MRCPUK MRCPUK Certification SEND

IT-PassportsのMRCPUK Certification問題集を使って100％合格することが保証できます。

弊社は一発合格することを保証し、もし弊社の問題集SEND 「Endocrinology and Diabetes (Specialty Certificate Examination)」を使ってから、試験を通っていなかったら、弊社は全額を返金します。 弊社は一年以内に無料更新版を提供し、一発合格することを保証できます。

1、100％の本格的なSEND試験問題集は過去の試験問題及び最新模擬試験問題から作られたものです。
2、業界最先端のSEND模擬試験ｿﾌﾄは実際の試験雰囲気を模擬したものです。
3、SEND試験科目は常時最新化され、最新の試験内容まで織込まれた精確性が有ります。
4、高価な講座を受ける必要はなく、20～30時間の独学だけで、一発合格が可能です！
5、SEND Exhibits、Drag & Drop、Simulationには実際に行われた試験の様式を全て含めております。
6、SEND試験科目を一度お買い上げ頂ければ、一年間無料で問題集をアップデートするサービスが付きます。
7、毎日２４時間インタネット上でSEND技術サービス（無料）を提供致します。

一年間に無料で問題集を更新するサービスを提供します。

弊社の商品を買ったことがあるお客様に一年間無料更新のサービスを提供致します、ですので、貴方が持ってる問題集はきっと最新版でございます。

MRCPUK SEND 「Endocrinology and Diabetes (Specialty Certificate Examination)」はMRCPUK資格認定の重要な試験集です。該当アイクオリサートロジックSEND模擬試験集は非常に理想的な試験に備えるツールと言えます。もし、SEND模擬試験を御利用頂くと、以前の過去試験問題とほぼ同じの現行問題をご体験できます。全部の問題集は弊社の専業認証人員が念入りに編纂されたものです。ご受験者は高額教育活動にわざわざ参加する必要がなく、ただ20時間か30時間の気楽な一連の準備、勉強記憶及び模擬テストだけで、受験できます。100％一発合格！失敗一回なら、全額返金！

MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) 認定 SEND 試験問題:

1. A 55-year-old dental nurse was referred for bone densitometry after sustaining a non-displaced fracture of the femur after falling down a step. She had experienced no other fractures. Her only medical problem was long-standing anaemia of unknown cause. The only family history was of persistent dental abscesses affecting her father. She had three children who were well. She was taking no medication.
Examination was normal.
Investigations:
haemoglobin102 g/L (115-165)
MCV85 fL (80-96)
white cell count6.0 ? 109/L (4.0-11.0)
platelet count245 ? 109/L (150-400)
erythrocyte sedimentation rate25 mm/1st h (<30)
serum creatinine85 umol/L (60-110)
serum corrected calcium2.40 mmol/L (2.20-2.60)
serum alkaline phosphatase56 U/L (45-105)
DXA scan spine (L2-L4)T score +5.8
DXA scan total hipT score +5.4
What is the most likely diagnosis?

A) myelodysplasia
B) fluorosis
C) Paget's disease
D) high bone mass phenotype
E) osteopetrosis

2. A 27-year-old woman with type 1 diabetes mellitus was invited to attend a structured education (e.g. DAFNE) coursE.
Which quality of life domain is most affected when a person is found to have type 1 diabetes mellitus?

A) working life and work-related opportunities
B) enjoyment of leisure activities
C) family life
D) freedom to eat as one wishes
E) sex life

3. A 36-year-old man of South Asian origin presented acutely with a widespread pruritic rash involving the extensor surfaces of the limbs.
On examination, he was moderately obese with a body mass index of 33 kg/m2 (18-25), and the rash was erythematous, with multiple small papules with yellow centres.
Investigations:
fasting plasma glucose11.0 mmol/L (3.0-6.0)
haemoglobin A1c109 mmol/mol (20-42)
serum cholesterol8.0 mmol/L (<5.2)
serum HDL cholesterol0.80 mmol/L (>1.55)
fasting serum triglycerides31.00 mmol/L (0.45-1.69)
What is the most likely diagnosis?

A) eruptive xanthoma
B) tinea cutis
C) nodular prurigo
D) dermatitis herpetiformis
E) granuloma annulare

4. A 62-year-old woman was referred with difficulty in swallowing and a painful, swollen neck.
On examination, her neck was tender to palpation with a small, diffuse goitre. There was no
associated neck lymphadenopathy.
Investigations:
serum thyroid-stimulating hormone<0.04 mU/L (0.4-5.0)
serum free T426.0 pmol/L (10.0-22.0)
serum free T312.0 pmol/L (3.0-7.0)
What is the most likely diagnosis?

A) toxic adenoma
B) thyroid carcinoma
C) Graves' disease
D) haemorrhage into a thyroid cyst
E) subacute thyroiditis

5. A 36-year-old man of African origin attended the clinic 2 weeks after discharge from hospital following his first admission with diabetic ketoacidosis. He had made a rapid recovery and had been discharged taking subcutaneous insulin twice daily.
At clinic, he reported home blood glucose measurements of 4-6mmol/L, occasional symptomatichypoglycaemia and a total daily insulin dose of 12 units. He asked if his glucose-lowering treatment should change.
Which test is most likely to predict prolonged insulin independence?

A) genotyping for monogenic diabetes
B) anti-glutamic acid decarboxylase antibodies
C) anti-islet cell antibodies
D) glucagon-stimulated C-peptide concentration
E) fasting C-peptide concentration

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