Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #3

Notes: Laura Mitchell, a 35-year-old woman, was referred to you by her general practitioner for nutritional counseling.


Patient: Ms. Laura Mitchell DOB: 5th July 1989

10th October 2024

Presenting Complaint: Weight gain and difficulty managing her diet

History of Presenting Complaint: Gradual weight gain over the past 2 years, concerns about portion control, emotional eating, and lack of energy

No known food allergies or intolerances

Past Medical History: No significant medical conditions

Regular annual check-ups with stable blood pressure and cholesterol levels

Anthropometric Data: Height: 160 cm Weight: 75 kg BMI: 29.3

Biochemical Data:

Fasting Blood Glucose: 105 mg/dL (Ref range: 70-100 mg/dL)

Total Cholesterol: 190 mg/dL (Ref range: < 200> 40 mg/dL)

LDL Cholesterol: 120 mg/dL

Medication: None

Social History: Married with two young children, working part-time

Mild stress at work and managing household responsibilities

 Limited time for physical activity

No smoking, minimal alcohol intake

Dietary Information:

Breakfast: Cereal with whole milk and a banana

Lunch: Sandwich with deli meat, cheese, and mayonnaise

Dinner: Home-cooked meals, typically including meat, starch, and vegetables

Snacks: Potato chips, chocolate, and occasional fruit


Advice given: Portion control, balanced meal planning, and mindful eating

Recommendation for regular physical activity within her schedule

 Education on healthier snack choices and emotional eating management

Immediate plan: Schedule follow-up appointments to monitor progress

Provide resources and recipes for healthier meal options

Writing Task:

Using the information in the case notes, write a letter back to the referring general practitioner, Dr. Sarah Reynolds, Healthwise Medical Center, 123 Oak Avenue, Cityville. 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 Reynolds

Healthwise Medical Center

123 Oak Avenue



10th October 2024


Dear Dr. Reynolds,


Re: Ms. Laura Mitchell, DOB 5th July 1989.


I am writing to provide an update on the nutritional counseling and management of your patient, Ms. Laura Mitchell, who was referred to our clinic for assistance with weight management and diet. Following our assessment, here is the plan we have developed:

Ms. Mitchell has been experiencing gradual weight gain over the past two years, primarily due to concerns about portion control, emotional eating, and a perceived lack of energy. Notably, she does not have any known food allergies or intolerances.

Her anthropometric data reveals a BMI of 29.3, placing her in the overweight category. Biochemically, her fasting blood glucose and cholesterol levels are within the borderline range.

Laura's social context includes marriage and childcare, part-time work, and mild work-related stress. She has limited time for physical activity and maintains a healthy lifestyle regarding smoking and alcohol.

Our advice to Laura involves addressing portion control, balanced meal planning, and promoting mindful eating habits. We have recommended incorporating regular physical activity within her schedule to enhance overall well-being.

Additionally, we are educating her on healthier snack choices and strategies to manage emotional eating. Our immediate plan includes scheduling follow-up appointments to monitor her progress and providing resources and recipes for healthier meal options to support her dietary goals.

Please feel free to reach out if you require any further information or have specific questions regarding Laura's nutritional counseling and management.


Yours sincerely,

Registered Dietitian

TIP : Record and review your speaking to pinpoint areas for improvement and boost your confidence.