Instant Access MRCPUK SEND Exam Premium Dumps - FreeCram

First-Class Quality

Our SEND exam dumps provide specific and comprehensive services for our customers. The MRCPUK SEND exam materials are created by experts in the field, ensuring high quality and fast updates. With our SEND exam prep, you can easily find the most relevant information according to your learning needs and make adjustments to your study schedule. We provide not only information but also a personalized learning schedule tailored to your needs. By following the schedule, you can improve your efficiency. Additionally, our SEND exam prep offers complete after-sales support. You can consult with us online for any problems you encounter and receive assistance anywhere, anytime in our SEND exam premium dumps.

Three Versions Available

We offer three versions of our SEND exam questions: PDF, Desktop Test Engine, and Online Test Engine. Each version has its own unique features, allowing users to choose according to their preferences. The PDF version of SEND exam prep is the most popular one as it can be printed out for easy learning anywhere, anytime. The Desktop Engine version is suitable for Windows users, while the Online Engine version can be downloaded for convenient access. Whichever version you choose, our SEND exam material will provide excellent service.

If you are someone who is looking for a way to advance in your career and make informed choices, then the SEND exam premium dumps is perfect for you. Our SEND pdf is designed to enhance your skills and knowledge in your industry. To boost your career with a certification, it is crucial to use the most up-to-date and valid SEND exam dumps. Our SEND practice questions provides realistic simulations of the actual test, with relevant and updated questions and detailed explanations to help you understand and master the content. The goal of our SEND practice torrent is to assist you in successfully passing the exam.

Free Updates Service

We value every customer who purchases our SEND exam material and aim to continue our cooperation with you. Our SEND test questions are constantly updated and improved to provide you with the latest information and a better experience. We are committed to keeping up with digitalization and regularly adding new content. We sincerely hope that our SEND exam prep can serve you well. We also highly value your feedback and suggestions. If you have reasonable recommendations for improving our SEND test material, we offer free updates to the exam dumps for up to one year. We look forward to collaborating with you.

DOWNLOAD DEMO

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

1. A 32-year-old woman presented at 34 weeks of pregnancy, after an episode of vaginal bleeding. Gestational diabetes had been diagnosed at 28 weeks and insulin was started at 29 weeks. Her pre-pregnancy body mass index was 32 kg/m2 (18-25) and there was no family history of diabetes. She was treated with betamethasone 12 mg over 2 days. She was taking 60 units of insulin subcutaneously daily (40 units prandial in three divided doses, and 20 units intermediate-acting insulin), which had been unchanged for 3 weeks.
On examination, she was apyrexial, her pulse was 96 beats per minute and her blood pressure was 124/74 mmHg. Urinalysis showed blood 1+, protein 1+, glucose 2+, ketones 3+.
Investigations:
serum sodium134 mmol/L (137-144)
serum potassium3.8 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 glucose7.2 mmol/L
What is the most appropriate next step in management?

A) measure venous bicarbonate
B) increase subcutaneous insulin doses by 2-4 units
C) discharge and monitor blood glucose at home
D) start intravenous insulin
E) continue to monitor blood glucose in hospital

2. A 56-year-old man with a 5-year history of type 2 diabetes mellitus was worried about developing a foot ulcer.
Which clinical feature, if present, best predicts the development of a foot ulcer in a patient with diabetes?

A) history of a previous foot ulcer
B) inability to perform own foot care
C) absent sensation to a monofilament
D) absent foot pulses
E) vibration perception threshold >25v

3. A 47-year-old man presented with a 2-month history of polyuria and polydipsia. He awoke six times most nights to pass copious volumes of urine despite not drinking any fluid for 4 hours before going to bed.
Investigations:
MR scan of pituitary fossasee image
A water deprivation test confirmed the diagnosis of cranial diabetes insipidus.

What is the most likely underlying diagnosis?

A) chordoma
B) meningioma
C) craniopharyngioma
D) microadenoma
E) Langerhans' histiocytosis

4. An 18-year-old man was referred with muscle weakness and cramps. His blood pressure was 108/60 mmHg.
Investigations:
serum sodium143 mmol/L (137-144) serum potassium2.4 mmol/L (3.5-4.9) serum bicarbonate32 mmol/L (20-28) serum magnesium0.96 mmol/L (0.75-1.05)
24-h urinary calcium3.6 mmol (2.5-7.5) 24-h urinary magnesium4.2 mmol (2.5-8.0)
plasma renin activity (after 30 min supine)6.4 pmol/mL/h (1.1-2.7) plasma aldosterone (after 30 min supine)680 pmol/L (135-400)
What is the most likely diagnosis?

A) Gitelman's syndrome
B) renal tubular acidosis
C) syndrome of apparent mineralocorticoid excess
D) Bartter's syndrome
E) Liddle's syndrome

5. A 71-year-old man was brought to the emergency department in a collapsed state. He was
unable to give a history. Records showed that he had ischaemic heart disease and had undergone coronary bypass grafting 2 years previously. He was taking bendroflumethiazide 2.5 mg daily and simvastatin 40 mg at bedtime.
On examination he was unwell. His pulse was 128 beats per minute and his blood pressure was 108/60 mmHg. Oxygen saturation was 96% (94-98) breathing air.
An ECG showed Q waves in leads II, III, and aVF.
Investigations:
serum sodium164 mmol/L (137-144)
serum potassium5.4 mmol/L (3.5-4.9)
serum bicarbonate19 mmol/L (20-28)
serum urea15.2 mmol/L (2.5-7.0)
serum creatinine145 umol/L (60-110)
random plasma glucose81.2 mmol/L
What is the most appropriate fluid replacement?

A) compound sodium lactate intravenous infusion
B) sodium chloride 0.45%
C) sodium chloride 0.9%
D) sodium chloride 0.9% and glucose 5%
E) colloid

Solutions: