Free trial function

A free trial service is provided for all customers by SEND study quiz, whose purpose is to allow customers to understand our products in depth before purchase. Many students often complain that they cannot purchase counseling materials suitable for themselves. A lot of that stuff was thrown away as soon as it came back. However, you will definitely not encounter such a problem when you purchase SEND preparation questions. All consumers who are interested in SEND guide materials: Endocrinology and Diabetes (Specialty Certificate Examination) can download our free trial database at any time by visiting our platform. During the trial process, you can learn about the three modes of SEND study quiz and whether the presentation and explanation of the topic in SEND preparation questions is consistent with what you want. If you are interested in our products, I believe that after your trial, you will certainly not hesitate to buy it.

What you will get if you purchase study materials

What SEND study quiz can give you is far more than just a piece of information. First of all, SEND preparation questions can save you time and money. As a saying goes, to sensible men, every day is a day of reckoning. Every minute SEND study quiz saves for you may make you a huge profit. Secondly, SEND preparation questions will also help you to master a lot of very useful professional knowledge in the process of helping you pass the exam. The SEND guide materials: Endocrinology and Diabetes (Specialty Certificate Examination) are valuable, but knowledge is priceless. These professional knowledge will become a springboard for your career, help you get the favor of your boss, and make your career reach it is peak. What are you waiting for? Come and take SEND preparation questions home.

High pass rate

Sharp tools make good work. SEND study quiz is the best weapon to help you pass the exam. After a survey of the users as many as 99% of the customers who purchased SEND preparation questions have successfully passed the exam. The pass rate is the test of a material. Such a high pass rate is sufficient to prove that SEND guide materials: Endocrinology and Diabetes (Specialty Certificate Examination) has a high quality. In order to reflect our sincerity on consumers and the trust of more consumers, we provide a 100% pass rate guarantee for all customers who have purchased SEND study quiz. If you fail to pass the exam after you purchased SEND preparation questions, you only need to provide your transcript to us, and then you can receive a full refund.

Can you imagine that you only need to review twenty hours to successfully obtain the MRCPUK certification? Can you imagine that you don't have to stay up late to learn and get your boss's favor? With SEND study quiz, passing exams is no longer a dream. If you are an office worker, SEND preparation questions can help you make better use of the scattered time to review. Just a mobile phone can let you do questions at any time. If you are a student, you can lose a heavy bag with SEND study materials, and you can save more time for making friends, traveling, and broadening your horizons. Please believe that SEND guide materials: Endocrinology and Diabetes (Specialty Certificate Examination) will be the best booster for you to learn.

MRCPUK SEND Exam Syllabus Topics:

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

1. A 25-year-old woman with type 1 diabetes mellitus presented with light-headedness, nausea, thirst and vomiting of 3 days' duration. She was fully conscious.
On examination, her pulse was 104 beats per minute and her blood pressure was 104/64 mmHg. Urinalysis showed glucose 2+, ketones 3+.
Investigations:
serum sodium150 mmol/L (137-144)
serum potassium5.5 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 glucose20.0 mmol/L
arterial blood gases, breathing air:
PO212.4 kPa (11.3-12.6)
PCO23.4 kPa (4.7-6.0)
pH7.15 (7.35-7.45)
H+70 nmol/L (35-45)
bicarbonate6 mmol/L (21-29)
What intravenous fluid should be given over the first 30 minutes?

A) sodium chloride 0.18% and glucose 4%
B) compound sodium lactate
C) sodium chloride 0.45%
D) colloid solution
E) sodium chloride 0.9%

2. A 24-year-old woman was referred with an 18-month history of worsening hirsutism, primarily on her face, but also new hair growth on her chest. She was shaving weekly. She had always been overweight, but had recently gained 5 kg and her body mass index was 31 kg/m2 (18-25). Her periods were regular.
What is the most relevant next investigation?

A) plasma thyroid-stimulating hormone
B) serum testosterone
C) serum dehydroepiandrosterone
D) serum 17-hydroxyprogesterone
E) overnight dexamethasone suppression test (after 1 mg dexamethasone)

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

4. A 64-year-old man, who was undergoing investigation for altered bowel habit, was referred to the endocrine clinic after a CT scan of abdomen had shown a 4-cm mass in his left adrenal gland. He had a history of hypertension and type 2 diabetes mellitus.
Investigations:
low-dose dexamethasone suppression test (2 mg/day for 48 h):
serum cortisol350 nmol/L (<50)
24-h urinary free cortisol400 nmol (55-250)
plasma adrenocorticotropic hormone (09.00 h)2.0 pmol/L (3.3-15.4)
He underwent laparoscopic removal of his left adrenal gland.
How should his endocrine condition be managed following surgery?

A) immediate postoperative tetracosactide (Synacthen@) test and, if abnormal, start hydrocortisone
B) 24-h urinary cortisol 6 weeks postoperatively and start hydrocortisone if abnormally low
C) start hydrocortisone perioperatively and continue until tetracosactide (Synacthen@) test in 6 weeks
D) tetracosactide (Synacthen@) test 6 weeks postoperatively and start hydrocortisone if abnormal
E) introduce hydrocortisone and fludrocortisone postoperatively according to blood pressure and electrolytes

5. 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) adrenoleucodystrophy
C) autoimmune hypoadrenalism
D) familial glucocorticoid resistance
E) isolated adrenocorticotropic hormone deficiency

Solutions: