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There is no doubt that the IT examination plays an essential role in the IT field. On the one hand, there is no denying that the SEND practice exam materials provides us with a convenient and efficient way to measure IT workers' knowledge and ability(SEND best questions). On the other hand, up to now, no other methods have been discovered to replace the examination. That is to say, the IT examination is still regarded as the only reliable and feasible method which we can take (SEND certification training), and other methods are too time- consuming and therefore they are infeasible, thus it is inevitable for IT workers to take part in the IT exam. However, how to pass the MRCPUK SEND exam has become a big challenge for many people and if you are one of those who are worried, congratulations, you have clicked into the right place--SEND practice exam materials. Our company is committed to help you pass exam and get the IT certification easily. Our company has carried out cooperation with a lot of top IT experts in many countries to compile the SEND best questions for IT workers and our exam preparation are famous for their high quality and favorable prices. The shining points of our SEND certification training files are as follows.

Only need to practice for 20 to 30 hours

You will get to know the valuable exam tips and the latest question types in our SEND certification training files, and there are special explanations for some difficult questions, which can help you to have a better understanding of the difficult questions. All of the questions we listed in our SEND practice exam materials are the key points for the IT exam, and there is no doubt that you can practice all of SEND best questions within 20 to 30 hours, even though the time you spend on it is very short, however the contents you have practiced are the quintessence for the IT exam. And of course, if you still have any misgivings, you can practice our SEND certification training files again and again, which may help you to get the highest score in the IT exam.

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

1. A 45-year-old woman attended for annual follow-up for long-standing hypoparathyroidism (a complication of thyroid surgery 5 years previously). She was asymptomatic. She was taking alfacalcidol 1 microgram daily.
Examination was unremarkable.
Investigations:
serum creatinine105 umol/L (60-110)
serum corrected calcium2.45 mmol/L (2.20-2.60)
24-h urinary calcium9.8 mmol (2.5-7.5)
What is the most appropriate next step in management?

A) add bendroflumethiazide
B) decrease alfacalcidol dosage
C) change alfacalcidol to teriparatide
D) recommend low-calcium diet
E) change alfacalcidol to calcitriol

2. 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) Graves' disease
C) subacute thyroiditis
D) thyroid carcinoma
E) haemorrhage into a thyroid cyst

3. A 56-year-old woman presented with a swelling in her neck, which she had noticed by chance 6 weeks previously. The swelling had not changed in size since she first noticed it, and was completely asymptomatic.
On examination, there was a smooth nodule in the thyroid that moved up on swallowing and there was no lymphadenopathy.
Investigations:
ultrasound scan of thyroidsingle 4.7-cm hypoechoic nodule
in upper left lobe
serum thyroid-stimulating hormone0.8 mU/L (0.4-5.0)
What is the most appropriate next step in management?

A) FDG-PET CT scan
B) serial ultrasound examinations
C) isotope uptake scan
D) hemithyroidectomy
E) fine-needle aspiration for cytology

4. A 26-year-old man with type 1 diabetes mellitus attended a carbohydrate-counting course to facilitate tighter glucose control. He estimated that his carbohydrate ratio was 1:10 and 1 unit correction dose reduced his glucose by 3.0 mmol/L.
He planned to eat a meal containing 50 g of carbohydrate. His pre-meal glucose was 16.0 mmol/L with a target blood glucose of 7.0 mmol/L.
What is the correct dose of bolus insulin (units) that he should administer?

A) 6
B) 2
C) 4
D) 10
E) 8

5. Carbimazole is routinely used in the management of thyroid disease.
What does carbimazole inhibit?

A) sodium/iodide symporter
B) presentation of thyroid antigens to autoreactive T cells
C) thyroglobulin synthesis
D) thyroid peroxidase
E) deiodinase type 1

Solutions: