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Exam Name: Endocrinology and Diabetes (Specialty Certificate Examination)
One year free update, No help, Full refund!
SEND Training online Total Q&A: 200 Questions and Answers
Last Update: 2016-08-03

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NO.1 A 58-year-old man presented with tiredness and breathlessness. He had been treated for type
2 diabetes mellitus and hypertension for the past 10 years. He was free of complications. His current
medication included ramipril 10 mg daily, rosuvastatin 10 mg daily, metformin 500 mg three times
daily, dapagliflozin 10 mg once daily and exenatide 10 micrograms twice daily.
On examination, his body mass index was 36 kg/m2 (18-25).
haemoglobin93 g/L (130-180)
MCV110 fL (80-96)
white cell count3.6 ? 109/L (4.0-11.0)
platelet count140 ? 109/L (150-400)
reticulocyte count0.5% (0.5-2.4)
serum ferritin250 ug/L (15-300)
serum vitamin B1240 ng/L (160-760)
serum folate3.0 ug/L (2.0-11.0)
Which medication is most likely to be contributing to his anaemia?
A. exenatide
B. ramipril
C. rosuvastatin
D. metformin
E. dapagliflozin
Answer: D

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NO.2 A 73-year-old man had been attending the diabetes clinic for 6 weeks with an ulcer on his right
second metatarsal head. He had been receiving regular podiatry and offloading.
What new feature in the appearance of his foot is most likely to suggest the need to start antibiotics?
A. pain around ulcer
B. skin redness around ulcer
C. tracking sinus
D. ulcer probing to bone
E. increase in ulcer size
Answer: B

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Posted 2016/8/4 23:14:03  |  Category: MRCPUK  |  Tag: SENDMRCPUK