免費一年的 SEND 題庫更新

為你提供購買 MRCPUK SEND 題庫產品一年免费更新，你可以获得你購買 SEND 題庫产品的更新，无需支付任何费用。如果我們的 MRCPUK SEND 考古題有任何更新版本，都會立即推送給客戶，方便考生擁有最新、最有效的 SEND 題庫產品。

通過 MRCPUK SEND 認證考試是不簡單的，選擇合適的考古題資料是你成功的第一步。因為好的題庫產品是你成功的保障，所以 MRCPUK SEND 考古題就是好的保障。MRCPUK SEND 考古題覆蓋了最新的考試指南，根據真實的 SEND 考試真題編訂，確保每位考生順利通過 MRCPUK SEND 考試。

優秀的資料不是只靠說出來的，更要經受得住大家的考驗。我們題庫資料根據 MRCPUK SEND 考試的變化動態更新，能夠時刻保持題庫最新、最全、最具權威性。如果在 SEND 考試過程中變題了，考生可以享受免費更新一年的 MRCPUK SEND 考題服務，保障了考生的權利。

SEND 題庫產品免費試用

我們為你提供通过 MRCPUK SEND 認證的有效題庫，來贏得你的信任。實際操作勝于言論，所以我們不只是說，還要做，為考生提供 MRCPUK SEND 試題免費試用版。你將可以得到免費的 SEND 題庫DEMO，只需要點擊一下，而不用花一分錢。完整的 MRCPUK SEND 題庫產品比試用DEMO擁有更多的功能，如果你對我們的試用版感到滿意，那么快去下載完整的 MRCPUK SEND 題庫產品，它不會讓你失望。

雖然通過 MRCPUK SEND 認證考試不是很容易，但是還是有很多通過的辦法。你可以選擇花大量的時間和精力來鞏固考試相關知識，但是 Sfyc-Ru 的資深專家在不斷的研究中，等到了成功通過 MRCPUK SEND 認證考試的方案，他們的研究成果不但能順利通過SEND考試，還能節省了時間和金錢。所有的免費試用產品都是方便客戶很好體驗我們題庫的真實性，你會發現 MRCPUK SEND 題庫資料是真實可靠的。

安全具有保證的 SEND 題庫資料

在談到 SEND 最新考古題，很難忽視的是可靠性。我們是一個為考生提供準確的考試材料的專業網站，擁有多年的培訓經驗，MRCPUK SEND 題庫資料是個值得信賴的產品，我們的IT精英團隊不斷為廣大考生提供最新版的 MRCPUK SEND 認證考試培訓資料，我們的工作人員作出了巨大努力，以確保考生在 SEND 考試中總是取得好成績，可以肯定的是，MRCPUK SEND 學習指南是為你提供最實際的認證考試資料，值得信賴。

MRCPUK SEND 培訓資料將是你成就輝煌的第一步，有了它，你一定會通過眾多人都覺得艱難無比的 MRCPUK SEND 考試。獲得了 MRCPUK Certification 認證，你就可以在你人生中點亮你的心燈，開始你新的旅程，展翅翱翔，成就輝煌人生。

選擇使用 MRCPUK SEND 考古題產品，離你的夢想更近了一步。我們為你提供的 MRCPUK SEND 題庫資料不僅能幫你鞏固你的專業知識，而且還能保證讓你一次通過 SEND 考試。

購買後，立即下載 SEND 題庫 (Endocrinology and Diabetes (Specialty Certificate Examination)): 成功付款後, 我們的體統將自動通過電子郵箱將您已購買的產品發送到您的郵箱。（如果在12小時內未收到，請聯繫我們，注意：不要忘記檢查您的垃圾郵件。）

最新的 MRCPUK Certification SEND 免費考試真題:

1. A 26-year-old man presented urgently, complaining of muscle pains. He had been found to have heterozygous familial hypercholesterolaemia 2 years previously owing to a mutation in the PCSK9 gene. He had a strong family history of premature vascular disease. He was taking atorvastatin 80 mg daily.
Investigations:
serum creatine kinase2782 U/L (24-195)
serum cholesterol5.7 mmol/L (<5.2)
After stopping atorvastatin, his serum creatine kinase fell to within the normal range.
What is the most appropriate next step in management?

A) restart atorvastatin 10 mg
B) start fenofibrate 100 mg
C) start ezetimibe 10 mg
D) start fluvastatin 40 mg
E) restart atorvastatin 40 mg

2. A 48-year-old man presented with an infected ulcer, measuring 2 ? 1 cm, over the right first metatarsal head, with surrounding cellulitis. He had no previous history of diabetes mellitus but had been told by his general practitioner some years previously that his blood glucose was 'borderline'.
On examination, his temperature was 37.4C, his blood pressure was 158/92 mmHg and his body mass index was 31.5 kg/m2 (18-25). His foot pulses were easily palpable but he had a sensory neuropathy.
Investigations:
random plasma glucose16.4 mmol/L
haemoglobin A1c81 mmol/mol (20-42)
What is the most appropriate treatment for his hyperglycaemia?

A) soluble insulin before meals, basal insulin at bedtime
B) sitagliptin 100 mg once daily
C) exenatide 5 micrograms twice daily
D) gliclazide 40 mg twice daily
E) metformin 500 mg twice daily

3. A 55-year-old man presented with a 3-year history of increasing pain in the right hip. He had been otherwise well and was taking no medication. He was reluctant to consider any intravenous treatment as he had a phobia of needles.
Investigations:
X-ray of hipssclerotic bone in right pubis and ischium
suggestive of Paget's disease
What is the most appropriate oral treatment?

A) strontium ranelate
B) ibandronate sodium
C) risedronate sodium
D) calcium and vitamin D
E) sodium clodronate

4. A 46-year-old South Asian man presented with a 2-month history of dry mouth and polyuria. He had hypertension treated with bendroflumethiazide. There was no family history of diabetes mellitus, but his father had died suddenly during lower limb angioplasty at the age of 51.
On examination, the patient's pulse was 76 beats per minute and regular, and his blood pressure was 164/86 mmHg. The rest of the physical examination was normal. Urinalysis was normal.
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium3.0 mmol/L (3.5-4.9)
serum creatinine123 umol/L (60-110)
fasting plasma glucose6.9 mmol/L (3.0-6.0)
What is the most appropriate next step in management?

A) haemoglobin A1c measurement
B) repeat fasting plasma glucose
C) change bendroflumethiazide to ramipril
D) oral glucose tolerance test
E) start oral hypoglycaemic treatment

5. A 28-year-old woman was referred with an 8-year history of progressive weight gain, hypertension and abdominal striae. She had no family history of note and was not taking any medication.
On examination, her blood pressure was 158/86 mmHg. There was central obesity with abdominal striae. There was mild proximal myopathy of the lower limbs.
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium3.4 mmol/L (3.5-4.9)
low-dose dexamethasone suppression test (2 mg/day for 48 h):
serum cortisol180 nmol/L (<50)
An MR scan of pituitary showed an invasive adenoma extending laterally into the cavernous sinuses bilaterally. Superiorly, the adenoma was in contact with, but not distorting, the optic chiasm. Formal visual field examination was normal.
What is the most appropriate next step in management?

A) adrenolytic therapy
B) pituitary radiotherapy
C) somatostatin agonist therapy
D) trans-sphenoidal hypophysectomy
E) bilateral adrenalectomy

問題與答案：