SEND시험덤프에 관하여

높은 적중율을 자랑하는 덤프로 시험에 도전

SEND시험패스의 고민을 버리시려면 저희 사이트에서 출시한 SEND덤프를 주문하세요. 결제하시면 바로 다운가능한 시스템이라 다른 사이트보다 빠른 시간내에 SEND덤프를 받아볼수 있습니다. SEND덤프는 오랜 시간과 정력을 투자하여 만들어낸 완벽한 시험자료로서 SEND덤프를 구매하고 공부하였는데도 시험에서 떨어졌다면 불합격성적표와 주문번호를 보내오시면 SEND덤프비용은 바로 환불해드립니다.

덤프 구매에 관한 정보

만약 회사에서 승진하고 싶으시다면 자신의 가치를 높이는것이 길이 아닌가 싶습니다. 자신의 가치를 높이는데 있어서 자격증 취득이 가장 중요한 수단입니다. SEND시험부터 자격증에 도전해보세요.구매후 SEND덤프가 업데이트되면 업데이트된 버전을 1년동안 무료로 제공해드려 고객님께서 보유하고 계신 SEND덤프가 항상 시중에서 가장 최신버전이도록 SEND덤프유효성을 연장해드립니다.

저희 사이트의 SEND덤프를 한번 믿고 시험에 도전해보세요. 고객님의 기대에 져버리지 않도록 항상 최선을 다하고 있습니다.모두 SEND시험을 한방에 패스하고 자격증 부자되세요.

구매후 SEND덤프를 바로 다운:결제하시면 시스템 자동으로 구매한 제품을 고객님 메일주소에 발송해드립니다.(만약 12시간이내에 덤프를 받지 못하셨다면 연락주세요.주의사항:스펨메일함도 꼭 확인해보세요.)

학교공부하랴,회사다니랴 자격증 공부까지 하려면 너무 많은 정력과 시간이 필요할것입니다. 그렇다고 자격증공부를 포기하면 자신의 위치를 찾기가 힘들것입니다.SEND인증시험덤프를 사용하고 계시나요? 만약 SEND덤프를 사용하신다면 고객님은 보다 쉽게 시험을 패스하여 자격증을 취득할수 있을것입니다. SEND덤프는 it업계에 오랜 시간동안 종사해오신 엘리트들이 실제 SEND시험문제를 연구분석하여 제작한 시험대비자료입니다.

최신 MRCPUK Certification SEND 무료샘플문제:

1. A 41-year-old man presented to his general practitioner with symptoms of palpitations, sweating and anxiety. His blood pressure was 160/102 mmHg. He was advised to take propranolol 40 mg twice daily but was admitted to hospital later that week with an episode of pulmonary oedema.
On examination at the time of admission, he was noted to be pale and sweating and he had a blood pressure of 210/124 mmHg. A phaeochromocytoma was suspected.
What is the most likely cause of the cardiovascular deterioration following administration of propranolol?

A) inhibition of catechol-O-methyltransferase by propranolol leading to an increase in circulating noradrenaline
B) loss of ?2-adrenoceptor-mediated vasodilatation
C) inadequate ?-adrenoceptor blockade because of the short half-life of the drug
D) propranolol acting as an agonist at ?1-adrenoceptors
E) ?1-adrenoceptor blockade leading to acute left ventricular dysfunction

2. A 37-year-old woman was seen in clinic with a 2-month history of mild galactorrhoea. She had a long-standing history of hypothyroidism, treated with levothyroxine 125 micrograms daily, and a history of mental health issues, treated with risperidone. Her menstrual cycle was regular.
An MR scan of brain, requested elsewhere as part of a workup for headaches and other somatic symptoms, was available.
Investigations:
serum prolactin3000 mU/L (<360)
serum thyroid-stimulating hormone4.8 mU/L (0.4-5.0)
serum free T411.0 pmol/L (10.0-22.0)
MR scan of brainno abnormalities reported
What is the most appropriate next step in the management of her hyperprolactinaemia?

A) increase levothyroxine dosage
B) add cabergoline
C) reassurance of no significant pituitary pathology
D) MR scan of pituitary fossa
E) stop risperidone

3. A 64-year-old man was reviewed in the diabetes clinic. He had a history of type 2 diabetes mellitus treated for 12 years. He had sustained a previous episode of acute kidney injury believed to be secondary to renal artery stenosis and exposure to an ACE inhibitor. He was being treated with metformin 500 mg three times daily and gliclazide 80 mg twice daily.
Investigations:
serum sodium143 mmol/L (137-144)
serum potassium4.4 mmol/L (3.5-4.9)
serum creatinine123 umol/L (60-110)
estimated glomerular filtration rate (MDRD)51 mL/min/1.73 m2 (>60)
haemoglobin A1c75 mmol/mol (20-42)
He required a third drug that would not require dose adjustment if renal function were to decline in the future.
What additional medication is most appropriate?

A) sitagliptin
B) linagliptin
C) saxagliptin
D) vildagliptin
E) alogliptin

4. A 69-year-old man with type 2 diabetes mellitus presented with a 3-day history of an ulcer on his right second toe.
On examination, the toe was red, swollen and enlarged, and looked like a 'sausage digit'. The ulcer appeared superficial.
Investigations:
X-ray of right second toeno sign of osteomyelitis
Cultures from the debrided wound bed were taken and the results were awaited.
What is the most appropriate type of antibiotic regimen to start empirically before the culture results are available?

A) no antibiotic
B) narrow spectrum for 6 weeks
C) broad spectrum for 6 weeks
D) narrow spectrum for 10 days
E) broad spectrum for 10 days

5. A 52-year-old man, with a 20-year history of type 2 diabetes mellitus, had been treated with metformin and, for the previous 4 years, biphasic insulin aspart twice daily. He had recently started a new job that required him to drive a 7.5-tonne vehicle.
If he were to apply for a UK Class C1 driving licence, who should complete the application form with him?

A) diabetes specialist nurse in secondary care
B) solicitor
C) general practitioner
D) occupational health physician
E) consultant physician specialising in diabetes

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