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 DETAILS:
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.