MRCPUK MRCPUK Certification SEND

경쟁율이 치열한 IT시대에 SEND시험을 패스하여 자격증을 취득함으로 IT업계 관련 직종에 종사하고자 하시는 분들께는 아주 큰 가산점이 될수 있고 자신만의 위치를 보장할수 있으며 더욱이는 한층 업된 삶을 누릴수 있을수도 있습니다. SEND덤프로 SEND시험에서 실패하면 SEND덤프비용을 보상해드리기에 안심하고 시험준비 하셔도 됩니다.

가장 최근 출제된 SEND인증시험문제를 바탕으로 만들어진 적중율 최고인 SEND덤프로 간단한 시험패스는 더는 꿈이 아닙니다. SEND덤프는 pdf버전과 온라인버전으로 되어있는데 pdf버전은 출력가능하고 온라인버전은 휴대폰에서도 사용가능합니다. SEND덤프를 패키지로 구매하시면 더 저렴한 가격에 구매하실수 있습니다.

SEND인기덤프자료는 고객님의 IT업계 종사자로서의 전환점이 될수 있습니다. SEND시험을 패스하여 자격증을 취득하여 승진 혹은 연봉협상 방면에서 자신만의 위치를 지키고 더욱 멋진 IT인사로 거듭날수 있도록 고고싱할수 있습니다. 인기 높은 SEND덤프자료는 시중에서 가장 최신버전으로서 시험패스를 보장해드립니다.

SEND시험을 빨리 패스해야 되는데 어디서부터 어떻게 시험준비를 시작해야 하는지 갈피를 잡을수 없는 분들은 저희 사이트를 주목해주세요. SEND 최신버전 덤프만 공부하면 시험패스에 자신이 생겨 불안한 상태에서 벗어날수 있습니다. SEND덤프는 시장에서 가장 최신버전이기에 최신 시험문제의 모든 시험범위와 시험유형을 커버하여 SEND시험을 쉽게 패스하여 자격증을 취득하여 찬란한 미래에 더 다가갈수 있도록 도와드립니다.

MRCPUK SEND 시험 요강 주제:

최신 MRCPUK Certification SEND 무료샘플문제

1. A 56-year-old man presented with a 6-month history of erectile dysfunction. He had noticed a gradual reduction in his frequency of shaving from daily to twice a week. His libido had diminished and he felt that he was not as strong as he once was. He also described general aches and pains. He was a farm worker and had drunk a bottle of vodka daily for several years, but had stopped drinking 2 years previously. He was a non-smoker.
Investigations:
serum urea6.2 mmol/L (2.5-7.0)
serum creatinine89 umol/L (60-110)
serum albumin40 g/L (37-49)
serum total bilirubin17 umol/L (1-22) serum alanine aminotransferase48 U/L (5-35) serum aspartate aminotransferase37 U/L (1-31) haemoglobin A1c55 mmol/mol (20-42)
serum cortisol (09.00 h)389 nmol/L (200-700) serum testosterone0.7 nmol/L (9.0-35.0) plasma follicle-stimulating hormone2.1 U/L (1.0-7.0) plasma luteinising hormone2.4 U/L (1.0-10.0) serum prolactin458 mU/L (<360) serum thyroid-stimulating hormone3.4 mU/L (0.4-5.0)
MR scan of pituitarysee image

What is the most likely explanation of his symptoms?

A) cirrhosis of liver
B) pituitary adenoma
C) haemochromatosis
D) age-related hypogonadism
E) hyperprolactinaemia

2. A 37-year-old woman presented with a 2-year history of increasingly frequent flushing episodes. She described alternating loose bowel motions and constipation. She had also noted menstrual irregularity. She had no respiratory symptoms. She denied headache or chest pain, but complained of palpitations.
On examination, she appeared well. Her blood pressure was 128/82 mmHg.
Investigations:
serum thyroid-stimulating hormone0.8 mU/L (0.4-5.0)
What is the most appropriate next investigation?

A) plasma metanephrines
B) serum gonadotrophins
C) fasting plasma gut hormones
D) urinary metanephrines
E) urinary 5-hydroxyindoleacetic acid

3. A 60-year-old man with type 2 diabetes mellitus attended for an elective laparoscopic cholecystectomy. His oral hypoglycaemic medication regimen was metformin 1 g twice daily and gliclazide 160 mg twice daily. His haemoglobin A1c concentration had been 69 mmol/mol (20-42) when checked 2 months previously.
He was admitted on the morning of surgery and was on the morning list. He had fasted from midnight and taken metformin 1 g at 05.00 h.
On examination, he weighed 82 kg.
Investigations (on admission):
serum creatinine64 umol/L (60-110)
fasting plasma glucose18.1 mmol/L (3.0-6.0)
capillary blood ketones0.2 mmol/L (<1)
According to the Joint British Diabetes Societies guideline 'Management of adults with diabetes undergoing surgery and elective procedures', what is the most appropriate next step in management to bring his preoperative glucose into the acceptable range (4.0-12.0 mmol/L)?

A) rapid-acting analogue insulin 8 units subcutaneously
B) cancel surgery and refer to local diabetes team
C) rapid-acting analogue insulin 16 units subcutaneously
D) variable-rate insulin infusion
E) gliclazide 160 mg orally

4. A 17-year-old Caucasian girl presented with primary amenorrhea.
On examination, her body mass index was 21 kg/m2 (18-25). Her body habitus was normal and she had appropriate breast development. There was no hirsutism or acne.
Investigations:
serum oestradiol<180 pmol/L (200-400) serum testosterone31.7 nmol/L (0.5-3.0) serum follicle-stimulating hormone4.0 U/L (2.5-10.0) serum luteinising hormone6.0 U/L (2.5-10.0)
What is the most likely diagnosis?

A) ovarian hyperthecosis
B) complete androgen insensitivity syndrome
C) adrenocortical carcinoma
D) androgen-secreting ovarian tumour
E) polycystic ovary syndrome

5. A 43-year-old man presented with a 2-year history of tiredness and reduced libido. He had not been found to have diabetes mellitus.
On examination, his body mass index was 22.4 kg/m2 (18-25), he was poorly virilised and had 10 mL testes.
Investigations:
serum cortisol (09.00 h)220 nmol/L (200-700) serum testosterone4 nmol/L (9.0-35.0) plasma follicle-stimulating hormone1.2 U/L (1.0-7.0) plasma luteinising hormone1.2 U/L (1.0-10.0) serum prolactin150 mU/L (<360) serum thyroid-stimulating hormone1.2 mU/L (0.4-5.0) serum free T48.2 pmol/L (10.0-22.0)
serum insulin-like growth factor 17.8 nmol/L (5.6-23.3)
MR scan of pituitaryempty sella; no mass lesion
An insulin tolerance test was advised to assess both cortisol and growth hormone reserve.
What is the most appropriate dose of insulin (in units/kg body weight) to administer?

A) 0.05
B) 0.5
C) 0.1
D) 1.0
E) 0.01

질문과 대답: