最省時最高效的學習方法

我們的SEND練習材料有三種不同版本：PDF，軟件版本和APP在線版本。它們為不同的考生提供了選擇其研究方法的可能性。如果您是辦公室工作人員，您可以在地鐵或公交車上學習SEND真實考試的在線版本；如果你是一名學生，你可以在排隊吃飯時復習；如果你是家庭主婦，你可以在孩子睡覺時學習。同時，我們的學習資料支持離線學習，避免了沒有網絡就無法學習的情況。同時，使用SEND測試引擎進行審核，讓您從標題中就能查看知識點，不僅可以讓您更深刻地記住知識點，還可以讓您避免閱讀書籍的枯燥過程。

語言易於理解

作為一個行業新人，專業書籍中那些難以理解的單詞和表達常常讓你感到懊惱，但SEND練習材料將幫助你完美地解決這個問題。由學習材料聘請的行業專家，將通過示例，圖表等解釋所有難以理解的專業詞彙。 SEND實際測試中使用的所有語言都非常簡單易懂。使用我們的學習資料，您不必擔心您無法理解解專業書籍的內容。你也不需要花費昂貴的學費去輔導班。 SEND測試引擎可以幫助您解決學習中的所有問題。

保證100％通過

我們相信所有購買SEND練習材料的學生只要能夠按照我們的學習材料提供的內容，每天進行學習，並通過模擬考試定期自我檢驗，就能順利通過專業資格考試。一旦您不幸使用我們的SEND真實考試題庫未通過考試，我們將全額退款。退款流程非常簡單。只要您向員工提供您的成績單，您很快就會收到退款。當然，在您購買之前，我們的學習資料將為您提供免費試用服務，只要您登錄我們的網站，您就可以免費下載我們的試用版。我相信在您嘗試SEND測試引擎後，您會愛上它們。

SEND練習材料不僅適用於學生，也適用於上班族;不僅適用於工作的退伍軍人，也適用於新招募的新人。我們的學習材料使用非常簡單易懂的語言，以確保所有人都能學習和理解。 SEND真正的考試也可以讓你避免課本閱讀的枯燥，但讓你掌握練習過程中的所有重要知識。選擇SEND測試引擎的原因如下。

下載最新試用版

最新的 MRCPUK Certification SEND 免費考試真題:

1. A 40-year-old man presented with a 4-month history of increasing central obesity. His medical history included HIV infection and allergic rhinitis. He was taking highly active antiretroviral therapy and nasal fluticasone.
On examination, he had marked central adiposity. His blood pressure was 160/95 mmHg.
Investigations:
serum sodium140 mmol/L (137-144)
serum potassium3.8 mmol/L (3.5-4.9)
serum cholesterol5.5 mmol/L (<5.2)
fasting serum triglycerides8.20 mmol/L (0.45-1.69)
serum cortisol (09.00 h)<50 nmol/L (200-700)
serum thyroid-stimulating hormone4.6 mU/L (0.4-5.0)
serum free T49.3 pmol/L (10.0-22.0)
What is the most likely diagnosis?

A) hypothyroidism
B) Addison's disease
C) HIV-associated lipodystrophy
D) glucocorticoid resistance
E) Cushing's syndrome

2. A 50-year-old man with a 9-year history of type 2 diabetes mellitus presented with excessive tiredness. His partner said that he snored excessively. His haemoglobin A1c was usually between 64 and 75 mmol/mol (20-42). He was taking glimepiride 4 mg daily and orlistat. He was intolerant of metformin.
On examination, he had reduced sensation to a 10-g monofilament, and extensive background diabetic retinal changes. His Epworth sleepiness score was 13/24. His body mass index was 36 kg/m2 (18-25) despite compliance with orlistat.
According to the NICE guidelines (CG87, May 2009), what is the most appropriate treatment?

A) bariatric surgery
B) glucagon-like peptide-1 agonist
C) dipeptidyl peptidase-4 inhibitor
D) acarbose
E) basal bolus insulin

3. A 72-year-old woman was referred for bone density assessment after sustaining a fracture of her right ankle after a minor fall. She had previously fractured her right wrist after tripping in the street. Her past medical history included occasional angina relieved by glyceryl trinitrate spray and a previous deep venous thrombosis. Her medication comprised aspirin, simvastatin, alendronic acid, and calcium and vitamin D, which she had been taking regularly for 2 years.
Investigations:
DXA scan of spine (L2-L4)T score -2.4
DXA scan of total hipT score -2.8
What is the most appropriate treatment?

A) switch alendronic acid to strontium ranelate
B) switch alendronic acid to pamidronate
C) switch alendronic acid to teriparatide
D) continue alendronic acid
E) switch alendronic acid to raloxifene

4. A 17-year-old boy with a 10-year history of type 1 diabetes mellitus was admitted with diabetic ketoacidosis after a night of binge drinking.
He was treated appropriately with a fixed-rate intravenous insulin infusion and intravenous sodium chloride 0.9%.
Twenty-four hours after admission, he was eating and drinking normally. He was taking his usual doses of subcutaneous insulin and his urinary ketones were undetectable.
Investigations (6 hours previously):
venous blood gases, breathing air: PO25.6 kPa PCO23.8 kPa pH7.29 bicarbonate16 mmol/L base excess-1 mmol/L
lactate1.1 mmol/L
What is the likely most cause of these results?

A) alcohol toxicity
B) continued ketonaemia
C) concurrent aspirin ingestion
D) hyporeninaemic hypoaldosteronism
E) hyperchloraemia

5. A 48-year-old man with an 8-year history of type 2 diabetes mellitus was referred because of poor glycaemic control. He had a history of myocardial infarction complicated by previous congestive cardiac failure. His current medication comprised metformin 850 mg three times daily and gliclazide 80 mg once daily. He had gained weight and his body mass index was 31 kg/m2 (18-25).
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium4.4 mmol/L (3.5-4.9)
serum creatinine136 umol/L (60-110)
haemoglobin A1c74 mmol/mol (20-42)
According to NICE guidelines (CG87, May 2009), what is the most appropriate immediate next step in management to improve his glycaemic control?

A) start insulin treatment
B) add pioglitazone
C) increase the dose of gliclazide
D) add exenatide
E) add sitagliptin

問題與答案：