Compact curriculum

The memory needs clues, but also the effective information is connected to the line, systematic study, in order to deepen the learner's impression, avoid the quick forgetting. Therefore, we can see that in the actual teaching process, how the course arrangement plays a crucial role in the teaching effect. The SEND study guide in order to allow the user to form a complete system of knowledge structure, the qualification examination of test interpretation and supporting course practice organic reasonable arrangement together, the SEND simulating materials let the user after learning the section of the new curriculum can through the way to solve the problem to consolidate, and each section between cohesion and is closely linked, for users who use the SEND exam prep: Endocrinology and Diabetes (Specialty Certificate Examination) to build a knowledge of logical framework to create a good condition.

Efficient use of fragmentation time

The SEND study guide to good meet user demand, will be a little bit of knowledge to separate memory, every day we have lots of fragments of time, such as waiting in line to take when you eat, or time in buses commute on the way by subway every day, don't look at the time, but when you add them together will be surprised to find a day we can make use of the time is so much debris. The SEND exam prep: Endocrinology and Diabetes (Specialty Certificate Examination) can allow users to use the time of debris anytime and anywhere to study and make more reasonable arrangements for their study and life. Choosing our SEND simulating materials is a good choice for you, and follow our step, just believe in yourself, you can do it perfectly!

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Convenient app tools

In order to facilitate the wide variety of users' needs the SEND study guide have developed three models with the highest application rate in the present - PDF, software and online. Online mode of another name is App of study materials, it is developed on the basis of a web browser, as long as the user terminals on the browser, can realize the application which has applied by the SEND simulating materials of this learning model, users only need to open the App link, you can quickly open the learning content in real time in the ways of the study materials, can let users anytime, anywhere learning through our App, greatly improving the use value of our SEND exam prep: Endocrinology and Diabetes (Specialty Certificate Examination), but also provide mock exams, timed test and on-line correction function, achieve multi-terminal equipment of common learning.

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

1. A 76-year-old man with a 17-year history of type 2 diabetes mellitus attended for his annual review. Comparison of his retinal screening report with the previous year's report showed that his visual acuity was unchanged at 6/9 in both eyes. The previous year's right eye retinal image had been reported as 'pre-proliferative retinopathy', whereas this year's was reported as 'pre-proliferative retinopathy with maculopathy'.
What is the most appropriate next step?

A) routine referral to an ophthalmologist
B) routine re-screen in 6 months
C) routine re-screen in 12 months
D) urgent referral to an ophthalmologist within 2 weeks
E) urgent re-screen within 2 weeks

2. A 24-year-old woman was referred with an 18-month history of worsening hirsutism, primarily on her face, but also new hair growth on her chest. She was shaving weekly. She had always been overweight, but had recently gained 5 kg and her body mass index was 31 kg/m2 (18-25). Her periods were regular.
What is the most relevant next investigation?

A) serum 17-hydroxyprogesterone
B) overnight dexamethasone suppression test (after 1 mg dexamethasone)
C) serum testosterone
D) serum dehydroepiandrosterone
E) plasma thyroid-stimulating hormone

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

4. A 46-year-old Afro-Caribbean man with sarcoidosis was found to have hypercalcaemia and was treated with prednisolone 20 mg/day. Within 3 weeks his serum calcium had fallen to within the reference range.
How do glucocorticoids reduce serum calcium in sarcoidosis?

A) increase intravascular fluid volume
B) reduces extrarenal 1-?-hydroxylase activity
C) promote urinary calcium excretion
D) direct calcium shift into cells
E) suppress parathyroid hormone secretion

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

Solutions: