High pass rate

Based on a return visit to students who purchased our SEND actual exam, we found that over 99% of the customers who purchased our learning materials successfully passed the exam. Advertisements can be faked, but the scores of the students cannot be falsified. SEND study guide's good results are derived from the intensive research and efforts of our experts. Meanwhile, this high pass rate is not only a reflection of the quality of our learning materials, but also shows the professionalism and authority of our expert team on SEND practice exam: Endocrinology and Diabetes (Specialty Certificate Examination). Therefore, we have the absolute confidence to provide you with a guarantee: as long as you use our learning materials to review, you can certainly pass the exam, and if you do not pass the SEND exam, we will provide you with a full refund.

We will offer you the privilege of 365 days free update for SEND latest exam dumps. While, other vendors just give you 60 days free update. During your use of our learning materials, we also provide you with 24 hours of free online services. Whenever you encounter any SEND problems in the learning process, you can email us and we will help you to solve them immediately.

DOWNLOAD DEMO

Perfect after-sales service

SEND practice exam: Endocrinology and Diabetes (Specialty Certificate Examination) will provide you with wholehearted service throughout your entire learning process. This means that unlike other products, the end of your payment means the end of the entire transaction our learning materials will provide you with perfect services until you have successfully passed the SEND exam. With our learning materials, what you receive will never be only the content of the material, but also our full-time companionship and meticulous help. After you have successfully paid, we will send all the SEND information to your email within 10 minutes. During your installation, our study material is equipped with a dedicated staff to provide you with free remote online guidance.

Much more pertinence

SEND study guide is highly targeted. Good question materials software can really bring a lot of convenience to your learning and improve a lot of efficiency. How to find such good learning material software? People often take a roundabout route many times. If you want to use this SEND practice exam: Endocrinology and Diabetes (Specialty Certificate Examination) to improve learning efficiency, the first thing you need to do is to find a bank of questions that suits you. Our learning material is prepared by experts in strict accordance with the exam outline of the MRCPUK certification exam, whose main purpose is to help students to pass the exam with the least amount of time and effort. These experts are researchers who have been engaged in professional qualification SEND exams for many years and they have a keen sense of smell in the direction of the examination. Therefore, with our study materials, you can easily find the key content of the exam and review it in a targeted manner so that you can successfully pass the SEND exam.

MRCPUK SEND Exam Syllabus Topics:

MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) Sample Questions:

1. A 44-year-old man was referred for investigation of cortisol excess. He had poorly controlled hypertension, and a long history of type 2 diabetes mellitus with retinopathy and peripheral neuropathy. His medication comprised aspirin, ramipril, atenolol, carbamazepine, metformin and simvastatin.
Initial investigations:
serum cortisol (09.00 h)350 nmol/L (200-700)
serum cortisol (22.00 h)48 nmol/L (50-250)
overnight dexamethasone suppression test (after 1 mg dexamethasone):
serum cortisol93 nmol/L (<50)
24-h urinary free cortisol (day 1)225 nmol (55-250)
24-h urinary free cortisol (day 2)200 nmol (55-250)
24-h urinary free cortisol (day 3)185 nmol (55-250)
What is the most appropriate next step in management?

A) high-dose 48-h dexamethasone suppression test
B) MR scan of pituitary
C) CT scan of adrenal glands
D) reassure and discharge
E) dexamethasone-suppressed corticotrophin-releasing hormone test

2. A 67-year-old woman with type 2 diabetes mellitus presented to the foot clinic with an ulcer at the plantar aspect of her fifth left toe. The ulcer probed to bone but there were no signs of inflammation. There had been a little improvement during 6 weeks of podiatric treatment, but there was some concern about possible osteomyelitis. An X-ray of toe 4 weeks previously had been normal.
What is the most appropriate next investigation?

A) triple phase isotope bone scan
B) CT scan of foot
C) white cell labelled scan
D) MR scan of foot
E) plain X-ray of foot

3. A 72-year-old woman was referred for bone density assessment after sustaining a fracture of her right ankle after a minor fall. She had previously fractured her right wrist after tripping in the street. Her past medical history included occasional angina relieved by glyceryl trinitrate spray and a previous deep venous thrombosis. Her medication comprised aspirin, simvastatin, alendronic acid, and calcium and vitamin D, which she had been taking regularly for 2 years.
Investigations:
DXA scan of spine (L2-L4)T score -2.4
DXA scan of total hipT score -2.8
What is the most appropriate treatment?

A) switch alendronic acid to pamidronate
B) switch alendronic acid to strontium ranelate
C) switch alendronic acid to raloxifene
D) continue alendronic acid
E) switch alendronic acid to teriparatide

4. A 46-year-old South Asian man presented with a 2-month history of dry mouth and polyuria. He had hypertension treated with bendroflumethiazide. There was no family history of diabetes mellitus, but his father had died suddenly during lower limb angioplasty at the age of 51.
On examination, the patient's pulse was 76 beats per minute and regular, and his blood pressure was 164/86 mmHg. The rest of the physical examination was normal. Urinalysis was normal.
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium3.0 mmol/L (3.5-4.9)
serum creatinine123 umol/L (60-110)
fasting plasma glucose6.9 mmol/L (3.0-6.0)
What is the most appropriate next step in management?

A) start oral hypoglycaemic treatment
B) haemoglobin A1c measurement
C) repeat fasting plasma glucose
D) change bendroflumethiazide to ramipril
E) oral glucose tolerance test

5. A 50-year-old woman with acromegaly presented with persistent sweating and headaches
despite having undergone trans-sphenoidal surgery and pituitary radiotherapy 2 years
previously. She had been intolerant of treatment with octreotide.
Investigations:
serum growth hormone11.1 ?g/L (<0.4)
serum insulin-like growth factor 186.2 nmol/L (5.6-23.3)
Following imaging, it was judged that there was no role for repeat surgery. She was treated
with pegvisomant 10 mg. Six months into treatment, her symptoms had improved.
Investigations (6 months later):
serum growth hormone20.3 ?g/L (<0.4)
serum insulin-like growth factor 115.2 nmol/L (5.6-23.3)
What is the most appropriate next step in management?

A) stop pegvisomant
B) add cabergoline
C) arrange another full course of pituitary radiotherapy
D) increase dosage of pegvisomant
E) continue present dosage of pegvisomant

Solutions: