100%保證通過第一次 SEND 考試

MRCPUK SEND 考古題根據最新考試主題編訂，適合全球的考生使用，提高考生的通過率。幫助考生一次性順利通過 MRCPUK SEND 考試，否則將全額退費，這一舉動保證考生利益不受任何的損失，還會為你提供一年的免費更新服務。

MRCPUK SEND 題庫資料不僅可靠性強，而且服務也很好。我們的 MRCPUK SEND 題庫的命中率高達100%，可以保證每個使用過 SEND 題庫的人都順利通過考試。當然，這也並不是說你就完全不用努力了。你需要做的就是，認真學習 MRCPUK SEND 題庫資料裏出現的所有問題。只有這樣，在 MRCPUK SEND 考試的時候你才可以輕鬆應對。

這是唯一能供給你們需求的全部的 MRCPUK SEND 認證考試相關資料的網站。利用我們提供的學習資料通過 SEND 考試是不成問題的，而且你可以以很高的分數通過 MRCPUK SEND 考試得到相關認證。

購買之前可享有免費試用 SEND 考古題

在購買 MRCPUK SEND 認證考試培訓資料之前，你還可以下載免費的 SEND 考古題樣本作為試用，這樣你就可以自己判斷 MRCPUK SEND 題庫資料是不是適合自己。在購買 MRCPUK SEND 考古題之前，你可以去本網站瞭解更多的資訊，更好地瞭解這個網站。您會發現這是當前考古題提供者中的佼佼者，我們的 MRCPUK SEND 題庫資源不斷被修訂和更新，具有很高的通過率。

我們正在盡最大努力為我們的廣大考生提供所有具備較高的速度和效率的服務，以節省你的寶貴時間，為你提供了大量的 MRCPUK SEND 考試指南，包括考題及答案。有些網站在互聯網為你提供的最新的 MRCPUK SEND 學習材料，而我們是唯一提供高品質的網站，為你提供優質的 MRCPUK SEND 培訓資料，在最新 MRCPUK SEND 學習資料和指導的幫助下，你可以第一次嘗試通過 MRCPUK SEND 考試。

由專家確定真實有效的 SEND 考古題

我們提供給大家關於 MRCPUK SEND 認證考試的最新的題庫資料，MRCPUK SEND 題庫資料都是根據最新的認證考試研發出來的，可以告訴大家最新的與 SEND 考試相關的消息。MRCPUK SEND 考試的大綱有什麼變化，以及 SEND 考試中可能會出現的新題型，這些內容都包括在了資料中。所以，如果你想參加 MRCPUK SEND 考試，最好利用我們 MRCPUK SEND 題庫資料，因為只有這樣你才能更好地準備 SEND 考試。

我們的題庫產品是由很多的資深IT專家利用他們的豐富的知識和經驗針對相關的 MRCPUK SEND 認證考試研究出來的。所以你要是參加 MRCPUK SEND 認證考試並且選擇我們的考古題，我們不僅可以保證為你提供一份覆蓋面很廣和品質很好的 MRCPUK SEND 考試資料，來讓您做好準備來面對這個非常專業的 SEND 考試，而且還幫你順利通過 MRCPUK SEND 認證考試，拿到 MRCPUK Certification 證書。

購買後，立即下載 SEND 題庫 (Endocrinology and Diabetes (Specialty Certificate Examination)): 成功付款後, 我們的體統將自動通過電子郵箱將您已購買的產品發送到您的郵箱。（如果在12小時內未收到，請聯繫我們，注意：不要忘記檢查您的垃圾郵件。）

最新的 MRCPUK Certification SEND 免費考試真題:

1. A 42-year-old policewoman presented with thirst, polyuria and tiredness of 3 months' duration. She gave a family history of thyrotoxicosis.
On examination, her pulse was 108 beats per minute and her blood pressure was 150/70 mmHg. She had a fine tremor and diffuse thyroid enlargement. She also had mild proptosis.
Investigations:
haemoglobin146 g/L (115-165)
platelet count164 ? 109/L (150-400)
serum sodium143 mmol/L (137-144)
serum creatinine135 umol/L (60-110)
serum corrected calcium3.60 mmol/L (2.20-2.60)
serum thyroid-stimulating hormone<0.02 mU/L (0.4-5.0)
serum free T431.9 pmol/L (10.0-22.0)
serum free T315.6 pmol/L (3.0-7.0)
What is the most appropriate next investigation?

A) 24-h urinary calcium
B) plasma parathyroid hormone
C) isotope bone scan
D) fine-needle aspiration of thyroid
E) serum phosphate

2. A 56-year-old man attended routine follow-up for treatment of hypogonadism of late onset. His only medication was testosterone undecanoate (1 g intramuscular injection, every 12 weeks). He had started this treatment 12 months previously and last received the injection 1 week before review.
Digital rectal examination was normal.
Investigations (baseline): haemoglobin145 g/L (130-180) haematocrit0.46 (0.40-0.52) serum prostate-specific antigen0.6 ug/L (<4)
Investigations (12 months after treatment):
haemoglobin153 g/L (130-180) haematocrit0.51 (0.40-0.52) serum prostate-specific antigen5.1 ug/L (<4)
What is the most appropriate next step in management?

A) reassure and repeat blood tests in 12 months
B) refer for urological assessment
C) check serum testosterone
D) stop testosterone therapy
E) decrease testosterone injection frequency to 14 weeks

3. A 42-year-old motor mechanic was referred to the dermatologist with small cauliflower-like deposits on the points of his elbows. He was generally well, but on systemic enquiry, he described intermittent claudication. He had previously been hypertensive, and was taking thyroxine for primary hypothyroidism.
On examination, he was moderately obese. He had xanthelasmata on the upper eyelids of both eyes and tuberoeruptive xanthomata on both elbows, both knees and the nape of the neck.
Investigations:
serum alanine aminotransferase78 U/L (5-35)
fasting plasma glucose7.8 mmol/L (3.0-6.0)
serum urate0.48 mmol/L (0.23-0.46)
serum cholesterol13.4 mmol/L (<5.2)
serum LDL cholesterolnot measurable
serum HDL cholesterol0.90 mmol/L (>1.55)
fasting serum triglycerides9.32 mmol/L (0.45-1.69)
apolipoprotein E genotypehomozygous for apolipoprotein E2
What is the most likely diagnosis?

A) familial combined hyperlipidaemia
B) abetalipoproteinaemia
C) heterozygous familial hypercholesterolaemia
D) lipoprotein lipase deficiency
E) type III hyperlipidaemia (dysbetalipoproteinaemia)

4. A 55-year-old man with mild polyuria and tiredness was seen on a renal ward. He had had a living-related kidney transplant 6 months previously. He had good graft function while being treated with prednisolone 5 mg daily, mycophenolate mofetil 1 g twice daily and tacrolimus 3 mg twice daily. He was also taking atenolol 50 mg daily and simvastatin 40 mg daily.
Investigations:
haemoglobin A1c75 mmol/mol (20-42)
random plasma glucose18.0 mmol/L
Which drug is most likely to be responsible for his diabetes of new onset?

A) prednisolone
B) mycophenolate mofetil
C) atenolol
D) tacrolimus
E) simvastatin

5. A 32-year-old man presented to the fertility clinic with his partner. The couple had been together for 4 years and had been trying to conceive for the past 3 years. His partner had children from a previous marriage.
On examination, he was healthy, thin and tall but had bilateral gynaecomastia. His testes felt firm and testicular volumes were 5-6 mL. He had normal pubic and axillary hair.
Investigations:
serum testosterone10.0 nmol/L (9.0-35.0) plasma follicle-stimulating hormone45.0 U/L (1.0-7.0) plasma luteinising hormone32.0 U/L (1.0-10.0)
chromosomal studiesmosaic pattern of 47 XXY/46 XY
semen analysisazoospermia testicular biopsyno viable spermatozoa
What intervention is most likely to lead to conception?

A) intracytoplasmic sperm injection
B) human chorionic gonadotropin
C) artificial insemination by donor
D) testosterone
E) pulsatile gonadotropin-releasing hormone

問題與答案：