퍼펙트한 시험대비자료

SEND 최신덤프는 SEND실제시험의 모든 범위를 커버하고 있고 모든 시험유형이 포함되어 있어 시험대비 공부의 완벽한 선택입니다.최신버전 덤프는 Endocrinology and Diabetes (Specialty Certificate Examination)시험문제에 근거하여 만들어진 시험준비 공부가이드로서 학원공부 필요없이 덤프공부 만으로도 시험을 한방에 패스할수 있습니다.자격증을 취득하시면 국제적으로 인정받기에 취직이나 승진 혹은 이직에 힘을 가해드립니다.

구매전 덤프 샘플문제 다운

SEND덤프를 구매하기전에 사이트에서 해당 덤프의 무료샘플을 다운받아 덤프품질을 체크해보실수 있습니다. Endocrinology and Diabetes (Specialty Certificate Examination)덤프를 구매하시면 구매일로부터 1년내에 덤프가 업데이트된다면 업데이트된 버전을 무료로 제공해드립니다.만약 SEND덤프를 구매하고 공부한후 SEND시험에서 떨어지면 60일내 주문은 덤프비용 전액을 환불해드려 고객님의 이익을 최대한 보장해드립니다.

시험전 20-30시간의 공부시간

자격증을 취득하려면 오랜시간동안 시험공부를 해야 한다고 생각하시는 분들이 많습니다. 하지만 이는 SEND덤프가 아닌 다른 공부방법에 적용되는 보편적인 생각일뿐입니다. SEND덤프를 공부하시는데는 20~30시간만 사용하시면 됩니다.덤프만 있으면 다른 공부자료는 필요하지 않습니다.덤프는 Endocrinology and Diabetes (Specialty Certificate Examination)시험문제의 모든 범위와 유형을 포함하고 있어 SEND덤프에 있는 문제와 답만 기억하시면 시험문제가 변경되지 않는다면 합격을 예약한것과 같다고 보시면 됩니다.

우선 시험센터에서 정확한 시험코드를 확인하고 그 코드와 동일한 코드로 되어있는 덤프를 구매하셔서 덤프에 있는 문제와 답을 기억하시면 시험을 쉽게 패스하실수 있습니다. SEND덤프는 가장 최근 기출문제를 기준으로 제작되기에 Endocrinology and Diabetes (Specialty Certificate Examination)시험문제가 변경되지 않는한 100%에 가까운 적중율을 보장해 시험에서 패스하는데 가장 좋은 동반자로 되어드릴것입니다.

DOWNLOAD DEMO

MRCPUK SEND 시험 요강 주제:

최신 MRCPUK Certification SEND 무료샘플문제

1. A 28-year-old woman was referred with an 8-year history of progressive weight gain, hypertension and abdominal striae. She had no family history of note and was not taking any medication.
On examination, her blood pressure was 158/86 mmHg. There was central obesity with abdominal striae. There was mild proximal myopathy of the lower limbs.
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium3.4 mmol/L (3.5-4.9)
low-dose dexamethasone suppression test (2 mg/day for 48 h):
serum cortisol180 nmol/L (<50)
An MR scan of pituitary showed an invasive adenoma extending laterally into the cavernous sinuses bilaterally. Superiorly, the adenoma was in contact with, but not distorting, the optic chiasm. Formal visual field examination was normal.
What is the most appropriate next step in management?

A) pituitary radiotherapy
B) bilateral adrenalectomy
C) adrenolytic therapy
D) somatostatin agonist therapy
E) trans-sphenoidal hypophysectomy

2. A 54-year-old woman was referred for assessment of low bone mineral density. Three months previously, after complaining of bloating and flatulence, she had been found to have coeliac disease and had been started on a gluten-free diet. She had no history of fracture and had not lost height. There was no family history of osteoporosis. Her only medication was omeprazole.
Investigations:
serum corrected calcium2.42 mmol/L (2.20-2.60) serum alkaline phosphatase122 U/L (45-105)
plasma parathyroid hormone7.9 pmol/L (0.9-5.4)
DXA scansee image What is the most appropriate treatment?

A) alendronic acid, and calcium and vitamin D
B) calcium and vitamin D, and intravenous zoledronic acid
C) strontium ranelate
D) calcium and vitamin D
E) alendronic acid alone

3. A 25-year-old woman with type 1 diabetes mellitus presented with light-headedness, nausea, thirst and vomiting of 3 days' duration. She was fully conscious.
On examination, her pulse was 104 beats per minute and her blood pressure was 104/64 mmHg. Urinalysis showed glucose 2+, ketones 3+.
Investigations:
serum sodium150 mmol/L (137-144)
serum potassium5.5 mmol/L (3.5-4.9)
serum chloride105 mmol/L (95-107)
serum urea5.0 mmol/L (2.5-7.0)
serum creatinine90 umol/L (60-110)
random plasma glucose20.0 mmol/L
arterial blood gases, breathing air:
PO212.4 kPa (11.3-12.6)
PCO23.4 kPa (4.7-6.0)
pH7.15 (7.35-7.45)
H+70 nmol/L (35-45)
bicarbonate6 mmol/L (21-29)
What intravenous fluid should be given over the first 30 minutes?

A) colloid solution
B) sodium chloride 0.45%
C) sodium chloride 0.18% and glucose 4%
D) compound sodium lactate
E) sodium chloride 0.9%

4. A 52-year-old woman had been found to have type 2 diabetes mellitus approximately 6
months previously.
Investigations:
haemoglobin A1c50 mmol/mol (20-42)
What is the lifetime risk of her identical twin sister also developing type 2 diabetes mellitus?

A) 40-50%
B) 20-30%
C) <5%
D) >60%
E) 5-10%

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

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