Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #6

Notes: David Smith, a 55-year-old man, has been referred to you by his gastroenterologist for dietary guidance in managing his recently diagnosed celiac disease.


Patient: Mr. David Smith DOB: 12th June 1970

3rd December 2025

Presenting Complaint: Celiac disease and gluten-free diet History of Presenting Complaint: Recently diagnosed with celiac disease, experiencing symptoms of bloating, diarrhea, and abdominal discomfort No known food allergies besides gluten intolerance

Past Medical History: No significant medical conditions No history of gastrointestinal surgeries

Anthropometric Data: Height: 175 cm Weight: 75 kg BMI: 24.5

Biochemical Data: Tissue Transglutaminase IgA Antibodies: Elevated (confirmatory of celiac disease) Hemoglobin: 14 g/dL (Ref range: 13-17 g/dL) Ferritin: 45 ng/mL (Ref range: 30-400 ng/mL) Vitamin B12: 400 pg/mL (Ref range: 211-946 pg/mL) Vitamin D: 30 ng/mL (Ref range: > 30 ng/mL)

Medication: None

Social History: Married, office job, supportive spouse Non-smoker, occasional alcohol consumption Mild physical activity level

Dietary Information: Breakfast: Gluten-free oatmeal with berries Lunch: Salad with grilled chicken and gluten-free dressing Dinner: Home-cooked gluten-free meals with lean protein, vegetables, and rice Snacks: Fresh fruits, gluten-free crackers, and nuts

Management: Advice given: Strict adherence to a gluten-free diet Education on reading food labels and avoiding cross-contamination Recommendation for a dietitian to help with meal planning and nutrient optimization Encourage regular physical activity

Immediate plan: Schedule regular follow-up appointments to monitor symptom improvement Provide resources for gluten-free recipes and dining out safely

Writing Task:

Using the information in the case notes, write a letter back to the referring gastroenterologist, Dr. Amanda Turner, Digestive Health Clinic, 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. Amanda Turner

Digestive Health Clinic

789 Pine Street Oakville


3rd December 2025


Dear Dr. Turner,


Re: Mr. David Smith, DOB 12th June 1970.


I am writing to provide you with an update on the dietary guidance and management of your patient, Mr. David Smith, who was referred to our clinic for assistance with celiac disease management and adopting a gluten-free diet. Following our assessment, here is the plan we have developed:

Mr. Smith has recently been diagnosed with celiac disease, confirmed by elevated Tissue Transglutaminase IgA Antibodies. He is currently experiencing symptoms of bloating, diarrhea, and abdominal discomfort, which are indicative of gluten intolerance.

Anthropometrically, his BMI is 24.5, and his hemoglobin, ferritin, vitamin B12, and vitamin D levels are within the normal range. His social context includes marriage, an office job, and mild physical activity levels. He is a non-smoker with occasional alcohol consumption.

Our primary advice to Mr. Smith involves strict adherence to a gluten-free diet. We have provided education on reading food labels and avoiding cross-contamination, essential for managing celiac disease effectively. We have also recommended consulting with a dietitian to assist with meal planning and ensure nutrient optimization.

In addition to dietary recommendations, we encourage Mr. Smith to engage in regular physical activity for overall health and well-being.

Our immediate plan includes scheduling regular follow-up appointments to monitor symptom improvement and provide ongoing support. We will also provide resources for gluten-free recipes and guidance on dining out safely while maintaining a gluten-free lifestyle.

Please feel free to reach out if you require any further information or have specific questions regarding David's dietary guidance and celiac disease management.


Yours sincerely,

Registered Dietitian

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