High success rate

It is universally acknowledged that only when you have passed the exam designed for SEND certificate can you engage in your longing profession. As a result, pass rate has been place on the agenda. Of course, a high pass rate is, just as a villa, not built in one day. As an old saying goes, a journey of thousand miles begins with the first step. With ten years’ dedication to collect and summarize the question and answers, MRCPUK SEND PDF prep material has a good command of the knowledge points tested in the exam, thus making the questions more targeted and well-planned. According to the statistics shown in the feedback chart, the general pass rate for SEND exam training test is 98%, which is far beyond that of others in this field. In this way, SEND latest pdf vce is undoubtedly the best choice for you as it to some extent serves as a driving force to for you to pass exams and get certificates so as to achieve your dream.

Contemporarily, with the excessive explosion of knowledge economy, the eager for more knowledge has also swollen, which makes millions of people put a premium on obtaining certificates to prove their store of knowledge. However, getting a certificate is not a piece of cake for most of people and it is more or less hidden with many difficulties and inconvenience. Therefore, how to pass the exam to gain a SEND certificate efficiently has become a heated issue. Here SEND study material comes to rescue. Why should people choose our MRCPUK SEND exam study guide? Is there any cutting edge in it? The reasons are as follows.

Now, please pay attention to our SEND latest vce prep.

High safety for the privacy of customers

Compared with other products in this field, SEND latest study vce guarantee the safety for the privacy of customers in an all-round way. First and foremost, the working members for MRCPUK SEND exam training test are all bestowed with a high sense of responsibility, as a result of which they, in general, prone to withhold the information of their customers to avoid excessive information infringement in the Internet while others in the same field may unscrupulously publish their sales volume and customers’ information to show off their success. Secondly, SEND PDF prep material has a sound payment system to ensure that the customers’ account, pass words or other privacy to not leak out to others. Last but not the least, SEND : Endocrinology and Diabetes (Specialty Certificate Examination) provides after-sales services for safeguarding privacy rights for customers. Customers whoever has any questions about MRCPUK SEND PDF prep material can contact the staffs responsible for it online or by e-mail. Staffs will avail themselves of this opportunity to meet the demand from customers. During this process, all information from the customers will be protected so that customers will have no risk of suffering from losses.

MRCPUK SEND braindumps Instant Download: Our system will send you the SEND braindumps file you purchase in mailbox in a minute after payment. (If not received within 12 hours, please contact us. Note: don't forget to check your spam.)

Appropriate price

Nowadays, with the rapid development of the information technology, the Internet market is flooded with all kinds of goods, either of high quality or inferior quality. However, most of them are so expensive as even to be a little exaggerated. Fortunately, SEND training pdf vce, staying true to its mission to facilitate the subscribers to realize their dream, has a rather reasonable price. The SEND free download vce ensures people whoever is rich or poor have an equal access to this kind of useful resources.

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

1. A 50-year-old woman noticed some swelling of her right great toe and a painful right foot. She had type 1 diabetes mellitus of 21 years' duration and recent screening had revealed some mild diabetic retinal changes and peripheral neuropathy.
On examination, she had a hot, red right forefoot with swelling of the great toe. There was callus on the first metatarsal head with a blister beneath it. After de-roofing, the podiatrist probed to a depth of 1 cm. The left foot demonstrated reduced sensation to a 10-g monofilament. Her right foot was 0.6C hotter than the left.
What is the most likely diagnosis?

A) necrotising fasciitis
B) osteoarthritis
C) Charcot's foot
D) osteomyelitis
E) gout

2. A 26-year-old woman with type 1 diabetes mellitus was seen in the antenatal diabetes clinic and was 8 weeks pregnant. The father of her child also had type 1 diabetes mellitus. They were concerned that their child might develop type 1 diabetes mellitus.
What is the likelihood of the child developing type 1 diabetes mellitus?

A) 0.1-1%
B) 5-10%
C) 55-75%
D) 25-40%
E) 85-100%

3. A 27-year-old woman presented with a 6-month history of amenorrhoea and low mood. She complained of headaches but no visual disturbance. Her past medical history included anorexia nervosa but her current weight was stable.
On examination, her body mass index was 20.2 kg/m2 (18-25). Routine physical examination was normal and there was no galactorrhoea. Visual fields were full to confrontation.
Investigations:
serum cortisol (09.00 h)320 nmol/L (200-700)
short tetracosactide (Synacthen@) test (250 micrograms): serum cortisol (30 min after tetracosactide)630 nmol/L (>550) serum oestradiol200 pmol/L (200-400) plasma follicle-stimulating hormone2 U/L (2.5-10.0) plasma luteinising hormone4 U/L (2.5-10.0)
serum prolactin1001 mU/L (<360) serum free T418.0 pmol/L (10.0-22.0)
serum ?-human chorionic gonadotropin<5 U/L (<5)
What is the most appropriate next step in management?

A) ultrasound scan of ovaries
B) MR scan of pituitary
C) start cabergoline 0.5 mg/week
D) encourage weight gain and reassess after 2 months
E) pregnancy test

4. A 59-year-old man with an 8-year history of type 2 diabetes mellitus was seen in the outpatient clinic. He had worsening renal function in the absence of microalbuminuria.
On examination, his blood pressure was 175/90 mmHg. He had a femoral bruit, and absent dorsalis pedis pulses bilaterally.
Investigations:
serum creatinine150 umol/L (60-110)
estimated glomerular filtration rate (MDRD)39 mL/min/1.73m2 (>60)
In addition to addressing his blood pressure, what is the most appropriate next investigation?

A) captopril diethylene triamine pentacaetic acid (DTPA) scan
B) mercaptoacetyltriglycine (MAG3) renography
C) lower limb angiography
D) renal ultrasound scan with Doppler studies
E) MR angiography of renal arteries

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

Solutions: