Medicine
Occupational English Test
WRITING SUB-TEST: NURSING
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Read the case notes and complete the writing task which follows.
Notes:
Notes:
Name : Adam Smith
Age :58
Occupation : Architect
Social history : Married; lives in Melbourne with wife , a teacher. 2 children , both married ,
living with family in Sydney
Social drinker , smokes 10-15 cigarettes per day
Frequent traveler, projects across the globe
Medical history : Hypertensive ( ramipril 5 mg daily ), no known allergies
GERD , managed by Over -the-counter drugs
March 21, 2020 : Reached Melbourne after visit to Italy. Screened and temperature checked
at airport .Findings unremarkable.
Advice : Strict isolation at home. District Health Nurse to be contact in case of any
symptoms. Emergency number given.
March 23, 2020 :Felt bored and lethargic, no other symptoms
March 25, 2020 : Slightly sore throat , mild fever – took paracetamol
March 26 , 2020 : fever did not subside , sore throat worsened , myalgia
Contacted district health nurse. Transported via ambulance to Prince Charles hospital ,
Melbourne and admitted to isolation ward.
Temperature : 38°C
Throat swab taken , sample sent for SARS- CoV-2 PCR.
Patient started on analgesics and antibiotics.
difficulty in breathing ; CXR – ground glass appearance , both lungs
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Assessment : Bilateral pneumonia
PCR test – positive
Diagnosis : Covid 19 with Bilateral lobar pneumonia
Management Plan :
Negative pressure room
Ventilator support
To start Hydroxychloroquine for the patient as treatment and consider chemoprophylaxis
for family
Notify the health authorities and primary contacts of the patient and screening of the
contacts
Transfer to higher centre if needed
Writing task:
You are the Doctor - in- charge of the ward. Write a letter to Dr Richard Brown,
Pulmonologist, Melbourne City Hospital, 456 East Street, East Street, Melbourne seeking
advice on the appropriate treatment modality for the patient.
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
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