Most convenient version

The SEND guide materials from our company are compiled by a lot of excellent experts and professors in the field. In order to help all customers pass the exam in a short time, these excellent experts and professors tried their best to design the study version, which is very convenient for a lot of people who are preparing for the SEND exam. You can find all the study materials about the exam by the study version from our company. More importantly, we can assure you that if you use our SEND certification guide, you will never miss any important and newest information. We will send you an email about the important study information every day in order to help you study well. We believe that our SEND exam files will be most convenient for all people who want to take an exam.

The superiority of the software version

The software version is one of the different versions that is provided by our company, and the software version of the SEND certification guide is designed by all experts and professors who employed by our company. We can promise that the superiority of the software version is very obvious for all people. It is very possible to help all customers pass the SEND exam and get the related certification successfully. For example, the software version of the SEND guide materials can help you simulate the real examination environment, and you can know whether the time is enough for you or not by simulating the real examination environment.

As the talent competition increases in the labor market, it has become an accepted fact that the SEND certification has become an essential part for a lot of people, especial these people who are looking for a good job, because the certification can help more and more people receive the renewed attention from the leader of many big companies. So it is very important for a lot of people to gain the MRCPUK certification. We must pay more attention to the certification and try our best to gain the MRCPUK certification. First of all, you are bound to choose the best and most suitable study materials for yourself to help you prepare for your exam. Now we would like to introduce the SEND certification guide from our company to you. We sincerely hope that our study materials will help you through problems in a short time.

DOWNLOAD DEMO

Provide the demo for all people

Nowadays a lot of people start to attach importance to the demo of the study materials, because many people do not know whether the SEND guide materials they want to buy are useful for them or not, so providing the demo of the study materials for all people is very important for all customers. A lot of can have a good chance to learn more about the SEND certification guide that they hope to buy. Luckily, we are going to tell you a good new that the demo of the SEND study materials are easily available in our company. If you buy the study materials from our company, we are glad to offer you with the best demo of our study materials. You will have a deep understanding of the SEND exam files from our company, and then you will find that the study materials from our company will very useful and suitable for you to prepare for you SEND exam.

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

1. A 60-year-old man with type 2 diabetes mellitus attended for an elective laparoscopic cholecystectomy. His oral hypoglycaemic medication regimen was metformin 1 g twice daily and gliclazide 160 mg twice daily. His haemoglobin A1c concentration had been 69 mmol/mol (20-42) when checked 2 months previously.
He was admitted on the morning of surgery and was on the morning list. He had fasted from midnight and taken metformin 1 g at 05.00 h.
On examination, he weighed 82 kg.
Investigations (on admission):
serum creatinine64 umol/L (60-110)
fasting plasma glucose18.1 mmol/L (3.0-6.0)
capillary blood ketones0.2 mmol/L (<1)
According to the Joint British Diabetes Societies guideline 'Management of adults with diabetes undergoing surgery and elective procedures', what is the most appropriate next step in management to bring his preoperative glucose into the acceptable range (4.0-12.0 mmol/L)?

A) gliclazide 160 mg orally
B) cancel surgery and refer to local diabetes team
C) rapid-acting analogue insulin 8 units subcutaneously
D) variable-rate insulin infusion
E) rapid-acting analogue insulin 16 units subcutaneously

2. A 52-year-old woman was referred to the clinic having lost 3-4 kg in weight over the previous 3 months. She also had palpitations and a sense of tremulousness. A diagnosis of thyrotoxicosis was confirmed by a blood test arranged by her general practitioner (GP).
Investigations (arranged by GP):
serum thyroid-stimulating hormone<0.01 mU/L (0.4-5.0)
serum free T435.8 pmol/L (10.0-22.0)
serum free T310.0 pmol/L (3.0-7.0)
On examination at her first clinic visit, she had a fine tremor, her pulse was 92 beats per minute and regular, and her eyes appeared normal. Her right thyroid lobe was moderately enlarged, and her left lobe was normal on examination. There was no associated lymphadenopathy. A technetium-99m thyroid isotope uptake scan was arranged (see image).

What is the most likely cause of her thyrotoxicosis?

A) factitious thyrotoxicosis
B) toxic thyroid adenoma
C) de Quervain's thyroiditis
D) toxic multinodular goitre
E) Graves' disease

3. A 62-year-old woman was admitted with right lower lobe pneumonia. She was taking
amiodarone for atrial fibrillation. Routine thyroid function tests were performed.
Investigations:
serum thyroid-stimulating hormone0.3 mU/L (0.4-5.0)
serum free T427.0 pmol/L (10.0-22.0)
serum free T34.2 pmol/L (3.0-7.0)
anti-thyroid peroxidase antibodies32 IU/mL (<50)
What is the most appropriate interpretation of the thyroid function tests?

A) Wolff-Chaikoff effect
B) amiodarone effect in a euthyroid patient
C) subclinical amiodarone-induced thyrotoxicosis
D) amiodarone-induced thyrotoxicosis type I
E) amiodarone-induced thyrotoxicosis type II

4. A 55-year-old dental nurse was referred for bone densitometry after sustaining a non-displaced fracture of the femur after falling down a step. She had experienced no other fractures. Her only medical problem was long-standing anaemia of unknown cause. The only family history was of persistent dental abscesses affecting her father. She had three children who were well. She was taking no medication.
Examination was normal.
Investigations:
haemoglobin102 g/L (115-165)
MCV85 fL (80-96)
white cell count6.0 ? 109/L (4.0-11.0)
platelet count245 ? 109/L (150-400)
erythrocyte sedimentation rate25 mm/1st h (<30)
serum creatinine85 umol/L (60-110)
serum corrected calcium2.40 mmol/L (2.20-2.60)
serum alkaline phosphatase56 U/L (45-105)
DXA scan spine (L2-L4)T score +5.8
DXA scan total hipT score +5.4
What is the most likely diagnosis?

A) osteopetrosis
B) myelodysplasia
C) fluorosis
D) high bone mass phenotype
E) Paget's disease

5. A 35-year-old man presented with newly diagnosed type 2 diabetes mellitus. He had no medical history of note.
When should he inform the UK Driver and Vehicle Licensing Agency (DVLA) of his medical condition?

A) if he requires laser treatment to one eye
B) if he starts using basal night-time insulin
C) if he starts taking an oral hypoglycaemic agent
D) if he becomes unable to read a car number plate with one eye at 20.5 m
E) immediately

Solutions: