Anthropometrically, her BMI is 20.8, and her biochemical data shows stable hemoglobin and serum albumin levels. Her CRP levels are slightly elevated, indicating some inflammation.

Socially, Emily is married with two children, holds a part-time job, and experiences moderate stress levels. She is a non-smoker and non-drinker and engages in limited physical activity due to her treatment-related fatigue.

Our primary advice to Ms. Turner involves adopting a nutrient-rich diet to support her cancer treatment and manage side effects. We have recommended smaller, more frequent meals to combat nausea and support her nutritional needs. In addition to dietary guidance, we have encouraged her to engage in gentle physical activity and provided stress management techniques.

Considering her changes in appetite, we suggest discussing the possibility of appetite stimulants or supplements with you, her oncologist, to ensure she receives adequate nutrition.

Our immediate plan includes scheduling regular follow-up appointments to monitor her nutritional status, side effects, and overall progress, providing ongoing support. We will also provide resources for cancer-supportive meal planning to assist Emily in achieving her dietary goals.

Please do not hesitate to reach out if you require any further information or have specific questions regarding Emily's dietary guidance and breast cancer treatment support.


Yours sincerely,

Registered Dietitian

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