Could you evaluate my real exam writing OET subtest
Didn't practice that much bcz of my duty hours, dates and names are imaginary as I don't remember.
I forgot to mention father's gastric cancer history even when I underlined it as crucial, which is really bothering me since I left examination hall😬
Dr. Sarah Sanrook
GI specialist
Newton Hospital
Newton
02/10/2024
Dear Dr Sanrook
Re: Anna Bruch
Thank you for seeing Ms Bruch, a 53-year-old primary school teacher who presented with symptoms suggestive of cholelithiasis.
Regarding her social history, she smokes 10 cigarette per day and drinks 6-10 units alcohol per week. She has a medical history of mild asthma since childhood, managed with budesonide 200 milligrams daily and a surgically repaired hiatus hernia.
On 01/08/2023, Ms Bruch presented with complaint of heartburn, halitosis and loss of voice. She was diagnosed with gastroesophageal reflux disease and prescribed omeprazole 20 mg twice a day as well as recommended to decrease weight, spicy food intake, smoking and alcohol consumption, to which she agreed.
On subsequent follow-up, she reported initial slight improvement which returned to original symptoms later. Her dose of omeprazole was increased to 40 mg twice daily. Ms Bruch was diagnosed with hiatal hernia and underwent diaphragmatic surgery on 05/10/2023 with no complications.
Today, she reported onset of new symptoms of central abdominal, right ribs and right shoulder pain which increases after eating.
In view of above, my provisional diagnosis is cholelithiasis. I would be grateful for your assessment and expert opinion.
If you have any query, please do not hesitate to contact me.
Yours sincerely,
General practitioner (as there was no GP name mentioned in case notes)