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 20-year-old man presented with a 6-month history of lethargy and weakness. His brother had been found to have adrenal failure at the age of 18. He had two sisters who were well and there was no other family history of endocrine autoimmune disease.
On examination, his blood pressure was 100/60 mmHg.
Investigations:
serum sodium136 mmol/L (137-144)
serum potassium4.8 mmol/L (3.5-4.9)
short tetracosactide (Synacthen@) test (250 micrograms):
baseline serum cortisol100 nmol/L
serum cortisol (30 min after tetracosactide)250 nmol/L (>550)
anti-adrenal antibodiesnegative
What is the most important diagnosis to consider?

A) tuberculosis
B) autoimmune hypoadrenalism
C) adrenoleucodystrophy
D) familial glucocorticoid resistance
E) isolated adrenocorticotropic hormone deficiency

2. A 54-year-old man was referred to the diabetes foot clinic with a plantar foot ulcer of 3 months' duration under the right first metatarsal head. He had a 10-year history of type 2 diabetes mellitus. He lived alone and had to do his own shopping and cleaning.
On examination, the ulcer was 3 ? 2 cm in area, 4 mm in depth, and had a clean granulating base. He had strong palpable pedal pulses and sensory neuropathy in both feet.
What is the most effective intervention to heal this ulcer?

A) ambulatory vacuum-assisted pump therapy
B) total contact casting
C) removable pressure-relieving boot
D) long-term oral antibiotics
E) Manuka honey-impregnated wound dressing

3. A 58-year-old man was referred to the endocrine clinic after a CT scan of abdomen had shown a 4.5-cm left adrenal mass, with a Hounsfield unit measurement of 11 (consistent with high lipid content). He had a 10-year history of type 2 diabetes mellitus and was taking metformin. He was also taking atenolol for hypertension.
On examination at the clinic, his blood pressure was 162/94 mmHg. He was centrally obese with a body mass index of 27 kg/m2 (18-25).
Investigations:
serum potassium3.9 mmol/L (3.5-4.9)
plasma renin activity (after 30 min upright)1.0 pmol/mL/h (3.0-4.3)
plasma aldosterone (after 4 h upright)680 pmol/L (330-830)
overnight dexamethasone suppression test (after 1 mg dexamethasone):
serum cortisol164 nmol/L (<50)
24-h urinary free cortisol132 nmol (55-250)
24-h urinary catecholamines
(adrenaline and noradrenaline)normal
As the lesion was >4 cm in diameter, laparoscopic adrenalectomy was recommended.
What is the most appropriate advice to give to the surgical team about perioperative
management?

A) no special precautions are required
B) give preoperative ?-adrenergic receptor blockade in case the lesion is an occult phaeochromocytoma
C) short tetracosactide (Synacthen@) test 48 h postoperatively
D) give corticosteroid cover during and after surgery and reassess postoperatively
E) measure cortisol and aldosterone 2 weeks postoperatively

4. A 16-year-old girl presented with primary amenorrhoea. In early childhood she had undergone an inguinal herniorrhaphy. She had no other medical history of note. There was a family history of infertility affecting a maternal aunt.
On examination, she had adult breast development but no pubic or axillary hair. Examination was otherwise normal.
What test is most likely to aid diagnosis?

A) MR scan of pituitary and olfactory bulbs
B) ultrasound scan of pelvis
C) ovarian antibody titres
D) plasma gonadotropins
E) blood karyotype

5. A 35-year-old woman was referred with a left lower thyroid lesion. She was asymptomatic.
Examination confirmed the presence of a 2 ? 3-cm, firm, mobile, non-tender mass.
Investigations:
ultrasound-guided fine-needle aspiration biopsyThy 5
How is Thy 5 defined?

A) abnormal, suspicious (but not diagnostic of) malignancy
B) abnormal, diagnostic of malignancy
C) follicular lesions
D) non-neoplastic (consistent with nodular goitre or thyroiditis)
E) non-diagnostic or inadequate

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