MRCPUK SEND Exam With Confidence Using Practice Dumps

A 24-year-old man was referred for investigation of infertility. He had been having unprotected intercourse with his partner for 18 months, but the couple had failed to conceive. He had been treated for Hodgkin’s lymphoma at the age of 17.

What is the most appropriate investigation?

A 26-year-old woman presented with recurrent Graves’ disease. After discussing the treatment options, she chose radioiodine.

What dose of radioiodine is most appropriate in uncomplicated Graves’ disease?

A 55-year-old dental nurse was referred for bone densitometry after sustaining a non-displaced fracture of the femur after falling down a step. She had experienced no other fractures. Her only medical problem was long-standing anaemia of unknown cause. The only family history was of persistent dental abscesses affecting her father. She had three children who were well. She was taking no medication.

Examination was normal.

Investigations:

haemoglobin102 g/L (115–165)

MCV85 fL (80–96)

white cell count6.0 ? 109/L (4.0–11.0)

platelet count245 ? 109/L (150–400)

erythrocyte sedimentation rate25 mm/1st h (<30)

serum creatinine85 µmol/L (60–110)

serum corrected calcium2.40 mmol/L (2.20–2.60)

serum alkaline phosphatase56 U/L (45–105)

DXA scan spine (L2–L4)T score +5.8

DXA scan total hipT score +5.4

What is the most likely diagnosis?