MRCPUK MRCPUK Certification SEND

MRCPUK SEND certification exam has become a very influential exam which can test computer skills.The certification of MRCPUK certified engineers can help you to find a better job, so that you can easily become the IT white-collar worker,and get fat salary.

However, how can pass the MRCPUK SEND certification exam simple and smoothly? DumpLeader can help you solve this problem at any time.

DumpLeader is a site which providing materials of International IT Certification. DumpLeader can provide you with the best and latest exam resources.The training questions of MRCPUK certification provided by DumpLeader are studied by the experienced IT experts who based on past exams. The hit rate of the questions is reached 99.9%, so it can help you pass the exam absolutely. Select DumpLeader, then you can prepare for your MRCPUK SEND exam at ease.

In order to facilitate candidates' learning, our IT experts have organized the SEND exam questions and answers into exquisite PDF format. Before your purchase, you can try to download our demo of the SEND exam questions and answers first. You will find that it is almost the same with the real SEND exam. How it can be so precise? It is because that our IT specialists developed the material based on the candidates who have successfully passed the SEND exam. And we are checking that whether the SEND exam material is updated every day.

The SEND study materials of DumpLeader aim at helping the candidates to strengthen their knowledge about MRCPUK Certification. As long as you earnestly study the SEND certification exam materials which provided by our experts, you can pass the MRCPUK Certification SEND exam easily. In addition, we are also committed to one year of free updates and a full refund if you failed the exam.

Perhaps many people do not know what the Testing Engine is, in fact, it is a software that simulate the real exams' scenarios. It is installed on the Windows operating system, and running on the Java environment. You can use it any time to test your own SEND simulation test scores. It boosts your confidence for SEND real exam, and will help you remember the SEND real exam's questions and answers that you will take part in.

The SEND VCE Testing Engine developed by DumpLeader is different from the PDF format, but the content is the same. Both can be used as you like. Both of them can help you quickly master the knowledge about the MRCPUK Certification certification exam, and will help you pass the SEND real exam easily.

MRCPUK Certification SEND training materials contains the latest real exam questions and answers. It has a very comprehensive coverage of the exam knowledge, and is your best assistant to prepare for the exam. You only need to spend 20 to 30 hours to remember the exam content that we provided.

DumpLeader is the best choice for you, and also is the best protection to pass the MRCPUK SEND certification exam.

All the customers who purchased the MRCPUK SEND exam questions and answers will get the service of one year of free updates. We will make sure that your material always keep up to date. If the material has been updated, our website system will automatically send a message to inform you. With our exam questions and answers, if you still did not pass the exam, then as long as you provide us with the scan of authorized test centers (Prometric or VUE) transcript, we will full refund after the confirmation. We absolutely guarantee that you will have no losses.

Easy and convenient way to buy: Just two steps to complete your purchase, then we will send the product to your mailbox fast, and you only need to download the e-mail attachments.

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

1. A 75-year-old woman presented with a 4-week history of lethargy. Her medical history was unremarkable and she took no medication.
On examination, her blood pressure was 140/70 mmHg lying. She was euvolaemic.
Investigations:
serum sodium120 mmol/L (137-144)
serum potassium3.8 mmol/L (3.5-4.9)
serum urea3.0 mmol/L (2.5-7.0)
serum creatinine75 umol/L (60-110)
short tetracosactide (Synacthen@) test (250 micrograms):
baseline serum cortisol450 nmol/L (200-700)
serum cortisol (30 min after tetracosactide)600 nmol/L (>550)
serum thyroid-stimulating hormone2.5 mU/L (0.4-5.0)
serum free T416.9 pmol/L (10.0-22.0)
urinary sodium70 mmol/L
What is the most appropriate initial management?

A) demeclocycline
B) tolvaptan
C) fluid restriction
D) intravenous sodium chloride 0.9%
E) hydrocortisone

2. A 57-year-old man was admitted to hospital with joint pains. He was found to have gout. He had been found to have type 2 diabetes mellitus at the age of 47 years and developed nephropathy 7 years later. He was taking metformin 1 g twice daily, ramipril 5 mg twice daily and gliclazide 80 mg twice daily. The admitting team advised him to take ibuprofen 400 mg three times daily as needed.
On examination, his pulse was 87 beats per minute and his blood pressure was 146/85 mmHg. He had an inflamed right hallux.
Investigations:
serum sodium131 mmol/L (137-144)
serum potassium5.1 mmol/L (3.5-4.9)
serum creatinine156 umol/L (60-110)
estimated glomerular filtration rate (MDRD)42 mL/min/1.73 m2 (>60)
haemoglobin A1c72 mmol/mol (20-42)
random plasma glucose23.0 mmol/L
What is the most appropriate step in management?

A) stop gliclazide and ibuprofen
B) stop ibuprofen alone
C) stop gliclazide and withhold metformin
D) stop ibuprofen and withhold metformin
E) withhold metformin alone

3. A 56-year-old man was referred to the diabetes clinic for conversion to insulin. He was taking metformin 1 g three times daily, gliclazide 160 mg twice daily and pioglitazone 45 mg daily. He drank no alcohol.
On examination, his body mass index was 41 kg/m2 (18-25). Abdominal examination showed a 2-cm, smooth, non-tender liver edge.
Which liver function test is the best marker of non-alcoholic fatty liver disease in type 2 diabetes mellitus?

A) alkaline phosphatase
B) bilirubin
C) gamma glutamyl transferase
D) alanine aminotransferase
E) aspartate aminotransferase

4. A 27-year-old woman presented with a 6-month history of amenorrhoea and low mood. She complained of headaches but no visual disturbance. Her past medical history included anorexia nervosa but her current weight was stable.
On examination, her body mass index was 20.2 kg/m2 (18-25). Routine physical examination was normal and there was no galactorrhoea. Visual fields were full to confrontation.
Investigations:
serum cortisol (09.00 h)320 nmol/L (200-700)
short tetracosactide (Synacthen@) test (250 micrograms): serum cortisol (30 min after tetracosactide)630 nmol/L (>550) serum oestradiol200 pmol/L (200-400) plasma follicle-stimulating hormone2 U/L (2.5-10.0) plasma luteinising hormone4 U/L (2.5-10.0)
serum prolactin1001 mU/L (<360) serum free T418.0 pmol/L (10.0-22.0)
serum ?-human chorionic gonadotropin<5 U/L (<5)
What is the most appropriate next step in management?

A) MR scan of pituitary
B) encourage weight gain and reassess after 2 months
C) pregnancy test
D) start cabergoline 0.5 mg/week
E) ultrasound scan of ovaries

5. A 50-year-old man with a 9-year history of type 2 diabetes mellitus presented with excessive tiredness. His partner said that he snored excessively. His haemoglobin A1c was usually between 64 and 75 mmol/mol (20-42). He was taking glimepiride 4 mg daily and orlistat. He was intolerant of metformin.
On examination, he had reduced sensation to a 10-g monofilament, and extensive background diabetic retinal changes. His Epworth sleepiness score was 13/24. His body mass index was 36 kg/m2 (18-25) despite compliance with orlistat.
According to the NICE guidelines (CG87, May 2009), what is the most appropriate treatment?

A) basal bolus insulin
B) bariatric surgery
C) dipeptidyl peptidase-4 inhibitor
D) glucagon-like peptide-1 agonist
E) acarbose

Solutions:

Question # 1 Answer: C

Question # 2 Answer: D

Question # 3 Answer: D

Question # 4 Answer: A

Question # 5 Answer: D