Do you meet a lion on the way when passing SEND exam as you want to gain the MRCPUK MRCPUK Certification and be a leader in IT field? If you really want to pass Endocrinology and Diabetes (Specialty Certificate Examination) exam as soon as possible, TestPassed SEND test dump will be your best helper. We are a strong company selling all test passed dumps of all IT certifications examinations published by almost all largest companies. We are the leading position in this area because of our very accurate SEND test dump, high passing rate and good pass score. We devote ourselves to providing the best test questions and golden customer service.

Golden customer service guarantee you worry-free shopping

Firstly, we have professional customer attendants about SEND test dump and provide 7/24hours on-line service all the year round. We request every email & on-line news should be replied in two hours. After payment we will send you the latest SEND test dump in half an hour.

Secondly, we support Credit Card payment for SEND test dump; your money will be safe surely. Also we have a strict information system to make sure that your information will be safe and secret.

Thirdly, we assure examinees will pass exam definitely if you purchase our SEND test dump, if you fail the MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination), we will refund the cost of our test questions by Credit Card. Please be worry-free shopping in our website.

After purchase, 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.)

Best SEND test dump help you pass exam definitely

Our company employs well-paid experts team from the largest companies respectively which were engaged in editing the real test in previous companies. They are really skilled in SEND test dump and have rich information sources and good relationship. They always can get the first-hand news about the real test changes. We are strict with education experts in providing stable and high-quality SEND test dump all the time. The products are the root and most valued by our company. We ensure that SEND test dump whenever you purchase is the latest, valid and helpful for your exam. Other companies can imitate us but can't surpass us. We believe our best SEND test dump help you pass exam definitely.

Three versions: PDF version, SOFT (PC Test Engine), APP (Online Test Engine)

Our SEND test dump has three versions for your choose. Many candidates are not sure which they should choose. Statistically speaking, the APP (Online Test Engine) of SEND test dump is popular by more than 60% of examinees. Let's tell something about the details.

PDF version of SEND test dump is suitable for printing out unlimited times and number of copies. It is available for examinees that who are used to studying on paper.

SOFT (PC Test Engine) of SEND test dump is downloaded and installed unlimited times and number of personal computers. It can imitate the real test scene on the computer and have some special methods to help you master the test dumps questions and answers. The disadvantage is that SOFT (PC Test Engine) of SEND test dump is only available for Window system (personal computer).

APP (Online Test Engine) of SEND test dump contains all the functions of the SOFT (PC Test Engine). The difference is that APP (Online Test Engine) is available for all electronic products such as MP4, MP5, Mobile phone, Iwatch, not just for personal computer.

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

1. A 77-year-old woman presented with acute severe pain in the mid-thoracic spine after lifting a heavy bag of shopping. She had reported losing 6 cm in height over the preceding 5 years.
On examination, she was of slight build and experienced difficulty rising from a chair. There was tenderness in the region of T9/10.
Investigations:
plain thoracic X-ray of spinewedge fracture of T10
DXA scanT score -2.7 at L1-L4 and -2.3 at
the left total hip
What is the best estimate for the proportion of vertebral fractures that present clinically with back pain, as seen in this patient?

A) <1%
B) 25%
C) 5%
D) 60%
E) 90%

2. A 17-year-old boy with a 7-year history of type 1 diabetes mellitus was transferred to the adolescent diabetes clinic. He had a history of poor clinic attendance. He admitted to having lost weight recently. His eyes had been photographed by a community ophthalmologist 1 week previously. A photograph of the right fundus is shown (see image).

Investigations:
haemoglobin A1c104 mmol/mol (20-42)
What is the most likely explanation for the retinal appearance?

A) preproliferative diabetic retinopathy
B) macular oedema
C) retinitis pigmentosa
D) benign choroidal naevus
E) drusen

3. A 36-year-old woman was seen in the clinic with a recurrence of hyperthyroidism after a 2year remission. She had been treated with carbimazole for 18 months following her original presentation. She was moderately symptomatic and was keen to be treated in the same way again. She was planning a pregnancy.
Investigations: serum prolactin240 mU/L (<360) serum thyroid-stimulating hormone<0.1 mU/L (0.4-5.0) serum free T428.0 pmol/L (10.0-22.0)
anti-thyroid-stimulating hormone receptor antibodies44 U/L (<7)
What is the most appropriate next step in management?

A) carbimazole
B) radioiodine treatment
C) block-and-replace treatment with carbimazole and levothyroxine
D) propylthiouracil
E) referral for thyroidectomy

4. A 17-year-old girl was referred to the transition clinic. She was taking hydrocortisone 10 mg twice daily and fludrocortisone 150 micrograms daily following a failed short tetracosactide (Synacthen@) test 5years previously. She had entered puberty at the age of 10 but had never achieved adult breast development or menarche.
Investigations:
haemoglobin95 g/L (115-165)
MCV124 fL (80-96)
white cell count8.4 ? 109/L (4.0-11.0)
platelet count334 ? 109/L (150-400)
serum sodium138 mmol/L (137-144)
serum potassium4.4 mmol/L (3.5-4.9)
serum urea3.5 mmol/L (2.5-7.0)
serum corrected calcium1.80 mmol/L (2.20-2.60)
serum follicle-stimulating hormone67.9 U/L (2.5-10.0)
serum luteinising hormone56.4 U/L (2.5-10.0)
What is the most likely diagnosis?

A) atypical congenital adrenal hyperplasia
B) autoimmune polyglandular syndrome type 1
C) pituitary stalk interruption syndrome
D) Turner's syndrome
E) hypothalamic germinoma

5. A 26-year-old woman was referred by her general practitioner for the management of subfertility. Her menarche had occurred at the age of 14 and she had experienced oligomenorrhoea since the age of 16. She also complained of gradually worsening hirsutism since puberty.
Clinical examination showed central obesity, a body mass index of 32 kg/m2 (18-25) and a blood pressure of 140/90 mmHg.
The following results were obtained within 1 week of her last menstrual period.
Investigations:
overnight dexamethasone suppression test (after 1 mg dexamethasone):
serum cortisol30 nmol/L (<50)
serum dehydroepiandrosterone sulphate12 umol/L (3-12)
serum androstenedione10.0 nmol/L (0.6-8.8)
serum 17-hydroxyprogesterone38 nmol/L (1-10)
serum oestradiol200 pmol/L (200-400)
serum testosterone3.5 nmol/L (0.5-3.0)
serum sex hormone binding globulin30 nmol/L (40-137)
plasma follicle-stimulating hormone4.0 U/L (2.5-10.0)
plasma luteinising hormone6.0 U/L (2.5-10.0)
What is the most likely diagnosis?

A) Cushing's syndrome
B) ovarian androgen-secreting tumour
C) polycystic ovary syndrome
D) adrenal androgen-secreting tumour
E) late-onset congenital adrenal hyperplasia

Solutions: