Download Immediately

After finishing payment, the SEND certification training materials: Endocrinology and Diabetes (Specialty Certificate Examination) will be send to you in 10 minutes via your email. So you don't need to worry too much. You will share instant downloading and using of SEND study guide. After you receive the email, just click our downloading link, you will get our exam products. Or you can log in by the account & password we send you, and then download our SEND certification Training: Endocrinology and Diabetes (Specialty Certificate Examination) in your order any time. The process will be fast and safe. Besides, as we promise "One Year Free Updates Download", if we release new version within one year after your purchasing, we will send the downloading link to your email too. You can get the latest SEND study guide just like the first time you purchase. The link and materials are also fast and safe. Please rest assured.

Excellent Customer Service

"Customers come first" has always been our company culture. We will never deceive our candidates or go back on our word about our SEND certification training: Endocrinology and Diabetes (Specialty Certificate Examination). Your individual privacy is under our rigorous privacy protection. Also we promise "Money Back Guaranteed" & "Pass Guaranteed". So you can buy our SEND study guide without any doubt. We provide 24/7 service for our customers, if you have any questions about our SEND exam bootcamp, just contact with us through the email, and we will answer your questions as soon as possible.

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.)

Good exam preparation with high quality

Do you still worry that if you do much useless preparation on study you may fail exam? Do you know many candidates can pass exam easily because they purchase our SEND study guide materials? Maybe you can try too. With innovative science and technology our SEND certification training: Endocrinology and Diabetes (Specialty Certificate Examination) has grown as a professional and accurate exam materials that bring great advantages to all buyers. We guarantee that our reliable SEND study materials will balance your business, work and life schedule as if you use our test dumps, you will spend less time on the SEND study guide materials, before the real test you will only memorize the questions and answers of SEND certification training questions. As long as you attach more attention and master the core knowledge of our SEND exam bootcamp files, we assure that you will have a good command of the relevant knowledge before taking the exam and you will get a nice passing score.

Along with the rapid development of globalization, there are an increasing large number of jobs opportunities (SEND certification training: Endocrinology and Diabetes (Specialty Certificate Examination)), but the competition among employees has become furious day by day. And enterprises put higher demands for their workers. It is known to all that a MRCPUK certificate, a worldwide recognized certification, is not only a tool of showing your career ability but also a stepping stone for senior positions. Obtaining a professional certificate (SEND study guide) can be beneficial to you future, higher wages, good benefits, and a dreaming promotion. Right SEND exam bootcamp will help you master core knowledge and prepare efficiently. Too much time & money is useless if you do not have right direction for study. If you want to pass exam in short time and obtain a certification, our SEND certification training: Endocrinology and Diabetes (Specialty Certificate Examination) will be suitable for you.

MRCPUK SEND Exam Syllabus Topics:

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

1. A 35-year-old woman with a 12-year history of type 1 diabetes mellitus was reviewed in the multidisciplinary pump clinic, because her diabetes was treated with an insulin pump. She had a group 2, C1 lorry-driving licence.
Specific driving-related questioning showed that she kept fast-acting carbohydrate in her vehicles and she reported good hypoglycaemic warnings. Data downloaded from her pump indicated significant variability in her blood glucose readings with few results below 2 mmol/L. She declared that this happened occasionally and she was able to explain the events.
According to implementation by the UK of the Third European Union Directive on driving, what is the most appropriate advice?

A) she can continue to drive
B) she should stop driving voluntarily until blood glucose levels increase
C) her licence must be surrendered immediately until further assessment
D) she must surrender her licence for 6 months
E) she must appear before a Driver and Vehicle Licensing Agency-accredited diabetes specialist for assessment within 1 month

2. 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

3. A 29-year-old woman presented with primary infertility, having had unprotected sexual intercourse for 15 months. Menarche had occurred at the age of 13.5 years. Her menstrual cycle was irregular, occurring every 20-60 days. There was no history of galactorrhoea. She denied abnormal hair growth.
On examination, her body mass index was 28.9 kg/m2 (18-25) and she had normal secondary sexual characteristics. Her visual fields were full to confrontation.
Investigations:
serum androstenedione12.8 nmol/L (0.6-8.8)
serum oestradiol205 pmol/L (200-400)
serum testosterone2.4 nmol/L (0.5-3.0)
serum sex hormone binding globulin23 nmol/L (40-137)
serum follicle-stimulating hormone4.3 U/L (2.5-10.0)
serum luteinising hormone8.5 U/L (2.5-10.0)
serum prolactin420 mU/L (<360)
hysterosalpingogrampatent fallopian tubes
partner's semen analysisnormal sperm count and motility
What is the most appropriate first-line intervention?

A) human menopausal gonadotropins
B) cabergoline
C) human chorionic gonadotropin
D) metformin
E) orlistat

4. A 32-year-old man presented to the fertility clinic with his partner. The couple had been together for 4 years and had been trying to conceive for the past 3 years. His partner had children from a previous marriage.
On examination, he was healthy, thin and tall but had bilateral gynaecomastia. His testes felt firm and testicular volumes were 5-6 mL. He had normal pubic and axillary hair.
Investigations:
serum testosterone10.0 nmol/L (9.0-35.0) plasma follicle-stimulating hormone45.0 U/L (1.0-7.0) plasma luteinising hormone32.0 U/L (1.0-10.0)
chromosomal studiesmosaic pattern of 47 XXY/46 XY
semen analysisazoospermia testicular biopsyno viable spermatozoa
What intervention is most likely to lead to conception?

A) intracytoplasmic sperm injection
B) testosterone
C) artificial insemination by donor
D) pulsatile gonadotropin-releasing hormone
E) human chorionic gonadotropin

5. A 26-year-old man was referred from the sexual health clinic, after small testes had been noted during treatment for genital warts. The patient reported recent loss of libido but there was no history of erectile dysfunction or delayed pubertal development. He was taking no regular medication. Approximately 3 years before presentation, he had taken anabolic steroids for 6 months to improve his muscle bulk.
On examination, normal facial, axillary and pubic hair was present. Testicular volume was 6 mL and his testes were firm.
Investigations:
serum testosterone4.0 nmol/L (9.0-35.0)
plasma follicle-stimulating hormone21.0 U/L (1.0-7.0)
plasma luteinising hormone23.0 U/L (1.0-10.0)
serum prolactin420 mU/L (<360)
What is the most likely diagnosis?

A) exogenous anabolic steroid use
B) microprolactinoma
C) haemochromatosis
D) Klinefelter's syndrome
E) Kallmann's syndrome

Solutions: