MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) : SEND

Printable PDF study guide

In order to help you enjoy the best learning experience, our PDF SEND practice test supports you download on your computers and print on papers. In this way, you can make the best use of your spare time. Whatever you are occupied with your work, as long as you really want to learn our SEND training torrent: Endocrinology and Diabetes (Specialty Certificate Examination), you must be inspired by your interests and motivation. Once you print all the contents of our practice test on the paper, you will find what you need to study is not as difficult as you imagined before. Also, you can make notes on your papers to help you memorize and understand the difficult parts. Maybe you are just scared by yourself. Getting the Endocrinology and Diabetes (Specialty Certificate Examination) certificate is easy with the help of our test engine. You should seize the opportunities of passing the exam.

Clear layouts

Once you enter into our official website, you will find everything you want. All the SEND practice tests are listed orderly. You just need to choose what you are willing to learn. In addition, you will feel comfortable and pleasant to shop on such a good website. All the contents of our SEND training torrent: Endocrinology and Diabetes (Specialty Certificate Examination) are organized logically. Each small part contains a specific module. You can clearly get all the information about our SEND study guide. If you cannot find what you want to know, you can have a conversation with our online workers. They have been trained for a long time. Your questions will be answered accurately and quickly. We are still working hard to satisfy your demands. Please keep close attention to our SEND practice test.

Free coupons

If you want to buy our SEND training torrent: Endocrinology and Diabetes (Specialty Certificate Examination) in a preferential price, that's completely possible. In order to give back to the society, our company will prepare a number of coupons on our official website. Once you enter into our websites, the coupons will be very conspicuous. Remember to write down your accounts and click the coupon. When you pay for our SEND study guide, the coupon will save you lots of money. The number of our free coupon is limited. So you should click our website frequently. What's more, our coupon has an expiry date. You must use it before the deadline day. What are you waiting for? Come to buy our SEND practice test in a cheap price.

We need fresh things to enrich our life. No one would like to be choked by dull routines. So if you are tired of your job or life, you are advised to try our SEND practice test to refresh yourself. It is a wrong idea that learning is useless and dull. We can make promise that you will harvest enough knowledge and happiness from our SEND training torrent: Endocrinology and Diabetes (Specialty Certificate Examination). Different from traditional learning methods, our products adopt the latest technology to improve your learning experience. We hope that all candidates can try our free demo before deciding buying our SEND study guide. In a word, our study guide is attractive to clients in the market.

MRCPUK SEND Exam Syllabus Topics:

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

1. A 56-year-old man was referred to the diabetes clinic for conversion to insulin. He was taking metformin 1 g three times daily, gliclazide 160 mg twice daily and pioglitazone 45 mg daily. He drank no alcohol.
On examination, his body mass index was 41 kg/m2 (18-25). Abdominal examination showed a 2-cm, smooth, non-tender liver edge.
Which liver function test is the best marker of non-alcoholic fatty liver disease in type 2 diabetes mellitus?

A) alanine aminotransferase
B) gamma glutamyl transferase
C) bilirubin
D) aspartate aminotransferase
E) alkaline phosphatase

2. A 25-year-old woman presented with a solitary nodule in the right lobe of her thyroid gland.
Investigations:
serum thyroid-stimulating hormone0.45 mU/L (0.4-5.0)
serum free T420.7 pmol/L (10.0-22.0)
The presence of which feature would most increase the likelihood of malignancy?

A) increased peripheral vascularity of nodule on Doppler ultrasound
B) microcalcification seen within the nodule on ultrasound scan
C) high titre of thyroid peroxidase antibodies
D) size of nodule >1.0 cm in maximum diameter
E) elevated serum thyroglobulin concentration

3. A 25-year-old woman with type 1 diabetes mellitus was admitted to hospital with a 12-hour
history of nausea and lethargy.
On examination, her temperature was 37.5C, she was dehydrated and her Glasgow coma
score was 14. Urinalysis showed glucose 2+, ketones 3+, protein negative.
Investigations:
white cell count12.0 ? 109/L (4.0-11.0)
neutrophil count8.0 ? 109/L (1.5-7.0)
random plasma glucose22.0 mmol/L
arterial blood gases, breathing air:
pH7.20 (7.35-7.45)
serum C-reactive protein12 mg/L (<10)
She was treated with intravenous sodium chloride 0.9% and fixed-rate intravenous insulin
infusion, and initially improved. Twelve hours into her admission, she complained of a
headache.
On examination, her temperature was 37.3C and her Glasgow coma score was 15. Her
pulse was 85 beats per minute and her blood pressure was 110/70 mmHg. There was no
neck stiffness, papilloedema or focal neurological signs.
What is the most likely cause for her headache?

A) cerebral oedema
B) tension headache
C) bacterial meningitis
D) viral encephalitis
E) sagittal sinus thrombosis

4. A 50-year-old woman with acromegaly presented with persistent sweating and headaches
despite having undergone trans-sphenoidal surgery and pituitary radiotherapy 2 years
previously. She had been intolerant of treatment with octreotide.
Investigations:
serum growth hormone11.1 ?g/L (<0.4)
serum insulin-like growth factor 186.2 nmol/L (5.6-23.3)
Following imaging, it was judged that there was no role for repeat surgery. She was treated
with pegvisomant 10 mg. Six months into treatment, her symptoms had improved.
Investigations (6 months later):
serum growth hormone20.3 ?g/L (<0.4)
serum insulin-like growth factor 115.2 nmol/L (5.6-23.3)
What is the most appropriate next step in management?

A) increase dosage of pegvisomant
B) add cabergoline
C) arrange another full course of pituitary radiotherapy
D) continue present dosage of pegvisomant
E) stop pegvisomant

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

Solutions: