MRCPUK SEND Exam : Endocrinology and Diabetes (Specialty Certificate Examination)

MRCPUK SEND exam
  • Exam Code: SEND
  • Exam Name: Endocrinology and Diabetes (Specialty Certificate Examination)
  • Updated: Oct 21, 2026
  • Q & A: 200 Questions and Answers
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About MRCPUK SEND Exam Questions

Exam content drifts, and preparation that ignores that fact quietly fails. VerifiedDumps keeps its MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) practice questions aligned with the live exam, and every 2026 purchase includes 365 days of free updates.

MRCPUK SEND Exam Overview:

Certification Vendor:MRCP(UK) / Federation of the Royal Colleges of Physicians of the UK
Exam Name:Endocrinology and Diabetes (Specialty Certificate Examination)
Exam Number:SEND
Available Languages:English
Real Exam Qty:200 (100 per paper)
Certificate Validity Period:Valid indefinitely once awarded
Related Certifications:CESR
MRCP(UK)
CCT (Certificate of Completion of Training)
Exam Price:£585 (UK), £755 (International) - 2025/26 rates
Exam Duration:360 (180 minutes per paper, 1-hour break)
Passing Score:Variable scaled score (Angoff standard-setting, published post-exam)
Exam Format:Computer-based, Clinical scenario-based, Images/Investigation data included, Single Best Answer (SBA/Best of Five)
Recommended Training:MRCP(UK) Official SCE Resources
Society for Endocrinology Guidelines
Exam Registration:My MRCP(UK) Online Application
Sample Questions:Free Download Pass SEND Exam Cram
Exam Way:Computer-based at global Pearson VUE test centres; no online proctoring
Pre Condition:No formal prerequisite; MRCP(UK) recommended; mandatory for CCT in Endocrinology & Diabetes
Official Syllabus URL:https://www.mrcpuk.org/examinations/specialty-certificate-examinations/endocrinology-and-diabetes

MRCPUK SEND Exam Syllabus Topics:

SectionWeightObjectives
Reproductive and Other Endocrine Conditions15%- Disorders of puberty and sex development
- Polycystic ovary syndrome
- Obesity and lipid disorders
- Endocrine hypertension and rare syndromes
Adrenal and Parathyroid/Metabolic Bone Disorders15%- Osteoporosis, osteomalacia, Paget's disease
- Cushing's syndrome, Addison's disease, phaeochromocytoma
- Hyperparathyroidism, hypoparathyroidism
- Primary/secondary hyperaldosteronism
Diabetes Mellitus40%- Type 2 Diabetes
  • 1. Epidemiology and risk factors
    • 2. Cardiovascular risk management
      • 3. Gestational diabetes
        • 4. Oral and injectable non-insulin therapies
          - Other forms of diabetes
          • 1. Monogenic diabetes
            • 2. Pancreatic/endocrine-induced diabetes
              - Type 1 Diabetes
              • 1. Pathogenesis and natural history
                • 2. Acute complications: DKA, hypoglycaemia
                  • 3. Insulin therapy and delivery systems
                    • 4. Long-term microvascular/macrovascular complications
                      Pituitary and Hypothalamic Disorders15%- Pituitary adenomas: prolactinoma, acromegaly, Cushing's disease
                      - Diabetes insipidus and SIADH
                      - Hypothalamic dysfunction
                      - Hypopituitarism and hormone replacement
                      Thyroid Disorders15%- Hyperthyroidism: Graves’ disease, toxic nodular disease
                      - Thyroid nodules and cancer
                      - Hypothyroidism and myxoedema coma
                      - Thyroiditis and subclinical dysfunction

                      MRCPUK SEND Exam: Frequently Asked Questions

                      MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) is an official MRCP(UK) / Federation of the Royal Colleges of Physicians of the UK certification exam, identified by exam code SEND. Passing earns you the Specialty Certificate in Endocrinology and Diabetes certification, classified at the Specialist / Advanced level. It also connects with MRCP(UK), CCT (Certificate of Completion of Training), CESR, so it can serve as a stepping stone in a wider certification plan. In hiring, certificates work as a quick, quantitative standard, and this one tells employers your skills passed the vendor's own measurement.

                      MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) candidates answer 200 (100 per paper) questions within 360 (180 minutes per paper, 1-hour break). Efficiency under the clock is a trainable skill, not a talent: decide your per-question budget in advance, flag anything that threatens it, and keep moving. Running timed simulations in the VerifiedDumps test engine until you finish with time to spare is the most reliable way to make exam day feel controlled rather than rushed.

                      The MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) exam requires Variable scaled score (Angoff standard-setting, published post-exam) to pass, and official registration costs £585 (UK), £755 (International) - 2025/26 rates. Since retakes bill the full £585 (UK), £755 (International) - 2025/26 rates again, the economic argument for thorough preparation writes itself. Let the VerifiedDumps practice tests be your measuring stick: when your scores hold above the passing line across several consecutive sessions, the exam stops being a financial risk.

                      No formal prerequisite; MRCP(UK) recommended; mandatory for CCT in Endocrinology & Diabetes

                      Because vendors adjust their policies, verify the current requirements before registering on the official exam page.

                      Registration for MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) goes through the official channels below.

                      For planning purposes, note that the exam is delivered Computer-based at global Pearson VUE test centres; no online proctoring.

                      MRCP(UK) / Federation of the Royal Colleges of Physicians of the UK recommends these training options for MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) candidates.

                      Whatever training path you take, finish it with question practice: the 200 items in the VerifiedDumps SEND package are where knowledge turns into exam-day scoring ability.

                      Yes. VerifiedDumps provides a free PDF demo of the MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) questions, so you can evaluate the material before committing. After purchase, updates are free for 365 days, and when your product expires you can extend the update service at a 50% discount.

                      Your purchase is backed by a 100% money-back guarantee with transparent conditions. Take the MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) exam within 60 days of purchase; if you fail, you qualify for a full refund, provided the exam matches your product. Attempts within 3 days of purchase do not qualify, and neither do downloaded-but-unused products, free materials, or expired orders; the candidate name must match the payer name. File with a scanned enrollment slip and the official Score Report PDF within 2 days of the exam, and claims are processed within 7 days. You may instead choose an exchange: two other exam products of equal value, free, while your original purchase keeps its update service.

                      Delivery is immediate: files are downloadable at payment and emailed to you within one minute. If nothing arrives within 2 hours, check spam and contact customer service. Installation is unlimited across your computers.

                      The MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) syllabus is organized into 5 domains, with the largest being Pituitary and Hypothalamic Disorders (15%), Diabetes Mellitus (40%), and Thyroid Disorders (15%). The complete breakdown appears in the topics section above; a clear classification of what the exam tests is the first step toward efficient preparation.

                      MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) Sample Questions:

                      Question #1

                      A 56-year-old woman was referred for assessment of asymptomatic hypercalcaemia.
                      Investigations:
                      serum corrected calcium2.73 mmol/L (2.20-2.60)
                      plasma parathyroid hormone8.9 pmol/L (0.9-5.4)
                      urinary calcium:creatinine clearance ratio0.002
                      An X-ray of abdomen was normal and imaging of her neck showed no evidence of a
                      parathyroid adenoma.
                      What is the pattern of inheritance of this condition?

                      • A. mitochondrial
                      • B. autosomal recessive
                      • C. X-linked dominant
                      • D. X-linked recessive
                      • E. autosomal dominant
                      Reveal Solution  Discussion  0

                      Correct Answer: E  🗳️

                      Question #2

                      A 49-year-old woman presented with a slowly enlarging lump in her neck.
                      On examination, there was a 3.5-cm firm nodule in the left lobe of the thyroid gland, with no associated lymphadenopathy.
                      Investigations:
                      serum thyroid-stimulating hormone<0.05 mU/L (0.4-5.0)
                      serum free T426.0 pmol/L (10.0-22.0)
                      serum free T38.6 pmol/L (3.0-7.0)
                      An ultrasound scan showed an enlarged thyroid gland, with small nodules throughout. There was a larger hypoechoic 3.3-cm nodule with increased intranodular vascularity in the lower pole of the left lobe, with no associated lymphadenopathy.
                      What is the most appropriate management?

                      • A. isotope uptake scan
                      • B. core biopsy of the thyroid nodule
                      • C. partial thyroidectomy
                      • D. fine-needle aspiration of the nodule
                      • E. radioactive iodine treatment
                      Reveal Solution  Discussion  0

                      Correct Answer: A  🗳️

                      Question #3

                      A 45-year-old woman attended for annual follow-up for long-standing hypoparathyroidism (a complication of thyroid surgery 5 years previously). She was asymptomatic. She was taking alfacalcidol 1 microgram daily.
                      Examination was unremarkable.
                      Investigations:
                      serum creatinine105 umol/L (60-110)
                      serum corrected calcium2.45 mmol/L (2.20-2.60)
                      24-h urinary calcium9.8 mmol (2.5-7.5)
                      What is the most appropriate next step in management?

                      • A. change alfacalcidol to calcitriol
                      • B. decrease alfacalcidol dosage
                      • C. add bendroflumethiazide
                      • D. recommend low-calcium diet
                      • E. change alfacalcidol to teriparatide
                      Reveal Solution  Discussion  0

                      Correct Answer: B  🗳️

                      Question #4

                      A 62-year-old woman was referred with generalised weakness. She had no previous history of note and was not taking any medication. She reported drinking 60 units of alcohol per week.
                      On examination, she was found to have central adiposity, pale abdominal striae and
                      wasting of the limb muscles. Her blood pressure was raised at 160/100 mmHg.
                      Investigations:
                      serum sodium138 mmol/L (137-144)
                      serum potassium3.8 mmol/L (3.5-4.9)
                      serum cortisol (09.00 h)750 nmol/L (200-700)
                      low-dose dexamethasone suppression test (2 mg/day for 48 h):
                      serum cortisol120 nmol/L (<50)
                      high-dose dexamethasone suppression test (8 mg/day for 48 h):
                      serum cortisol45 nmol/L (should suppress to
                      <50% of day 0 value)
                      24-h urinary free cortisol 360 nmol (55-250)
                      plasma adrenocorticotropic hormone (09.00 h)22.0 pmol/L (3.3-15.4)
                      MR scan of pituitary glandnormal
                      CT scan of adrenal glands1-cm mass in the left adrenal gland
                      What is the most likely cause for her presentation?

                      • A. Cushing's disease
                      • B. pseudo-Cushing's syndrome
                      • C. adrenal carcinoma
                      • D. adrenal adenoma
                      • E. ectopic adrenocorticotropic hormone syndrome
                      Reveal Solution  Discussion  0

                      Correct Answer: B  🗳️

                      Question #5

                      A 48-year-old man presented with an infected ulcer, measuring 2 ? 1 cm, over the right first metatarsal head, with surrounding cellulitis. He had no previous history of diabetes mellitus but had been told by his general practitioner some years previously that his blood glucose was 'borderline'.
                      On examination, his temperature was 37.4C, his blood pressure was 158/92 mmHg and his body mass index was 31.5 kg/m2 (18-25). His foot pulses were easily palpable but he had a sensory neuropathy.
                      Investigations:
                      random plasma glucose16.4 mmol/L
                      haemoglobin A1c81 mmol/mol (20-42)
                      What is the most appropriate treatment for his hyperglycaemia?

                      • A. metformin 500 mg twice daily
                      • B. sitagliptin 100 mg once daily
                      • C. gliclazide 40 mg twice daily
                      • D. exenatide 5 micrograms twice daily
                      • E. soluble insulin before meals, basal insulin at bedtime
                      Reveal Solution  Discussion  0

                      Correct Answer: A  🗳️

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