MRCPUK SEND

Along with the coming of the information age, the excellent IT skills are the primary criterion for selecting talent of enterprises. MRCPUK Certification gives an IT a credential that is recognized in the IT industry. It can act as a passport to a well-rewarded job, smooth the path to promotion or higher earnings. Here, MRCPUK certification SEND exam (Endocrinology and Diabetes (Specialty Certificate Examination)) is a very important exam to help you get better progress and to test your IT skills.

How to successfully pass MRCPUK SEND certification exam? Don't worry. With DumpKiller, you will sail through your MRCPUK SEND exam.

DumpKiller is a website that provides the candidates with the excellent IT certification exam materials. The MRCPUK certification training SEND bootcamp on DumpKiller are on the basis for the real exam and are edited by our experienced IT experts. These dumps have a 99.9% of hit rate. So, we're sure it absolutely can help you pass MRCPUK SEND exam and get MRCPUK certificate and you don't need to spend much time and energy on preparing for SEND exam.

DumpKiller provides you with the most comprehensive and latest MRCPUK exam materials which contain important knowledge point. And you just need to spend 20-30 hours to study these SEND exam questions and answers from our SEND dumps.

One year free update for all our customers. If you purchase DumpKiller MRCPUK SEND practice test materials, as long as SEND questions updates, DumpKiller will immediately send the latest SEND questions and answers to your mailbox, which guarantees that you can get the latest SEND materials at any time. If you fail in the exam, please send the scanning copy of your SEND examination report card provided by the Test Center to the Email address on our website. After confirming, we will give you FULL REFUND of your purchasing fees. We absolutely guarantee you interests.

Before you decide to buy MRCPUK SEND exam dumps on DumpKiller, you can download our free demo. In this way, you can know the reliability of DumpKiller.

No matter what level you are, when you prepare for MRCPUK SEND exam, we're sure DumpKiller is your best choice.

Don't hesitate. Come on and visit DumpKiller.com to know more information. Let us help you pass SEND exam.

Easy and convenient way to buy: Just two steps to complete your purchase, we will send the SEND braindump to your mailbox quickly, you only need to download e-mail attachments to get your products.

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

1. A 17-year-old boy with a 10-year history of type 1 diabetes mellitus was admitted with diabetic ketoacidosis after a night of binge drinking.
He was treated appropriately with a fixed-rate intravenous insulin infusion and intravenous sodium chloride 0.9%.
Twenty-four hours after admission, he was eating and drinking normally. He was taking his usual doses of subcutaneous insulin and his urinary ketones were undetectable.
Investigations (6 hours previously):
venous blood gases, breathing air: PO25.6 kPa PCO23.8 kPa pH7.29 bicarbonate16 mmol/L base excess-1 mmol/L
lactate1.1 mmol/L
What is the likely most cause of these results?

A) continued ketonaemia
B) alcohol toxicity
C) hyperchloraemia
D) hyporeninaemic hypoaldosteronism
E) concurrent aspirin ingestion

2. A 17-year-old boy was concerned about his height. He had been treated for Crohn's disease since the age of 13 with a combination of topical and systemic corticosteroids and azathioprine. He was currently taking mercaptopurinE.
On examination, his height was on the 25th centile.
Investigations:
X-ray of right kneesee image

What is the most appropriate next step in management?

A) advise him that growth is complete
B) treat with growth hormone
C) investigate for growth hormone deficiency
D) refer for leg lengthening surgery
E) advise him that he will continue to grow for 12 months

3. A 17-year-old girl was referred to the outpatient clinic with irritability, weight loss and difficulty sleeping. At the age of 4, she had presented with rapid growth, breast development and vaginal bleeding. The results of a gonadotropin-releasing hormone (GnRH) stimulation test performed at that time are given below.
serum oestradiolplasma FSHplasma LH
(200-400 pmol/L)(2.5-10.0 U/L)(2.5-10.0 U/L)
0 min365<0.7<0.5
30 min-<0.7<0.5
60 min-<0.7<0.5
She had been treated with GnRH analogue until the age of 11 and puberty had then progressed normally.
On examination, she was found to be tremulous, tachycardic and hyper-reflexic. Several large, irregular cafe-au-lait spots were found.
Investigations:
serum thyroid-stimulating hormone<0.05 mU/L (0.4-5.0)
serum free T436.0 pmol/L (10.0-22.0)
What is the most likely diagnosis?

A) multiple endocrine neoplasia type 2
B) Cowden's syndrome
C) McCune-Albright syndrome
D) Carney's complex
E) neurofibromatosis type 1

4. A 20-year-old man presented with a 6-month history of lethargy and weakness. His brother had been found to have adrenal failure at the age of 18. He had two sisters who were well and there was no other family history of endocrine autoimmune disease.
On examination, his blood pressure was 100/60 mmHg.
Investigations:
serum sodium136 mmol/L (137-144)
serum potassium4.8 mmol/L (3.5-4.9)
short tetracosactide (Synacthen@) test (250 micrograms):
baseline serum cortisol100 nmol/L
serum cortisol (30 min after tetracosactide)250 nmol/L (>550)
anti-adrenal antibodiesnegative
What is the most important diagnosis to consider?

A) tuberculosis
B) autoimmune hypoadrenalism
C) adrenoleucodystrophy
D) isolated adrenocorticotropic hormone deficiency
E) familial glucocorticoid resistance

5. A 32-year-old woman presented at 34 weeks of pregnancy, after an episode of vaginal bleeding. Gestational diabetes had been diagnosed at 28 weeks and insulin was started at 29 weeks. Her pre-pregnancy body mass index was 32 kg/m2 (18-25) and there was no family history of diabetes. She was treated with betamethasone 12 mg over 2 days. She was taking 60 units of insulin subcutaneously daily (40 units prandial in three divided doses, and 20 units intermediate-acting insulin), which had been unchanged for 3 weeks.
On examination, she was apyrexial, her pulse was 96 beats per minute and her blood pressure was 124/74 mmHg. Urinalysis showed blood 1+, protein 1+, glucose 2+, ketones 3+.
Investigations:
serum sodium134 mmol/L (137-144)
serum potassium3.8 mmol/L (3.5-4.9)
serum chloride105 mmol/L (95-107) serum urea5.0 mmol/L (2.5-7.0) serum creatinine90 umol/L (60-110) random plasma glucose7.2 mmol/L
What is the most appropriate next step in management?

A) increase subcutaneous insulin doses by 2-4 units
B) start intravenous insulin
C) continue to monitor blood glucose in hospital
D) discharge and monitor blood glucose at home
E) measure venous bicarbonate

Solutions: