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Speech Pathology

Read the following information.

Free OET Writing Sample Test with Answer Subtest Speech Pathology #14

Task: Teacher with Chronic Voice Disorder

Case Notes:

Patient: Mrs. Angela Morris, 42 yrs
Occupation: Primary school teacher
Presenting Concerns:
- Persistent hoarseness and strained voice
- Pain and tightness in throat after prolonged teaching
- Voice fatigue by mid-morning, worsening by afternoon
- Occasional loss of voice for brief periods
Duration: 5 months
Past Medical History: Reflux gastritis (on omeprazole)
Social: Non-smoker, occasional social wine, no allergies
ENT Findings: Small bilateral vocal nodules, mild laryngeal irritation
Referral Request: Voice therapy, vocal hygiene education, professional strategies for occupational voice demands

Answer

To: Speech Pathology Department

Dear Speech Pathologist,

I am referring Mrs. Angela Morris, a 42-year-old primary school teacher, for assessment and management of a chronic voice disorder.

Mrs. Morris reports persistent hoarseness, throat tightness, and vocal fatigue that intensifies throughout her teaching day. She occasionally experiences brief periods of complete voice loss. ENT examination revealed small bilateral vocal nodules and mild laryngeal irritation. Her past medical history includes reflux gastritis, well-controlled on omeprazole. She is a non-smoker and does not use alcohol regularly.

Given the professional demands of her occupation, early intervention is recommended to prevent further strain and deterioration of voice quality. Please provide a comprehensive voice assessment and an individualized therapy program, including exercises, vocal hygiene strategies, and occupational advice. Parental education is not required; however, strategies to support sustainable voice use in the classroom are requested.

Yours sincerely,
ENT Specialist

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