Advantageous products

With limited living expenditure, many customers worried that the amount of money spent on our SEND free pdf maybe too large to afford by themselves, which is superfluous worry in reality. Our SEND exam training is of high quality and accuracy accompanied with desirable prices which is exactly affordable to everyone. And we offer some discounts at intervals, is not that amazing?

As online products, our SEND : Endocrinology and Diabetes (Specialty Certificate Examination) useful training can be obtained immediately after you placing your order. It is convenient to get. Although you cannot touch them, but we offer free demos before you really choose our three versions of SEND practice materials. Transcending over distance limitations, you do not need to wait for delivery or tiresome to buy in physical store but can begin your journey as soon as possible. We promise that once you have experience of our SEND practice materials once, you will be thankful all lifetime long for the benefits it may bring in the future.so our MRCPUK SEND practice guide are not harmful to the detriment of your personal interests but full of benefits for you.

Three versions of products

We offer three versions of SEND practice pdf for you and help you give scope to your initiative according to your taste and preference. Tens of thousands of candidates have fostered learning abilities by using our SEND updated torrent. Let us get to know the three versions of we have developed three versions of SEND training vce for your reference.

The PDF version has a large number of actual questions, and allows you to take notes when met with difficulties to notice the misunderstanding in the process of reviewing. The APP version of MRCPUK Certification SEND study material undoubtedly is your better choice, which can be installed in your phone, so that you can learn it everywhere. It is very convenient for you. Software version- It support simulation test system, and times of setup has no restriction. Remember this version support Windows system users only.

Professional experts

Our SEND latest vce team with information and questions based on real knowledge the exam required for candidates. All these useful materials ascribe to the hardworking of our professional experts. They not only are professional experts dedicated to this SEND training material painstakingly but pooling ideals from various channels like examiners, former candidates and buyers. To make the SEND actual questions more perfect, they wrote our SEND prep training with perfect arrangement and scientific compilation of messages, so you do not need to plunge into other numerous materials to find the perfect one anymore. They will offer you the best help with our SEND questions & answers.

With the acceleration of knowledge economy, people are requested to master more professional skills in their area to cope with problems they may face during their work. It means knowledge is intangible assets to everyone and only the elites who have ability can deal with them with high efficiency. So to help you with the SEND actual test that can prove a great deal about your professional ability, we are here to introduce our MRCPUK Certification SEND practice torrent to you. With our heartfelt sincerity, we want to help you get acquainted with our SEND exam vce. The introduction is mentioned as follows.

DOWNLOAD DEMO

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

1. A 54-year-old man was referred from the urology department with erectile dysfunction.
On examination, he had normal secondary sexual characteristics. Testicular volume was
estimated at 15 mL bilaterally.
Investigations:
random plasma glucose8.0 mmol/L
serum testosterone8.1 nmol/L (9.0-35.0) plasma follicle-stimulating hormone3.4 U/L (1.0-7.0) plasma luteinising hormone4.7 U/L (1.0-10.0) serum prolactin410 mU/L (<360)
What is the most appropriate next step in management?

A) prescribe sildenafil
B) prescribe testosterone replacement
C) fasting plasma glucose
D) check for macroprolactinaemia
E) serum testosterone (09.00 h)

2. A 54-year-old man on the neurosurgery unit developed hyponatraemia 3 days after presenting with a significant head injury. His Glasgow coma score (GCS) had been 6 on admission.
On examination, his GCS was 12. His blood pressure was 124/84 mmHg. There was no
oedema.
Investigations:
serum sodium118 mmol/L (137-144)
serum urea3.0 mmol/L (2.5-7.0)
serum creatinine72 umol/L (60-110)
random serum cortisol (08.00 h on day of review)480 nmol/L
serum thyroid-stimulating hormone1.2 mU/L (0.4-5.0)
random urinary sodium60 mmol/L
What is the most appropriate interpretation of these data?

A) intravascular volume depletion
B) a short tetracosactide (Synacthen@) test (250 micrograms) is required to exclude secondary hypoadrenalism
C) they are consistent with syndrome of inappropriate antidiuresis
D) the diagnosis would be helped by measurement of plasma vasopressin concentration
E) the urinary sodium concentration is diagnostic of cerebral salt wasting

3. An 18-year-old woman was found to have a blood pressure of 164/102 mmHg at a preemployment medical examination. She gave no family history of hypertension. On enquiry, she said that she had not yet started to menstruate.
On initial clinical examination, she appeared well. She was 1.72 m tall (>90th centile) and had a body mass index of 22 kg/m2 (18-25). There was no evidence of axillary hair, and pubic hair was scanty (Tanner stage 1). Breast development was immature (Tanner stage 1).
Investigations:
serum sodium142 mmol/L (137-144)
serum potassium2.7 mmol/L (3.5-4.9)
serum urea4.6 mmol/L (2.5-7.0)
serum creatinine102 umol/L (60-110)
estimated glomerular filtration rate (MDRD)>60 mL/min/1.73 m2 (>60)
plasma renin activity (after 30 min supine)1.0 pmol/mL/h (1.1-2.7)
plasma aldosterone (after 30 min supine)125 pmol/L (135-400)
serum cortisol (09.00 h)190 nmol/L (200-700)
What is the most likely underlying diagnosis?

A) 11-hydroxysteroid dehydrogenase type 2 deficiency
B) deoxycorticosterone-secreting adrenal tumour
C) adrenal 11-hydroxylase deficiency
D) adrenal 21-hydroxylase deficiency
E) adrenal 17-hydroxylase deficiency

4. A 55-year-old man with type 2 diabetes mellitus presented with foot swelling and discomfort. He had a peripheral sensory neuropathy attributed to diabetes mellitus. A midfoot Charcot's arthropathy was suspected, and a plain X-ray was arranged (see image).

Which is the talonavicular joint?

A) 1
B) 5
C) 2
D) 3
E) 4

5. A 26-year-old woman was urgently referred to clinic with a 6-week history of retroorbital headaches and deteriorating vision. Her past medical history was unremarkable, although on questioning she admitted that she had recently found it increasingly difficult to cope with her busy job.
On examination, her pulse was 60 beats per minute and regular, and her blood pressure was 110/75 mmHg lying and 90/60 mmHg standing. She was pale and had dry skin. Visual acuities were reduced (6/12 right; 6/24 left), and she had a bitemporal inferior quadrantanopia.
Investigations:
serum sodium132 mmol/L (137-144) serum potassium4.0 mmol/L (3.5-4.9)
short tetracosactide Synacthen@ test (250 micrograms): serum cortisol (30 min after tetracosactide)185 nmol/L (>550)
plasma follicle-stimulating hormone2.7 U/L plasma luteinising hormone3.5 U/L serum prolactin1050 mU/L (<360) serum thyroid-stimulating hormone0.3 mU/L (0.4-5.0) serum free T48.0 pmol/L (10.0-22.0)
serum insulin-like growth factor 14.7 nmol/L (7.5-37.3)
MR scan of brainsee image

What is the most likely diagnosis?

A) autoimmune hypophysitis
B) non-functioning pituitary adenoma
C) prolactinoma
D) craniopharyngioma
E) Rathke's cleft cyst

Solutions: