Responsible staff

For a long time, our company is insisting on giving back to our customers. Also, we have benefited from such good behavior. Our SEND exam prep has gained wide popularity among candidates. Every worker in our company sticks to their jobs all the time. No one complain about the complexity of their jobs. Our researchers and experts are working hard to develop the newest version study materials. Every detail of the SEND exam guide: Endocrinology and Diabetes (Specialty Certificate Examination) is going through professional evaluation and test. Other workers are also dedicated to their jobs. Even the proofreading works of the study materials are complex and difficult. They still attentively accomplish their tasks. Please have a try and give us an opportunity. Our SEND preparation exam will totally amaze you and bring you good luck.

Easy to pass the exam

We all know that it is not easy to prepare the SEND exam; there are thousands of candidates to compete with you. So it is a fierce competition. If you want to win out in the exam, you need the professional study materials to guide you. Our study materials are confident to ensure that you will acquire the SEND certificate. We have three versions packages of the study materials to help you comprehensively. Also, all contents are carefully prepared by our researchers. So you needn't to read and memorize the boring reference books of the SEND exam. Most people have successfully passed the exam under the assistance of our study materials. So try to trust us. Our SEND exam guide: Endocrinology and Diabetes (Specialty Certificate Examination) study materials will help you generate a wonderful life.

As we all know, it is not easy to get promotion. Firstly, you must be good at finishing your work excellently. Also, you must accumulate much experience and knowledge. If you urgently want to stand out in your company, our SEND exam guide: Endocrinology and Diabetes (Specialty Certificate Examination) can help you realize your aims in the shortest time. At the same time, you can obtain the job qualification MRCPUK certificate, which shows you have acquired many skills. In this way, your value is greatly increased in your company. Then sooner or later you will be promoted by your boss. Our SEND preparation exam really suits you best.

Worthwhile investment

You can imagine that you just need to pay a little money for our SEND exam prep, what you acquire is priceless. So it equals that you have made a worthwhile investment. Firstly, you will learn many useful knowledge and skills from our SEND exam guide: Endocrinology and Diabetes (Specialty Certificate Examination), which is a valuable asset in your life. After all, no one can steal your knowledge. In addition, you can get the valuable MRCPUK certificate. A lot of people are dreaming to pass the exam. Also, you can start your own business after you totally master the skills of the SEND preparation exam expertly. Quickly, you will become the millionaire. Then it is time for others to envy your luxury life. All in all, our SEND exam prep is worth for investing. After all, you are the main beneficiary. Please follow your hearts and begin your new challenges bravely.

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

1. A 55-year-old man with type 2 diabetes mellitus presented with foot swelling and discomfort. He had a peripheral sensory neuropathy attributed to diabetes mellitus. A midfoot Charcot's arthropathy was suspected, and a plain X-ray was arranged (see image).

Which is the talonavicular joint?

A) 3
B) 2
C) 4
D) 5
E) 1

2. A 17-year-old boy was concerned about his height. He had been treated for Crohn's disease since the age of 13 with a combination of topical and systemic corticosteroids and azathioprine. He was currently taking mercaptopurinE.
On examination, his height was on the 25th centile.
Investigations:
X-ray of right kneesee image

What is the most appropriate next step in management?

A) refer for leg lengthening surgery
B) investigate for growth hormone deficiency
C) treat with growth hormone
D) advise him that growth is complete
E) advise him that he will continue to grow for 12 months

3. A 73-year-old man had been attending the diabetes clinic for 6 weeks with an ulcer on his right second metatarsal head. He had been receiving regular podiatry and offloading.
What new feature in the appearance of his foot is most likely to suggest the need to start antibiotics?

A) tracking sinus
B) increase in ulcer size
C) skin redness around ulcer
D) ulcer probing to bone
E) pain around ulcer

4. A 56-year-old man was referred to the diabetes clinic for conversion to insulin. He was taking metformin 1 g three times daily, gliclazide 160 mg twice daily and pioglitazone 45 mg daily. He drank no alcohol.
On examination, his body mass index was 41 kg/m2 (18-25). Abdominal examination showed a 2-cm, smooth, non-tender liver edge.
Which liver function test is the best marker of non-alcoholic fatty liver disease in type 2 diabetes mellitus?

A) gamma glutamyl transferase
B) bilirubin
C) alkaline phosphatase
D) aspartate aminotransferase
E) alanine aminotransferase

5. A 19-year-old man was seen in the diabetes clinic. He had lost 2 kg in weight since the diagnosis of diabetes mellitus 18 months previously. At presentation, his body mass index was 33 kg/m2 (18-25), his random plasma glucose was 18.0 mmol/L and his haemoglobin A1c was 56 mmol/mol (20-42). He was taking gliclazide, and metformin had been added later. His father and grandfather had developed diabetes mellitus during their twenties.
Investigations:
haemoglobin A1c56 mmol/mol (20-42)
serum C-peptide301 pmol/L (180-360)
anti-glutamic acid decarboxylase (GAD)
antibodiesnegative
What is the most likely diagnosis?

A) latent-onset diabetes of autoimmunity
B) type 1 diabetes mellitus
C) type 2 diabetes mellitus
D) maturity-onset diabetes of the young
E) chronic pancreatitis

Solutions: