Remarkable products

The reason to judge our products with this word can be explained with many aspects. With passing rate of former exam candidates up to 98-100 percent, we have helped a large number of people gained success smoothly. It means you can be one of them without any doubts as long as you are determined to success accompanied with the help of our MRCPUK practice materials. So stop idle away your precious time and begin your review with the help of our SEND prep torrent as soon as possible. By using them, it will be your habitual act to learn something with efficiency.

Passing rate

With the cumulative effort over the past years, our Endocrinology and Diabetes (Specialty Certificate Examination) practice materials have made great progress with passing rate up to 98 to 100 percent among the market. So if you choose our SEND practice materials, they can help you get rid of uneasy about the exam and have pleasant outcome. They can satiate your needs for the exam at the same time.

Dedicated experts

A lot of professional experts concentrate to make our SEND practice materials more perfect. They are familiar even with the details of the content. After compiling the content intimately, our MRCPUK Certification SEND accurate vce have gained reputation in the market for their proficiency and dedication. About some esoteric points of the MRCPUK SEND latest answers, they simplify the message and specify for you. Our products are the accumulation of professional knowledge worthy practicing and remembering. So you will not regret choosing us.

Instant Download: Upon successful payment, Our systems will automatically send the product you have purchased to your mailbox by email. (If not received within 12 hours, please contact us. Note: don't forget to check your spam.)

Free demos

To satisfy your curiosity of our SEND download pdf, we provided some demos for free for your reference. All of them contain just a part of the real content, and you can download them as an experimental review and help you get a handle on the basic situation of our practice materials wholly. Over the past ten years, our MRCPUK Certification SEND accurate vce has gained many regular customers who need professional and effective materials in this area, and other exam candidates are also eager to have and practice them enthusiastically. So what are you waiting for? Just click the purchase button and begin your journey as soon as possible.

Exams have always played an important part in our life not only as anxiety-marker, but also function as the easiest way to prove your personal ability and to pass the exam right now. Dear friends, we believe you know the necessity of obtain an effective material, because a fake one full of gratuitous content is useless. We understand some exam candidates are craving the most effective products in the market. So to make our SEND exam pdf more perfect in quality and any other aspects, we launched many polls and ask respondents for advice. We know exactly what you need to pass the exam with efficiency in limited time. Our SEND practice materials can totally relieve you of edgy mood to finish the exam and harvest much useful professional knowledge in your mind. To get to know more details, we want to introduce our SEND free demo to you which have gained the best reputation among the market for over ten years. All the features will be explained as follows.

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

1. A 62-year-old woman was referred with generalised weakness. She had no previous history of note and was not taking any medication. She reported drinking 60 units of alcohol per week.
On examination, she was found to have central adiposity, pale abdominal striae and
wasting of the limb muscles. Her blood pressure was raised at 160/100 mmHg.
Investigations:
serum sodium138 mmol/L (137-144)
serum potassium3.8 mmol/L (3.5-4.9)
serum cortisol (09.00 h)750 nmol/L (200-700)
low-dose dexamethasone suppression test (2 mg/day for 48 h):
serum cortisol120 nmol/L (<50)
high-dose dexamethasone suppression test (8 mg/day for 48 h):
serum cortisol45 nmol/L (should suppress to
<50% of day 0 value)
24-h urinary free cortisol 360 nmol (55-250)
plasma adrenocorticotropic hormone (09.00 h)22.0 pmol/L (3.3-15.4)
MR scan of pituitary glandnormal
CT scan of adrenal glands1-cm mass in the left adrenal gland
What is the most likely cause for her presentation?

A) pseudo-Cushing's syndrome
B) ectopic adrenocorticotropic hormone syndrome
C) adrenal carcinoma
D) adrenal adenoma
E) Cushing's disease

2. A 52-year-old man had been found to have type 1 diabetes mellitus at the age of 25. He had developed retinopathy at the age of 31 and a painless foot ulcer at the age of 40. His renal function had subsequently deteriorated.
On examination, urinalysis showed protein 1+, glucose 2+.
What is the most likely diagnosis?

A) tubulointerstitial nephritis
B) focal segmental glomerulosclerosis
C) membranoproliferative glomerulonephritis
D) minimal change glomerulonephritis
E) nodular glomerulosclerosis

3. A 34-year-old woman with a 21-year history of type 1 diabetes mellitus had started treatment with subcutaneous insulin pump therapy 18 months previously. Her haemoglobin A1c before starting pump therapy was 77 mmol/mol (20-42) and she had experienced severe hypoglycaemic events without warning symptoms over the previous 4 years.
At review in clinic, she reported continuing episodes of severe hypoglycaemia without warning symptoms despite regular monitoring and advice from her insulin pump nurse specialist.
On examination, her blood pressure was 134/80 mmHg and fundoscopy revealed moderate background diabetic retinopathy. Examination of the feet revealed strong, palpable pedal pulses and early evidence of sensory neuropathy.
Investigations:
estimated glomerular filtration rate (MDRD)24 mL/min/1.73 m2 (>60)
haemoglobin A1c56 mmol/mol (20-42)
24-h urinary total protein2.3 g (<0.2)
What is the most appropriate next step in management?

A) change to intensified subcutaneous insulin injections
B) refer for continuous glucose monitoring
C) refer for combined pancreas and kidney transplantation
D) refer for allogeneic pancreatic islet cell transplantation
E) refer for allogeneic pancreas transplantation

4. A 33-year-old woman presented with tiredness, palpitations, weight loss and emotional
lability 9 weeks after the birth of her third child.
On examination, she had a sinus tachycardia, a fine tremor, slight lid retraction and a mild
diffuse non-tender goitre.
Investigations:
serum thyroid-stimulating hormone<0.01 mU/L (0.4-5.0)
serum free T434.3 pmol/L (10.0-22.0)
technetium-99m scan of thyroid (20-min uptake)<1% (0.4-3.0)
What is the most appropriate treatment?

A) carbimazole
B) propranolol
C) potassium perchlorate
D) propylthiouracil
E) aqueous iodine oral solution

5. A 25-year-old man presented with a 2-month history of thirst and polyuria. He had minimal weight loss and his body mass index was 26 kg/m2 (18-25). He had had sensorineural deafness since childhood. There was a very strong family history of sensorineural deafness and type 2 diabetes mellitus.
Urinalysis showed no ketones.
Investigations:
random plasma glucose18.0 mmol/L
What is the most appropriate next step in management?

A) test for HFE genotype
B) test for mitochondrial diabetes
C) genetic testing for maturity-onset diabetes of the young
D) measurement of glutamic acid decarboxylase antibodies
E) water deprivation test to assess posterior pituitary function

Solutions: