OET Writing practice · Medicine
Painless visible haematuria in ex-smoker – urgent urology
An original practice task written by LetterScore AI. Read the case notes in 5 minutes, then write your referral letter in 40 minutes, about 180–200 words in the body.
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Case notes
MEDICINE — WRITING TASK (practice) Time allowed: Reading time 5 minutes, Writing time 40 minutes Read the case notes below and complete the writing task which follows. Notes: Today's date: 08/09/2026 You are a GP at Abbeyfield Medical Group, 15 Chapel Street, Kingsmere. Patient: Mr Kenji Morimoto, DOB 17/01/1960 (66 yrs) Social background: - Retired printing-press operator (worked 1980–2020 with inks and dyes) - Widower (wife died 2024). Lives with daughter and 2 grandchildren - Ex-smoker: 35 pack-years, stopped 2016. Alcohol approx. 6 units/week - Enjoys fishing and gardening. Trip to Japan booked 10/10–31/10/2026 Medical history: - Transient ischaemic attack 03/2023 - Type 2 diabetes, diet-controlled (HbA1c 50 mmol/mol, 05/2026) - Hypercholesterolaemia - Mild hearing loss - Hernia repair (L inguinal) 2012 - NKDA Medications: - Clopidogrel 75 mg daily - Atorvastatin 40 mg nocte Consultation notes: 03/09/2026 - 2 episodes of painless red urine: 25/08 and 01/09, with small clots on 01/09. Lasted 1 day each time - No dysuria, no fever, no loin pain. Mild nocturia × 1 (long-standing). Stream normal - No recent vigorous exercise, trauma or catheterisation. No beetroot intake - Wt 71 kg (stable) - O/E: BP 138/82, HR 72 reg. Abdomen soft, non-tender, no masses, bladder not palpable. Renal angles non-tender. DRE: smooth, mildly enlarged prostate, no nodules. No lymphadenopathy - Urine dipstick: blood 3+, protein trace, leucocytes and nitrites negative - Plan: MSU, bloods 07/09/2026 (results) - MSU: no growth - Hb 128 g/L (130–170), MCV normal - Creatinine 96 µmol/L, eGFR 72 mL/min/1.73m² - PSA 3.1 ng/mL (age-specific normal) - Clotting screen normal - Glucose 7.2 mmol/L 08/09/2026 - No further visible blood since 01/09. Feels well - Pt worried about "cancer" – discussed need for urgent investigation - Asks whether he should stop clopidogrel – advised to continue unless urology advises otherwise - Asks if he can still travel to Japan on 10/10 - Mild R shoulder stiffness from gardening; advised stretches Plan: - Urgent suspected cancer referral to urology (haematuria clinic): cystoscopy and imaging - Continue clopidogrel pending urology advice - Repeat FBC in 4 weeks - Safety-netting: attend ED if unable to pass urine or heavy bleeding with clots Writing Task: Using the information in the case notes, write a letter to Mr Oliver Brandt, Consultant Urologist, Haematuria Clinic, Kingsmere General Hospital, 77 Abbey Road, Kingsmere, referring Mr Morimoto for urgent investigation. 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.
How to approach this referral letter
- The reader has never met the patient. State the reason for referral, and how urgent it is, in the first paragraph.
- Select the history, findings and investigation results that support the referral, and group them by topic rather than by date.
- End with what you are asking the reader to do, and any action you have already taken.
Members also get the model answer, the note-selection table and task-specific tips for this task.