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

2. A 23-year-old woman was found to have type 1 diabetes mellitus following a short history of polyuria, polydipsia and unintentional weight loss. She started taking insulin aspart before meals and insulin detemir daily.
What is the most appropriate time from diagnosis to start screening for microalbuminuria?

A) 2 years
B) 5 years
C) 1 year
D) 10 years
E) immediately

3. A 66-year-old woman was admitted with carpopedal spasm. During the previous week she had had 2 days of diarrhoea following treatment with ciprofloxacin for a urinary tract infection. She had long-standing rheumatoid arthritis treated with prednisolone 5 mg daily, and was also taking alendronic acid, omeprazole and furosemide.
Investigations:
serum creatinine115 ?mol/L (60-110)
serum corrected calcium1.79 mmol/L (2.20-2.60)
serum alkaline phosphatase124 U/L (45-105)
serum magnesium0.26 mmol/L (0.75-1.05)
plasma parathyroid hormone2.7 pmol/L (0.9-5.4)
Which medicine is most likely to be responsible for her metabolic derangement?

A) prednisolone
B) omeprazole
C) furosemide
D) ciprofloxacin
E) alendronic acid

4. 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

5. A 32-year-old man presented to the fertility clinic with his partner. The couple had been together for 4 years and had been trying to conceive for the past 3 years. His partner had children from a previous marriage.
On examination, he was healthy, thin and tall but had bilateral gynaecomastia. His testes felt firm and testicular volumes were 5-6 mL. He had normal pubic and axillary hair.
Investigations:
serum testosterone10.0 nmol/L (9.0-35.0) plasma follicle-stimulating hormone45.0 U/L (1.0-7.0) plasma luteinising hormone32.0 U/L (1.0-10.0)
chromosomal studiesmosaic pattern of 47 XXY/46 XY
semen analysisazoospermia testicular biopsyno viable spermatozoa
What intervention is most likely to lead to conception?

A) human chorionic gonadotropin
B) testosterone
C) pulsatile gonadotropin-releasing hormone
D) intracytoplasmic sperm injection
E) artificial insemination by donor

Solutions: