We take the leader position in the career of assisting the candidates in passing their SEND Free Download exams and gaining their dreaming certifications. On the way to be successful, a large number of the candidates feel upset or disturbed when they study with the books or other SEND Free Download exam materials. With our high pass rate as 98% to 100%, which is provided and tested by our worthy customers, you will be encouraged to overcome the lack of confidence and establish your determination to pass SEND Free Download exam. The refund procedures are very simple if you provide the SEND Free Download exam proof of the failure marks we will refund you immediately. If any questions or doubts exist, the client can contact our online customer service or send mails to contact us and we will solve them as quickly as we can. Understanding and mutual benefits are the cordial principles of services industry.
MRCPUK Certification SEND Many customers may be doubtful about our price.
Even if you have a week foundation, I believe that you will get the certification by using our SEND - Endocrinology and Diabetes (Specialty Certificate Examination) Free Download study materials. Our Latest Test SEND Simulator Online exam questions are compiled by experts and approved by authorized personnel and boost varied function so that you can learn Latest Test SEND Simulator Online test torrent conveniently and efficiently. We provide free download and tryout before your purchase and if you fail in the exam we will refund you in full immediately at one time.
You are the best and unique in the world. Just be confident to face new challenge! As the old saying tells that, he who doesn't go advance will lose his ground.
You will never worry about the MRCPUK SEND Free Download exam.
To cope with the fast growing market, we will always keep advancing and offer our clients the most refined technical expertise and excellent services about our SEND Free Download exam questions. In the meantime, all your legal rights will be guaranteed after buying our SEND Free Download study materials. For many years, we have always put our customers in top priority. Not only we offer the best SEND Free Download training prep, but also our sincere and considerate attitude is praised by numerous of our customers.
Our company committed all versions of SEND Free Download practice materials attached with free update service. When SEND Free Download exam preparation has new updates, the customer services staff will send you the latest version.
SEND PDF DEMO:
QUESTION NO: 1
A 17-year-old boy with a 7-year history of type 1 diabetes mellitus was transferred to the adolescent diabetes clinic. He had a history of poor clinic attendance. He admitted to having lost weight recently. His eyes had been photographed by a community ophthalmologist 1 week previously. A photograph of the right fundus is shown (see image).
Investigations:
haemoglobin A1c104 mmol/mol (20-42)
What is the most likely explanation for the retinal appearance?
A. benign choroidal naevus
B. drusen
C. macular oedema
D. preproliferative diabetic retinopathy
E. retinitis pigmentosa
Answer: A
QUESTION NO: 2
A 61-year-old woman was referred to the blood pressure clinic because of refractory hypertension. One year previously, her blood pressure, urea and electrolytes had been normal. Her current therapy included verapamil modified-release 240 mg daily and doxazosin 16 mg daily.
On examination, she was 1.63 m tall and weighed 90 kg with an elevated waist to hip ratio. Her blood pressure was 182/94 mmHg supine.
Investigations:
serum sodium137 mmol/L (137-144)
serum potassium2.8 mmol/L (3.5-4.9)
serum creatinine79 umol/L (60-110)
plasma renin activity (after 30 min supine)<1.1 pmol/mL/h (1.1-2.7)
plasma aldosterone (after 30 min supine)<135 pmol/L (135-400)
What is the most appropriate investigation?
A. 24-h urinary electrolytes
B. 24-h urine to assess free cortisol:cortisone ratio
C. analysis of the SCNN1B and SCNN1G genes
D. overnight dexamethasone suppression test
E. repeat renin and aldosterone concentrations after stopping verapamil for 2 weeks
Answer: D
QUESTION NO: 3
A 16-year-old boy was referred to the endocrine clinic. He was concerned about his growth and pubertal development. He was well with no significant medical history. He had felt his development had lagged behind his peers for the previous 2 years and he had been the shortest in his class for some time and was being bullied.
General examination was normal. His height was 1.53 m and weight 52.4 kg. He had Tanner stage 3 genitalia and pubic hair. Axillary hair was present. Testicular volumes were 6 mL bilaterally.
Investigations:
serum testosterone4.4 nmol/L (9.0-35.0)
plasma follicle-stimulating hormone2.5 U/L (1.0-7.0)
plasma luteinising hormone1.8 U/L (1.0-10.0)
serum insulin-like growth factor 134.5 nmol/L (9.3-56.0)
insulin tolerance test:
What is the most appropriate treatment?
A. growth hormone 0.4 mg subcutaneously per day
B. hydrocortisone 15 mg am, 5 mg pm
C. reassure and review
D. testosterone 50 mg intramuscularly per month
E. testosterone 250 mg intramuscularly per month
Answer: D
QUESTION NO: 4
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. chronic pancreatitis
B. latent-onset diabetes of autoimmunity
C. maturity-onset diabetes of the young
D. type 1 diabetes mellitus
E. type 2 diabetes mellitus
Answer: C
QUESTION NO: 5
A 30-year-old man was reviewed in the diabetes clinic. He had type 1 diabetes mellitus of 6 months' duration, treated with subcutaneous insulin in a basal bolus regimen (short-acting insulin three times daily; long-acting insulin once daily).
Investigations:
haemoglobin A1c52 mmol/mol (20-42)
At what arterialised venous blood glucose threshold would a patient typically expect to develop neuroglycopenic symptoms?
A. <2.3 mmol/L
B. 2.3-2.6 mmol/L
C. 2.7-3.0 mmol/L
D. 3.1-3.4 mmol/L
E. 3.5-3.9 mmol/L
Answer: C
You will come across almost all similar questions in the real Fortinet FCP_FGT_AD-7.4 exam. So prepared to be amazed by our CIW 1D0-671 learning guide! As is known to us, our company has promised that the Juniper JN0-683 exam braindumps from our company will provide more than 99% pass guarantee for all people who try their best to prepare for the exam. So grapple with this chance, our SAP C_LCNC_2406 learning materials will not let you down. we can claim that with our SAP C_TS4FI_2023 practice engine for 20 to 30 hours, you will be quite confident to pass the exam.
Updated: May 27, 2022