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Writing: Referral Letter Essentials Flashcards

6 cards from real OET practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. You are writing a referral letter to a cardiologist for a patient with suspected unstable angina. Which of the following pieces of information is MOST crucial to include in the opening paragraph?

    Answer: A clear statement that you are referring the patient for urgent assessment due to suspected unstable angina.

    The primary purpose of the opening paragraph is to state the reason for the referral immediately. For an urgent case like unstable angina, the receiving specialist needs to understand the situation's gravity from the outset to prioritize care. While other information is important, the purpose must be stated first.

  2. When selecting information from patient case notes for a referral letter, what is the most important principle to follow according to OET writing criteria?

    Answer: Select only information that is directly relevant to the reason for referral and the recipient's specialty.

    The OET assessment criteria emphasize conciseness and clarity. This means selecting only the information that the receiving healthcare professional needs to continue patient care. Including irrelevant details can obscure the main message and confuse the reader.

  3. A nurse is discharging a 78-year-old patient who lives alone after a total knee replacement. The referral letter is addressed to a community home-care nurse. Which of the following details about the patient's social history is most relevant to include?

    Answer: The fact that the patient's home has stairs and the bedroom is on the second floor.

    Information is only relevant if it impacts the patient's ongoing care. The presence of stairs is a critical detail for a home-care nurse planning mobility support and ensuring safety for a patient recovering from knee surgery. Other details are not pertinent to the immediate post-operative care plan.

  4. What is the appropriate tone and style for an OET referral letter?

    Answer: Formal, professional, and factual, using clear and objective language.

    Referral letters are professional documents. The tone should be clinical, objective, and respectful. It must be clear and concise, avoiding overly complex sentences, slang, or personal judgments to ensure effective communication between healthcare providers.

  5. Which of the following is a common structural mistake to avoid in an OET referral letter?

    Answer: Presenting information in a disorganized or illogical sequence without clear prioritization.

    Logical organization is a key assessment criterion. Information should be prioritized and structured logically (e.g., introduction/purpose, relevant history, current status, request). A disorganized letter makes it difficult for the reader to quickly grasp the essential information.

  6. Regarding the word count in the OET writing sub-test (typically 180-200 words), which part of the letter is counted?

    Answer: Only the main body paragraphs of the letter.

    The OET guidelines specify that the word count of 180-200 words applies only to the body of the letter. Elements like the address, date, salutation, and closing are not included in this count.

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Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. cambridgeenglish.org — Time limit, passing score, score validity, test delivery · verified Oct 2026
  2. support.oet.com — Score release, eligibility, retake policy, registration deadline, exam information · verified Oct 2026