Continuously update

The team of experts hired by SEND exam torrent constantly updates and supplements the contents of our study materials according to the latest syllabus and the latest industry research results, and compiles the latest simulation exam question based on the research results of examination trends. We also have dedicated staffs to maintain updating SEND practice test every day, and you can be sure that compared to other test materials on the market, SEND quiz guide is the most advanced. With SEND exam torrent, there will not be a situation like other students that you need to re-purchase guidance materials once the syllabus has changed. Even for some students who didn't purchase SEND quiz guide, it is impossible to immediately know the new contents of the exam after the test outline has changed. SEND practice test not only help you save a lot of money, but also let you know the new exam trends earlier than others.

Free trial service

Students often feel helpless when purchasing test materials, because most of the test materials cannot be read in advance, students often buy some products that sell well but are actually not suitable for them. But if you choose SEND practice test, you will certainly not encounter similar problems. Before you buy SEND exam torrent, you can log in to our website to download a free trial question bank, and fully experience the convenience of PDF, APP, and PC three models of SEND quiz guide. During the trial period, you can fully understand the learning mode of SEND practice test, completely eliminate any questions you have about SEND exam torrent, and make your purchase without any worries.

May be you will meet some difficult or problems when you prepare for your SEND exam, you even want to give it up. It is no exaggeration to say that our study material is the most effective product for candidates to prepare for their exam. Because SEND exam torrent can help you to solve all the problems encountered in the learning process, SEND practice test will provide you with very flexible learning time so that you can easily pass the exam. At the same time, if you have any questions during the trial period of SEND quiz guide, you can feel free to communicate with our staffs, and we will do our best to solve all the problems for you.

DOWNLOAD DEMO

Flexible learning time

All the materials in SEND exam torrent can be learned online or offline. You can use your mobile phone, computer or print it out for review. With SEND practice test, if you are an office worker, you can study on commute to work, while waiting for customers, and for short breaks after work. If you are a student, SEND quiz guide will also make your study time more flexible. With SEND exam torrent, you don't need to think about studying at the time of playing. You can study at any time you want to study and get the best learning results with the best learning status.

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

1. A 76-year-old man with a 17-year history of type 2 diabetes mellitus attended for his annual review. Comparison of his retinal screening report with the previous year's report showed that his visual acuity was unchanged at 6/9 in both eyes. The previous year's right eye retinal image had been reported as 'pre-proliferative retinopathy', whereas this year's was reported as 'pre-proliferative retinopathy with maculopathy'.
What is the most appropriate next step?

A) routine re-screen in 6 months
B) urgent re-screen within 2 weeks
C) routine re-screen in 12 months
D) routine referral to an ophthalmologist
E) urgent referral to an ophthalmologist within 2 weeks

2. A 33-year-old man was referred to the diabetes clinic with an 8-month history of weight loss and polydipsia. Two months previously his general practitioner had found a high fasting plasma glucose concentration of 17.5 mmol/L (3.0-6.0) and a haemoglobin A1c of 116 mmol/mol (20-42). The patient was taking metformin 1 g twice daily. He reported in the diabetes clinic that his home capillary blood glucose concentrations persisted to be high, ranging between 15-24 mmol/L.
On examination, his body mass index was 23 kg/m2 (18-25).
His blood tests were repeated in the diabetes clinic and he was treated with a basal bolus insulin regimen. Urinalysis was negative for ketones.
Investigations (in diabetes clinic):
haemoglobin A1c110 mmol/mol (20-42)
serum C-peptide200 pmol/L (180-360)
anti-glutamic acid decarboxylase (GAD)
antibodies69 IU/mL (<10)
anti-IA2 antibodiesnegative
What is the most likely diagnosis?

A) haemochromatosis
B) mitochondrial diabetes mellitus
C) latent autoimmune diabetes in adults
D) type 1 diabetes mellitus
E) maturity-onset diabetes of the young

3. A 23-year-old man presented with a history of discomfort with his gender for as long as he could remember. He believed he was transsexual.
What element of further history would most strongly support his self-diagnosis?

A) conscious and absolute rejection of his sexual orientation as socially unacceptable
B) the presence of gender somatic delusions that emerge and strengthen with time
C) seeking medical rationalisation for sexuality through genital surgery
D) a long-standing intense wish to make his body conform to that of the preferred gender
E) sexual excitement by cross-dressing

4. A 24-year-old woman was referred with an 18-month history of worsening hirsutism, primarily on her face, but also new hair growth on her chest. She was shaving weekly. She had always been overweight, but had recently gained 5 kg and her body mass index was 31 kg/m2 (18-25). Her periods were regular.
What is the most relevant next investigation?

A) overnight dexamethasone suppression test (after 1 mg dexamethasone)
B) plasma thyroid-stimulating hormone
C) serum testosterone
D) serum 17-hydroxyprogesterone
E) serum dehydroepiandrosterone

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

Solutions: