The most Sensible choice of real questions

There has been more and more material of the test in the wake of development in this specialized area, but our MRCPUK SEND exam bootcamp remain the leading role in the market over ten years for our profession and accuracy as we win a bunch of customers for a long time. There are three kinds for your reference. The PDF version of SEND latest dumps---Legible to read and practice, supportive to your printing request; Software version of SEND latest dumps---simulation of real test and give you formal atmosphere, the best choice for daily practice. Without the restriction of installation and apply to windows system. App online version of SEND latest dumps---No restriction of equipment and application to various digital devices. The most attractive feature is which is supportive of offline use. All the SEND study materials mentioned above are beneficial with discount at irregular intervals, which means the real questions are available in reasonable prices.

We live in a world that is constantly changing. The only way to stand out beyond the average with advantages is being competent enough. And to keep up with the pace of it, it is necessary to improve ourselves with necessary certificates such MRCPUK certification. With our SEND exam bootcamp questions you can reach your aim by obtaining enough professional knowledge in this specialized area. Our SEND latest dumps can help you by offering high quality and accuracy message for you. Now, let us take a through look of the features of the SEND study materials together.

Considerate services

We are a responsible company concentrating on the profession of the SEND exam bootcamp and after-sales services for over ten years. The SEND latest dumps have gain a large group of clients for the content and its effect, with the passing rate up to 95 to 100 percent, we gain the outstanding reputation among the market for its profession and also our considerate services. The former users reach a conclusion that our SEND study materials are commendable and they take the second purchase when they need other real questions. We build solid companionship with clients because we consider the benefits of users at every aspect, even the worst outcome---If you fail the MRCPUK SEND exam with SEND exam bootcamp unluckily we give back full refund, so you will not lose anything but can enjoy an excellent experience.

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.)

Ample content with one year free update

The development of our SEND exam bootcamp come a long way and form three versions right now of great usefulness, which is full of useful knowledge and materials for your exercise and review. So our MRCPUK SEND latest dumps gain excellent appraisal for the high quality and accuracy content with the updated real questions sending to you lasting for one year after purchase. And we make necessary alterations to cover the new information into the SEND study materials. After you buying our real questions, the new updates will be sent to your mailbox for you within one year. We are assured about the quality of our SEND exam bootcamp and you can count on us with confidence. As long as you have the courage to have a try, you can be one of them. What is more, our SEND latest dumps questions are not costly at all with reasonable prices, so our SEND study materials are available to everyone who wants to pass the certificate smoothly.

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

1. 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) Carney's complex
C) McCune-Albright syndrome
D) neurofibromatosis type 1
E) Cowden's syndrome

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

3. A 72-year-old woman was referred for bone density assessment after sustaining a fracture of her right ankle after a minor fall. She had previously fractured her right wrist after tripping in the street. Her past medical history included occasional angina relieved by glyceryl trinitrate spray and a previous deep venous thrombosis. Her medication comprised aspirin, simvastatin, alendronic acid, and calcium and vitamin D, which she had been taking regularly for 2 years.
Investigations:
DXA scan of spine (L2-L4)T score -2.4
DXA scan of total hipT score -2.8
What is the most appropriate treatment?

A) switch alendronic acid to strontium ranelate
B) switch alendronic acid to pamidronate
C) continue alendronic acid
D) switch alendronic acid to raloxifene
E) switch alendronic acid to teriparatide

4. A 46-year-old man of European descent was reviewed in the diabetes clinic. He had type 2 diabetes mellitus, which had been diagnosed 6 months previously. He had been symptom free and was a non-smoker but had a family history of cardiovascular disease. He exercised regularly and had managed to lose 8 kg.
On examination, his blood pressure was 148/76 mmHg, his weight was 76 kg and his body mass index was 24 kg/m2 (18-25).
Investigations:
urinary albumin:creatinine ratio0.6 mg/mmol (<2.5)
serum cholesterol5.6 mmol/L (<5.2)
serum HDL cholesterol0.90 mmol/L (>1.55)
fasting serum triglycerides2.20 mmol/L (0.45-1.69)
According to NICE guidelines (CG181, July 2014), what is the most appropriate management of his lipid profile?

A) assess cardiovascular risk using UKPDS risk engine
B) start a statin
C) start a fibrate
D) start nicotinic acid
E) observe and repeat lipid profile in a few months

5. A 62-year-old man was referred from the infectious diseases clinic. He had HIV infection and was taking treatment that included thymidine analogue nucleoside reverse transcriptase inhibitors. He had developed considerable loss of limb and gluteal subcutaneous fat. He had complained recently of polyuria and polydipsia and was found to have a fasting plasma glucose of 8.3 mmol/L (3.0-6.0).
What is the most appropriate treatment for his diabetes mellitus?

A) exenatide
B) insulin
C) pioglitazone
D) gliclazide
E) metformin

Solutions: