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 17-year-old girl with Turner's syndrome attended the clinic for review. She had been treated with growth hormone therapy for the previous 7 years, and had now reached her final adult height.
What is the most appropriate next step in management?

A) withdraw growth hormone therapy for 3 months and evaluate growth hormone secretion
B) assess her bone density by DXA scan and continue growth hormone if bone mineral density is less than mean for age
C) continue growth hormone until 25 years old then reassess
D) start to reduce growth hormone therapy with a view to discontinuing in 2 years' time
E) stop growth hormone therapy

2. An 18-year-old woman was referred by her general practitioner for further investigation of "funny turns" during which she developed palpitations, sweating, tremor, hunger, anxiety and paraesthesiae; all of these symptoms were relieved immediately by a sugary drink. She was otherwise well and was not taking any regular medication. There was a family history of type 1 diabetes mellitus. A spontaneous hypoglycaemic episode had not been captured and she was admitted to the diabetes/endocrine ward for a 72-hour fast. Her renal function was normal.
After a 12-hour fast she experienced her typical symptoms. Urinalysis showed no urinary ketones.
Investigations after 12-h fast:
fasting plasma glucose 2.0 mmol/L (3.0-6.0)
plasma insulin56 pmol/L (<21 after hypoglycaemia)
serum C-peptide514 pmol/L (180-360)
What is the most appropriate next step in management?

A) MR scan of pancreas to localise an insulinoma
B) request a urinary sulphonylurea screen on sample obtained during the fast
C) MR scan of abdomen and pelvis to localise a mesenchymal tumour producing insulin-like growth factor 2
D) coeliac axis angiography
E) obtain a careful history looking for access to exogenous insulin

3. A 25-year-old woman with type 1 diabetes mellitus was admitted to hospital with a 12-hour
history of nausea and lethargy.
On examination, her temperature was 37.5C, she was dehydrated and her Glasgow coma
score was 14. Urinalysis showed glucose 2+, ketones 3+, protein negative.
Investigations:
white cell count12.0 ? 109/L (4.0-11.0)
neutrophil count8.0 ? 109/L (1.5-7.0)
random plasma glucose22.0 mmol/L
arterial blood gases, breathing air:
pH7.20 (7.35-7.45)
serum C-reactive protein12 mg/L (<10)
She was treated with intravenous sodium chloride 0.9% and fixed-rate intravenous insulin
infusion, and initially improved. Twelve hours into her admission, she complained of a
headache.
On examination, her temperature was 37.3C and her Glasgow coma score was 15. Her
pulse was 85 beats per minute and her blood pressure was 110/70 mmHg. There was no
neck stiffness, papilloedema or focal neurological signs.
What is the most likely cause for her headache?

A) viral encephalitis
B) cerebral oedema
C) tension headache
D) bacterial meningitis
E) sagittal sinus thrombosis

4. A 76-year-old woman with type 2 diabetes mellitus was reviewed. Treatment with thiazolidinedione was being considered, but she was worried about the effect this medication might have on the incidence of complications. She had known background retinopathy.
What complication is more likely to worsen in a patient taking a thiazolidinedione?

A) cataract
B) retinal vein thrombosis
C) retinal haemorrhages
D) macular oedema
E) hard exudates

5. A 23-year-old woman presented to the outpatient clinic complaining of an inability to lose weight and irregular menses. Her food diary suggested that she consumed only 900 kilocalories daily. She had previously been found to have hypothyroidism and was treated with levothyroxine 75 micrograms daily.
On examination, her body mass index was 40.2 kg/m2 (18-25).
Investigations:
serum testosterone3.6 nmol/L (0.5-3.0) plasma follicle-stimulating hormone3.0 U/L (2.5-10.0) plasma luteinising hormone9.0 U/L (2.5-10.0) serum thyroid-stimulating hormone4.6 mU/L (0.4-5.0) serum free T412.8 pmol/L (10.0-22.0)
What is the most appropriate next step?

A) add metformin
B) titrate levothyroxine dosage
C) bariatric surgery
D) add orlistat
E) add exenatide

問題與答案：