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SEND – SEND - Endocrinology and Diabetes (Specialty Certificate Examination)

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Showing 7–9 of 10 questions

Question 7

A 54-year-old man was referred from the urology department with erectile dysfunction.

On examination, he had normal secondary sexual characteristics. Testicular volume was estimated at 15 mL bilaterally.

Investigations:

random plasma glucose 8.0 mmol/L

serum testosterone 8.1 nmol/L (9.0–35.0)

plasma follicle-stimulating hormone 3.4 U/L (1.0–7.0)

plasma luteinising hormone 4.7 U/L (1.0–10.0)

serum prolactin 410 mU/L (<360)

What is the most appropriate next step in management?

Select an option, then click Submit answer.

  • ○

    check for macroprolactinaemia
  • ○

    fasting plasma glucose
  • ○

    prescribe sildenafil
  • ○

    prescribe testosterone replacement
  • ○

    serum testosterone (09.00 h)
Question 8

A 32-year-old woman with a recurrent history of Graves’ thyrotoxicosis was being considered for radioiodine treatment. However, she wanted to conceive again at some stage and asked how soon she could become pregnant.

After what minimum interval would it be safe for her to conceive again?

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  • ○

    2 months

  • ○

    4 months

  • ○

    6 months
  • ○

    8 months
  • ○

    12 months
Question 9

A 62-year-old woman with persistent hypertension attended the clinic for review. She had no previous medical history of note and was taking amlodipine, ramipril, bendroflumethiazide, spironolactone and doxazosin. Her blood pressure was raised at 160/100 mmHg.

Investigations:

serum sodium 138 mmol/L (137–144)

serum potassium 3.8 mmol/L (3.5–4.9)

A blood test for renin and aldosterone concentration was being considered.

For what minimum period should spironolactone be discontinued before this test?

Select an option, then click Submit answer.

  • ○

    72 h
  • ○

    1 week

  • ○

    2 weeks

  • ○

    6 weeks

  • ○

    8 weeks