SEND Exam Questions and Answers | Exam-Dumps (Page: 7)

QUESTION: 31

A 56-year-old man with a 5-year history of type 2 diabetes mellitus was worried about developing a foot ulcer. Which clinical feature, if present, best predicts the development of a foot ulcer in a patient with diabetes?

absent foot pulses
absent sensation to a monofilament
history of a previous foot ulcer
inability to perform own foot care
vibration perception threshold >25v

Answer(s): C

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QUESTION: 32

A 23-year-old man presented with a history of discomfort with his gender for as long as he could remember. He believed he was transsexual.
What element of further history would most strongly support his self-diagnosis?

a long-standing intense wish to make his body conform to that of the preferred gender
conscious and absolute rejection of his sexual orientation as socially unacceptable
seeking medical rationalisation for sexuality through genital surgery
sexual excitement by cross-dressing
the presence of gender somatic delusions that emerge and strengthen with time

Answer(s): A

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QUESTION: 33

A 17-year-old boy with type 1 diabetes mellitus was admitted with diabetic ketoacidosis precipitated by a recent viral illness.
Investigations on admission:

-random plasma glucose15.0 mmol/L arterial blood gases, breathing air:
-pH7.07 (7.35–7.45)
-H+85 nmol/L (35–45)
-Investigations after initial treatment with fluids, insulin and potassium 7 h after admission: random plasma glucose4.0 mmol/L serum bicarbonate10 mmol/L (20–28)

At this stage, he was being given infusions of insulin (1 U/h) and glucose 5% (100 mL/h). What is the most appropriate next step in management?

continue current regimen
continue current regimen but encourage oral carbohydrate intake
continue insulin infusion and change glucose to a higher concentration
give intravenous sodium bicarbonate
stop insulin infusion if glucose falls any further, then repeat plasma glucose in 15 min

Answer(s): C

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QUESTION: 34

A 56-year-old man was referred urgently by an ophthalmologist after presenting with a 6-month history of deteriorating vision. The patient had a 40 pack-year smoking history. Before his vision problem, he had never visited his general practitioner.

Investigations:
-serum cortisol (09.00 h)389 nmol/L (200–700) serum testosterone8.6 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 prolactin896 mU/L (<360)
-serum thyroid-stimulating hormone1.4 mU/L (0.4–5.0) MR scan of pituitarysee image

What is the most likely diagnosis?

craniopharyngioma
meningioma
non-functioning adenoma
prolactinoma
Rathke’s cyst

Answer(s): B

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QUESTION: 35

An 18-year-old man presented with delayed puberty.
On examination, he had a high arched palate. His sense of smell was intact, and he had a family history of pubertal delay. Kallman’s syndrome was suspected.

Investigations:
-serum testosterone0.3 nmol/L (9.0–35.0)
-serum follicle-stimulating hormone1.0 U/L (1.0–7.0) serum luteinising hormone1.0 U/L (1.0–10.0)
-bone age15 years

What further clinical finding would most strongly support the diagnosis of Kallman’s syndrome?

bimanual synkinesia (mirror movements)
eunuchoid habitus
night blindness
short stature
testes 6 mL bilaterally

Answer(s): A

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MRCPUK SEND Exam (page: 7) MRCPUK SEND - Endocrinology and Diabetes (Specialty Certificate Examination) Updated on: 25-Dec-2025

QUESTION: 31

QUESTION: 32

QUESTION: 33

QUESTION: 34

QUESTION: 35

MRCPUK SEND Exam (page: 7)
MRCPUK SEND - Endocrinology and Diabetes (Specialty Certificate Examination)
Updated on: 25-Dec-2025