Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #4

Notes: Michael Turner, a 45-year-old man, has been referred to you by his cardiologist for dietary guidance.


Patient: Mr. Michael Turner DOB: 15th November 1978

5th March 2025

Presenting Complaint: Cardiovascular health and high cholesterol History of Presenting Complaint: Recent diagnosis of high cholesterol levels (LDL-C 160 mg/dL), concern about heart health, family history of heart disease No known food allergies

Past Medical History: Hypertension diagnosed in 2019, well-controlled with medication No previous history of cardiovascular events

Anthropometric Data: Height: 178 cm Weight: 85 kg BMI: 26.8

Biochemical Data: LDL Cholesterol: 160 mg/dL (Ref range: < 100> 40 mg/dL) Triglycerides: 150 mg/dL (Ref range: < 150>

Medication: Antihypertensive medication (Amlodipine 5mg) once daily No lipid-lowering medication prescribed yet

Social History: Married, two teenage children, office job Mild stress at work Moderate alcohol consumption (2-3 drinks/week) Minimal physical activity

Dietary Information: Breakfast: Coffee with a pastry or bagel Lunch: Fast-food or take-out options (burgers, fries, sandwiches) Dinner: Home-cooked meals, often including red meat and potatoes Snacks: Potato chips, cookies, and occasional fruit

Management: Advice given: Dietary modifications to lower saturated fat intake, increase fiber-rich foods, and reduce processed snacks Recommendation for a Mediterranean-style diet Encouragement for regular physical activity and stress management Consideration of lipid-lowering medication with cardiologist

Immediate plan: Schedule follow-up appointments to monitor lipid profile Provide resources for heart-healthy recipes and meal planning

Writing Task:

Using the information in the case notes, write a letter back to the referring cardiologist, Dr. Emily Davis, HeartCare Cardiology Center, 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. Emily Davis

HeartCare Cardiology Center

789 Pine Street Oakville


5th March 2025


Dear Dr. Davis,


Re: Mr. Michael Turner, DOB 15th November 1978.


I am writing to provide an update on the dietary guidance and management of your patient, Mr. Michael Turner, who was referred to our clinic to address cardiovascular health and high cholesterol. Following our assessment, here is the plan we have developed:

Mr. Turner has recently been diagnosed with high cholesterol levels, specifically elevated LDL cholesterol at 160 mg/dL. His concern about heart health is amplified by a family history of heart disease. Notably, he does not have any known food allergies.

Anthropometrically, Mr. Turner has a BMI of 26.8 and a well-controlled blood pressure of 130/80 mm Hg. Socially, he is married with two teenage children and experiences mild work-related stress. He maintains a moderate alcohol consumption level and has minimal physical activity.

Our advice to Mr. Turner involves dietary modifications to lower saturated fat intake, increase fiber-rich foods, and reduce processed snacks. We have recommended adopting a Mediterranean-style diet known for its cardiovascular benefits. Additionally, we encourage regular physical activity and stress management strategies.

Considering the persistent high LDL cholesterol levels, we suggest further consultation with you regarding the initiation of lipid-lowering medication. Our immediate plan includes scheduling follow-up appointments to monitor his lipid profile and providing resources for heart-healthy recipes and meal planning.

Please feel free to contact us if you require any further information or have specific questions regarding Mr. Turner's dietary guidance and management.


Yours sincerely,

Registered Dietitian

TIP : Hone your listening skills to grasp nuanced details in the spoken component of the OET dietetics test.