The Admitting Officer 
Emergency Department 
Children's Hospital 
Newtown 
  
18/01/2014 
 
Dear: Sir/Madam 
Re: Joshua Vance                                      DOB: 17/11/2014 
 
         I am writing to refer Joshua Vance, a 2‐month‐old male infant, who is presented with mild dehydration 
and long‐standing constipation. He needs urgent review regarding dehydration and further investigations of 
constipation. 
 
Joshua Vance was a full‐term baby of normal vaginal delivery. His perinatal and neonatal periods were 
uneventful. Furthermore, his routine 6‐week baby check was normal, apart from a decreased bowel motions. 
The patient reviewed two weeks later, on 13/01/2014. Still, the constipation is there, and the baby starts to  Comment [benchmark1]: was 
refuse the breastfeeding. On examination, he was hydrated, and his abdominal assessment was reasonable 
apart from hard faces on per‐ectal examination. Coloxyl drop was prescribed to him, and his mother advised to  Comment [benchmark2]: rectal 
give the milk in a bottle mixed with some water. 
Comment [benchmark3]: was 
 
Today, the patient brought by his mother for assessment and she complained that he did not pass stool for  Comment [benchmark4]: was 
five days, refusing feeding and vomits once. However, there is no fever, and he is passing urine normally. On 
Comment [benchmark5]: has not passed 
assessment, he was mildly dehydrated and irritable. Also, there was a generalised tenderness on his abdomen 
but no guarding. 
 
I am referring him to your care for the urgent management of his dehydration. Furthermore, I would 
appreciate if you do further investigations regarding his constipation.  Comment [benchmark6]: could
 
Yours sincerely, 
Doctor  
 
 

    Report 
Word length  205 
Comments  Mistakes mainly pertain to wrong tense and
passive voice sentence structures. However, the 
flow of information is logical and relevant case 
notes have been covered. Overall, the letter meets 
the expectations. 
Grade    B 
Advice  1.  Need to review the rules for passive voice.
2. Always proofread the letter after finishing it. 
 

 
296 Henley Beach Rd, Underdale, 5032 
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 Ticket Id: 23830

18/02/2019

Ms Jane Graham
Occupational Therapist
Newtown Occupational Therapy
10 Johnston St
Newtown

Dear Ms Graham,
Re: Mr Barry Jones D.O.B.:01/04/1972

I am writing to refer Mr Jones, a 44- year-old male whose signs and symptoms are suggestive of severe
lower back strain, for further assessment.

Mr Jones is married with three children. He works as a forklifter in a large warehouse which requires
prolonged sitting and sometime heavy-lifting as well. His current medications include Naproxen and Commented [S1]: sometimes
Carisoprodol. Commented [S2]: naproxen
Commented [S3]: carisoprodol
On 21/03/15, Mr Jones presented with complaint of pain in the back after lifting heavy box over the last 4 Commented [S4]: a
days. There was not any disc problems on the X-ray. Therefore, he was advised to do exercise and was Commented [S5]: a
prescribed Naproxen as well as Carisoprodol. In addition, he was recommended one month rest as well. Commented [S6]: were
Commented [S7]: no
On his subsequent visits, Mr Jones was still suffering from pain despite attending regular appointments of Commented [S8]: naproxen
physiotherapy. Thus, his Naproxen dose was increased. Commented [S9]: carisoprodol
Commented [S10]: of
Today, although Mr Jones was recovering well along with improvements in range of movements, he was Commented [S11]: naproxen
still having pain. Moreover, the pain was increased after sitting of 20-30 minutes. Please note, the patient Commented [S12]: the
was feeling bore, restless and he wanted to return to the work. Commented [S13]: for
Commented [S14]: bored
In light of the above, it would be greatly appreciated if you could do assessment of his workplace and Commented [S15]: an
advise him regarding the duties which he can perform.

Please do not hesitate to contact me if you have any queries.

Yours faithfully,
Doctor
Report
Word length 220
Comments Although this letter presented the information in a
logical manner, several structural errors were
observed, which somewhat hindered effective
communication.
Estimated Grade C+
Advice 1. Be as concise as possible.
2. Focus on improving grammar skills.
3. Adhere to the rules of capitalization.
4. Try to construct more linguistically coherent
sentences.
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practice-tests
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correction
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296 Henley Beach Rd, Underdale, 5032

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 Ticket Id: 24420

20/ 02 / 2019

Dr Penny Clifton
Cardiothoracic Surgeon
Central Hospital
Main Street
Stillwater

Dear Dr. Clifton,

Re: Mrs Mary Clarke, DOB: 17/09/1960

I am writing to refer Mrs Clarke, a 54-year-old woman, whose signs and symptoms are suggestive of Comment [benchmark1]: office clerk
bronchogenic carcinoma, for further management.

Mrs Clarke is married and lives with her family. She has been smoking 32-35 cigarettes daily for more than
30 years. Regarding her family history, her mother was died due to laryngeal carcinoma at the age of 66. Comment [benchmark2]: and her
father died of a mining related lung disease
On 04/07/15, Mrs Clarke presented with complaints of sore throat, body ache, fever and cough. Therefore,
Augmentin was commenced.

On today's review, Mrs Clarke came complaining of dry cough which was started with flu like symptoms
over the last 7 weeks. Moreover, it was associated with a slight shortness of breath at night along with a
strange sensation of heaviness in the chest. Kindly note, her exercise tolerance test was normal. The
physical examination and sputum cytology were unremarkable apart from the signs of consolidation along Comment [benchmark3]: Clinical
examination showed
with a monophonic wheeze in the right middle zone on the respiratory examination. Furthermore, the
chest X-ray and CT revealed a right middle lobe atelectasis and enlarged right hilum respectively.

In light of the above, it would be greatly appreciated if you could follow her investigations (bronchoscopy
and biopsy) and do further assessment.

Please do not hesitate to contact me if you have any queries.

Yours sincerely,

Doctor

Report
Word length 211
Comments An effort to finish the task is visible. The letter
covers relevant case notes. Grammar and sentence
formation are broadly fine. Overall, other than
minor inaccuracies, the letter is up to the mark
Estimated Grade B+
Advice 1. Pay a little more attention to grammatical
range and accuracy.
2. Always proofread the letter after finishing it.
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
https://www.benchmarkedu.com.au/oet-writing-
correction
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296 Henley Beach Rd, Underdale, 5032

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 Ticket Id: 24589

24/02/2019

Dr David Smith
Cardiologist
Emergency Department
Main Hospital
Coast City

Dear Dr Smith,
Mrs Lucy Clarke, DOB: 11/03/1951

I am writing to refer Mrs Clarke, a 64-year-old retired office clerk, whose signs and symptoms are
suggestive of unstable angina, for further management.

Although Mrs Clarke is a social drinker, she does not smoke. She lives with her husband. Regarding her Comment [benchmark1]: lives with
her husband and
family history, her mother had suffered from acute myocardial infarction at the age of 57 and died due to
ischemic stroke two years later. Moreover, she has had a history of type 2 diabetes mellitus,
hyperlipidaemia and hypertension for which she is on sitagliptin, insulin, atorvastatin and irbesartan.

Today, Mrs Clarke presented with a complaint of central crushing chest pain on exertion which was
radiating down towards the left arm over the last week. It occurred thrice a day with each episode of less
than 15 minutes. Furthermore, it was associated with dyspnoea and relieved by rest. The general
examination including resting ECG was unremarkable; , however, the temperature was 36.7 degree. Comment [benchmark2]: she is quite
worried due to her risk factors of heart
In light of the above, it would be greatly appreciated if you could admit this patient for urgent assessment. disease .

In addition, kindly counsel him regarding the serious risk of myocardial infarction. Comment [benchmark3]: I believe
that this could be a case of unstable angina.
Therefore, it
Please do not hesitate to contact me if you have any queries.
Comment [benchmark4]: her
Yours sincerely,

Doctor

Report
Word length 196
Comments The candidate has attempted the task well. Flow of
information is logical and relevant case notes have
been covered well. However, there are minor
inaccuracies related to grammar and sentence
formation. Nevertheless, these errors do not
impede the communication.
Estimated Grade B
Advice 1. Pay a little more attention to grammar and
improve sentences.
2. Always proofread the letter after finishing it.
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
https://www.benchmarkedu.com.au/oet-writing-
correction
https://www.facebook.com/groups/oethelp

296 Henley Beach Rd, Underdale, 5032

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www.benchmarkedu.com.au/pteoetielts
 Ticket Id: 24721

26/02/2019

Dr. Jack Thomas

Gastroenterologist
Department of Gastroenterology
City Hospital
Main Road
Stillwater

Dear Dr. Thomas,

Re: Mr Patrick Newton, DOB: 06/07/1989

I am writing to refer Mr Newton, a 25-year- old accountant, whose signs and symptoms are suggestive of
inflammatory bowel disease, for further management.

Mr Newton smokes 10 to 15 cigarettes daily. His family history is notable for Crohn's disease related to his
uncle. Moreover, he has been suffering from low-grade intermittent joint pain in the right and left wrists
over the last six months for which he takes ibuprofen.

Today, Mr Newton presented with complaints of mild diarrhoea, along with a low-grade intermittent pain
in the right lower quadrant over the last 4 months. In addition, his weight has been reduced due to lack of
appetite. Furthermore, he was lethargic. He was extremely anxious and depressed because of the
symptoms which impacted on his social life badly. Although he did dietary modifications in order to Commented [JG1]: made
alleviate the symptoms, he remained unsuccessful. Commented [JG2]: they were

The physical examination revealed a generalized tenderness in the abdomen. The FBE showed leukaemia, Commented [JG3]: leukocytosis
along with anaemia. Please note, his faecal occult blood test was positive. Besides that, his CRP and ESR
levels were also slightly elevated. Consequently, he was advised to quit smoking as well as counselled on
inflammatory bowel disease and related investigations.

In light of the above, I believe that it could be a case of inflammatory bowel disease. Therefore. it would be Commented [JG4]: ,
greatly appreciated if you could do his assessment and diagnosis.

Please do not hesitate to contact me if you have any queries.

Yours sincerely,

Doctor

Report
Word length 240
Comments Despite being a little long, the letter is well
written. The information is clear and presented
with accurate grammar and sentence structure
Estimated Grade B+
Advice 1. Keep word count between 180-200
2. Always proofread your letter
3. Keep up the good work!
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
https://www.benchmarkedu.com.au/oet-writing-
correction
https://www.facebook.com/groups/oethelp

296 Henley Beach Rd, Underdale, 5032

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www.benchmarkedu.com.au/pteoetielts
 Ticket Id: 25569

07/03/2019

Dr. Lisa Smith

Endocrinologist
City Hospital
Newtown

Dear Dr. Smith,

Re: Mrs Priya Sharma, DOB: 08/05/53

I am writing to refer Mrs Sharma, a 60-year-old retired clerk, whose signs and symptoms are suggestive of
NIDDM, for further management.

Mr Sharma is married and has three children. She has been suffering from NIDDM since 1994 for which she
is on metformin 2 in the evening and glipizide 2 in the morning. Moreover, her family history is notable for
type 2 diabetes mellitus related to her relatives. Please note, she is allergic to penicillin.

On 29/12/13, Mrs Sharma presented with a complaint of her uncontrolled glucose levels which were Commented [JG1]: about
between 6-18.Her appetite and diet statuses were good. Her last eye checkup was normal in 2014. The
examination was unremarkable except for high BP of 155/100; thus, candesartan was added. Furthermore,
FBE, U and E, creatinine, LFTs, full profile and HbA1c were ordered.

On her subsequent visits, her pathology reports revealed elevated HbA1c (10%) as well as cholesterol (6.2)
levels. Therefore, atorvastatin was added and metformin dose was changed to 1 tablet twice a day. In
addition, her BP had settle down and sugar levels were improved as well. Her fasting lipids and full profile Commented [JG2]: settled
were requested. Commented [JG3]: had

On today's review, unfortunately, Mrs Sharma's fasting sugar level was still high (16+).
In light of the above, it would be greatly appreciated if you could see this patient for further treatment.

Please do not hesitate to contact me if you have any queries.

Yours sincerely,
Doctor
Report
Word length 232
Comments Great job! The letter is professionally written. The
grammar, vocabulary choices and sentence
structure are accurate, and the case is clearly and
extensively explained
Estimated Grade A
Advice 1. Keep word count between 180-200
2. Keep up the great work!
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
https://www.benchmarkedu.com.au/oet-writing-
correction
https://www.facebook.com/groups/oethelp

296 Henley Beach Rd, Underdale, 5032

http://www.benchmarkedu.com.au/oet-writing-correction
www.benchmarkedu.com.au/pteoetielts
 Ticket Id: 25867

09/03/2019

Dr. Jose Jiminez

Surgeon
Melbourne Private Hospital
19 Grange Road
Melbourne 3000

Dear Dr. Jiminez,

Re: Mrs Ann HOWARD, Commented [ESL1]: Howard
(And on subsequent occasions.)

I am writing to refer Mrs HOWARD, a 36-year-old woman, whose signs and symptoms are suggestive of
early bowel obstruction possibly due to diverticulitis or carcinoma, for further management.

Mrs HOWARD is married and has three children. She had undergone ovarian cystectomy and
appendectomy. Moreover, her last menstrual period was occurred in October 2006. On 09/01/07, she
came to emergency with complaints of vaginal bleeding and abdominal cramps possibly because of
spontaneous abortion.

On 20/01/07, Mrs HOWARD reported that she had suddenly onset of pain in the left lower abdomen Commented [ESL2]: had a sudden
yesterday which was relieved by Valium. Unfortunately, the pain still persisted which was sharp as well as
constant and was worsened by sitting up, walking and bending. Upon examination, her left lower Commented [ESL3]: still persisted.
abdominal quadrant was tender and had a vague palpable mess as well. Therefore, pregnancy test, full Commented [ESL4]: she
blood exam and ESR were ordered. On next day, she passed one hard stool coated with bright red blood Commented [ESL5]: a
after 3 days. Commented [ESL6]: the
Commented [ESL7]: reported that she had
On today's review, Mrs HOWARD came complaining of the pain which was now worsening after eating.
Furthermore, she was moderately distressed. Examination revealed tense abdomen and absent bowel
sounds. In addition, her hemoglobin level was 9.3 g/dl. Please note, she passed neither stool nor flatus.
In light of the above, it would be greatly appreciated if you could see this patient for further treatment.

Please do not hesitate to contact me if you have any queries.

Yours sincerely,
Doctor
Report
Word length 235
Comments The letter covers the case notes well and
information has been written in relevant order.
However, some inaccuracies of grammar and
sentence formation are visible. Nevertheless, the
letter meets the expectations.
Estimated Grade B
Advice 1. Revise grammar
2. Improve sentence formation
3. Always proofread your letter
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
https://www.benchmarkedu.com.au/oet-writing-
correction
https://www.facebook.com/groups/oethelp

296 Henley Beach Rd, Underdale, 5032

http://www.benchmarkedu.com.au/oet-writing-correction
www.benchmarkedu.com.au/pteoetielts
 Ticket Id: 25869

04/03/2019

Dr. Jeson Roberts Commented [ESL1]: spelling

Gastroenterologist
Newtown Hospital
111 High Street
Newtown

Dear Dr. Roberts,

Re: Ms Anne Hall, DOB: 19/09/1965

I am writing to refer Ms Hall, a 54-year-old teacher, whose signs and symptoms are suggestive of gastro-
esophageal reflux along with the possibility of stricture, for further management.

Ms hall is divorced and has two children. She is a social drinker and her family history is notable for peptic Commented [ESL2]: H
ulcer disease related to her father as well. Moreover, her mother is a hypertensive as well as an asthmatic
patient. Furthermore, she is a known asthmatic since childhood. She was once suffered from dyspepsia in Commented [ESL3]: has been
2004 as well.

Today, Ms Hall presented with complaints of dysphagia and loss of weight possibly due to upper Commented [ESL4]: an
respiratory tract infection over the last two weeks. Additionally, it was also associated with epigastric pain
which was radiating to the back. Apart from this, she has recently increased her coffee consumption. She
has taken Aspirin occasionally. Commented [ESL5]: a

In light of the above, I believe that it could be a case of gastro-esophageal reflux along with the possibility
of stricture. Therefore, it would be greatly appreciated if you could do his further investigation and Commented [ESL6]: carry out
diagnosis. Besides that, please give your expert opinion and proceed endoscopy if required. Commented [ESL7]: provide a
Commented [ESL8]: with an
Please do not hesitate to contact me if you have any queries.

Yours sincerely,
Doctor
Report
Word length 201
Comments The letter covers the case notes well and
information has been written in relevant order.
However, some inaccuracies of grammar and
sentence formation are visible. Nevertheless, the
letter meets the expectations.
Estimated Grade B
Advice 1. Revise grammar
2. Improve sentence formation
3. Always proofread your letter
Helpful links https://www.benchmarkedu.com.au/oet-reading-
practice-tests
https://www.benchmarkedu.com.au/oet-writing-
correction
https://www.facebook.com/groups/oethelp

296 Henley Beach Rd, Underdale, 5032

http://www.benchmarkedu.com.au/oet-writing-correction
www.benchmarkedu.com.au/pteoetielts
 Ticket Id: 46614r

13/01/08

Dr Sue Cairns
General Practitioner
291 Rae Street
Fitzroy North Melbourne

Dear Dr Cairns,
Re: Mr John Haywood D.O.B: 23/05/85 Commented [ESL1]: ,

I am writing to update you regarding your patient Mr Haywood who has developed deep vein thrombosis
during his stay in Brisbane and he has a plan to return back to his residential area in early February. Your
future-follow is required.

On 07/01/08, Mr Haywood presented with a complaint of severe pain in his right leg after he returned Commented [ESL2]: arriving
from his overseas trip. On assessment, there was a tender swelling in his calf. His leg’s ultrasound revealed
a 4cm thrombus in soleal vein which was approximately 16 cm below the knee crease in her right calf. Commented [ESL3]: his
Accordingly, he was counselled to quit smoking and avoid travelling in the next 6 weeks. Please note, he
was commenced on Fragmin injection because he was found to be allergic to Clexane.

Today, there was partial resolution in his pain, swelling and previous allergic reaction. The ultrasound
confirmed a reduction in the size of thrombus. Therefore, he was advised to stop the Fragmin injection
today and re-administer it again before or after his flight. He was also recommended to wear an elastic
stocking throughout the flight. Please note, his current medication is half-tablet aspirin daily. Additionally,
the patient was advised to consult his GP before he considers discontinuing the medication.

In light of the above, it would be greatly appreciated if you could take over his ongoing care.

If you have any queries, please do not hesitate to contact me.

Yours sincerely,
Doctor
Report
Word length 236
Comments This is a very good letter with appropriate
selection of case notes and logical
paragraphing. There is good coherence
throughout. There are only minor inaccuracies
and the letter meets the expectations.
Estimated Grade B+
Advice 1. Revise grammar
2. Always proofread your letter
3. Keep up the good work!
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 Ticket Id: 46823r

07/03/11
Dr Ben Hinds
The Psychiatry Registrar
Maroubra Hospital
Lakes Rd
Maroubra

Dear Dr Hinda, Commented [JG1]: Hinds

Re: Mr Yuxiang Meng

I am writing to refer Mr Meng, a 21-year-old chinese student who is suffering from an acute episode of Commented [JG2]: Chinese
mania which was unresponsive to the standard treatment, for urgent assessment.

Mr Meng initially presented 3 days ago, with a first episode of mania as his mood was elevated and he
expressed delusional thoughts along with a tangential behavior. His examination and blood tests were
unremarkable apart from reduced levels of proteins and potassium. The MHT assessment ruled out all the
organic causes and confirmed the diagnosis of mania with no immediate threat to him as well as for others.
Therefore, he was commenced on quetiapine, diazepam and K+ tablets.

Today, Mr Meng was accompanied by his uncle who was concerned about his abnormal behaviour and
non-compliance with the medications. On assessment, his mood was persistently elevated with a
pressured speech and he refused to take the medications. Accordingly, the local MHT was updated
regarding the severity of his condition and an arrangement for his safe transfer to RNSH ED was made.
Please note, he speaks very basic engish. Commented [JG3]: English

In light of the above, it would be greatly appreciated if you could arrange a chinese speaking psychiatrist Commented [JG4]: Chinese
for him and manage him accordingly.

If you have any queries, please do not hesitate to contact me.

Yours sincerely,
Doctor
Report
Word length 214
Comments Well done! Aside from capitalization
inaccuracies, the letter is written with correct
grammar and sentence structure. The
information is pertinent and clear
Estimated Grade B+
Advice 1. Review capitalization rules
2. Keep up the good work!
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 Ticket Id:47010r

19/08/18
Dr Michael Brown
Hepatologist
Newbridge Hospital
56 Clayton Road

Dear Dr Brown,
Re: Mr Leo Berry, D.O.B:06/07/74

I am writing to refer Mr Berry, a 48-year-old male who has presented with early signs of liver cirrhosis, for
further assessment.

Mr Berry is a heavy smoker and drinker. He was diagnosed with hepatitis C in 2015 for which he completed
his treatment successfully. A positive history of liver disease is notable related to his uncle. Please note, his
vaccination status for hepatitis A and B is updated.

Initially, on 12/08/18, Mr Berry presented with complaints of feeling of generalised weakness and
tiredness for the last 2-months. He also noticed an easy bruisability along with a gradual loss of his Comment [teacher1]: bruising
appetite. His examination was unremarkable apart from mild tenderness and ascites on abdominal tendency
examination. Therefore, he was advised to modify his diet along with reduce smoking and alcohol Comment [teacher2]: reducing
consumption in collaboration with the alcohol support team.

On today’s review, there is no improvement in his condition despite lifestyle modifications. However, his Comment [teacher3]: some
alcohol consumption is still very high. The blood tests indicated deranged levels of LFTs, bilirubin and
PT/INR ratio. Moreover, his PLT and WCC counts were reduced. The ultrasound showed an enlarged liver
and spleen along with mild ascites and the right posterior hepatic notch were also noticed.

In light of the above, it would be greatly appreciated if you could manage his condition accordingly and
carry on investigations including MRI and biopsy.

If you have any queries, please do not hesitate to contact me.

Yours sincerely,
Doctor
Report
Word length 236
Comments The letter summarises all important case
notes in relevant paragraphs. There is good
coherence and only a few minor errors. The
purpose is laid down clearly. The letter is up
to the mark.
Estimated Grade B+ or A
Advice 1. Revise grammar.
2. Improve choice of words.
3. Keep up the great work.
Free Resources Facebook Group
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Urgent 20 Urgent 30 Urgent 50
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