Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #9

Notes: John Williams, a 62-year-old man, has been referred to you by his pulmonologist for dietary guidance in managing his chronic obstructive pulmonary disease (COPD).


Patient: Mr. John Williams DOB: 5th November 1959

20th September 2026

Presenting Complaint: COPD management and nutrition History of Presenting Complaint: Diagnosed with COPD, experiences frequent exacerbations, shortness of breath, and fatigue, concerned about weight loss No known food allergies or intolerances

Past Medical History: Chronic obstructive pulmonary disease (COPD) diagnosed in 2014 Hypertension, diagnosed in 2012 No history of cardiovascular events

Anthropometric Data: Height: 173 cm Weight: 62 kg BMI: 20.8

Biochemical Data: Hemoglobin: 13.5 g/dL (Ref range: 13-17 g/dL) Albumin: 4.0 g/dL (Ref range: 3.5-5.0 g/dL) Total Cholesterol: 160 mg/dL (Ref range: < 200> 40 mg/dL) LDL Cholesterol: 95 mg/dL (Ref range: < 130>

Medication: Inhalers for COPD management, antihypertensive medication (Amlodipine 5mg) once daily

Social History: Widowed, retired, mild stress levels Non-smoker, non-drinker Limited physical activity due to COPD

Dietary Information: Breakfast: Cereal with skim milk and a banana Lunch: Soup and whole-grain bread Dinner: Smaller home-cooked meals, often including fish, vegetables, and rice Snacks: Yogurt, fruit, and occasional nuts

Management: Advice given: Nutrient-dense diet to support COPD management and prevent further weight loss Recommendation for increased protein intake Encouragement for pulmonary rehabilitation and gentle physical activity Consideration of medication adjustments with pulmonologist

Immediate plan: Schedule regular follow-up appointments to monitor weight and COPD symptoms Provide resources for nutrient-dense meal planning

Writing Task:

Using the information in the case notes, write a letter back to the referring pulmonologist, Dr. Laura Mitchell, BreatheWell Pulmonary Clinic, 789 Maple 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. Laura Mitchell

BreatheWell Pulmonary Clinic

789 Maple Avenue



20th September 2026


Dear Dr. Mitchell,


Re: Mr. John Williams, DOB 5th November 1959.


I am writing to provide you with an update on the dietary guidance and management of your patient, Mr. John Williams, who was referred to our clinic for assistance with chronic obstructive pulmonary disease (COPD) management and nutrition. Following our assessment, here is the plan we have developed:

Mr. Williams has been diagnosed with COPD since 2014 and presents with symptoms of frequent exacerbations, shortness of breath, and fatigue. He is also concerned about weight loss. Anthropometrically, his BMI is 20.8, indicating his current weight is below the recommended range for his height. His biochemical data shows a stable hemoglobin level and adequate albumin levels.

Socially, John is widowed, retired, and experiences mild stress levels. He does not smoke, consume alcohol, and has limited physical activity due to his COPD condition.

Our primary advice to Mr. Williams involves adopting a nutrient-dense diet to support COPD management and prevent further weight loss. We have recommended increased protein intake to preserve muscle mass and energy. In addition to dietary guidance, we have encouraged him to consider pulmonary rehabilitation and gentle physical activity to enhance his overall well-being.

We also suggest considering adjustments to his medication regimen in consultation with you, his pulmonologist.

Our immediate plan includes scheduling regular follow-up appointments to monitor his weight and COPD symptoms, providing ongoing support. We will also provide resources for nutrient-dense meal planning to support his dietary goals.

Please do not hesitate to reach out if you require any further information or have specific questions regarding John's dietary guidance and COPD management.


Yours sincerely,

Registered Dietitian

TIP : Practice clear pronunciation to ensure effective communication in the OET speaking component.