Priority to double your salary, widen your outlook, win promotion — the MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) certificate opens doors. Open them with ExamTorrent: 200 practice questions for the SEND exam in 2026.
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 |
| Real Exam Qty: | 200 (100 per paper) |
| Passing Score: | Variable scaled score (Angoff standard-setting, published post-exam) |
| Certificate Validity Period: | Valid indefinitely once awarded |
| Exam Price: | £585 (UK), £755 (International) - 2025/26 rates |
| Related Certifications: | CESR MRCP(UK) CCT (Certificate of Completion of Training) |
| Available Languages: | English |
| Exam Format: | Computer-based, Images/Investigation data included, Clinical scenario-based, Single Best Answer (SBA/Best of Five) |
| Exam Duration: | 360 (180 minutes per paper, 1-hour break) |
| Recommended Training: | MRCP(UK) Official SCE Resources Society for Endocrinology Guidelines |
| Exam Registration: | My MRCP(UK) Online Application |
| Sample Questions: |  |
| 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:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Adrenal and Parathyroid/Metabolic Bone Disorders | 15% | - Primary/secondary hyperaldosteronism - Cushing's syndrome, Addison's disease, phaeochromocytoma - Hyperparathyroidism, hypoparathyroidism - Osteoporosis, osteomalacia, Paget's disease |
| Topic 2: Reproductive and Other Endocrine Conditions | 15% | - Endocrine hypertension and rare syndromes - Disorders of puberty and sex development - Obesity and lipid disorders - Polycystic ovary syndrome |
| Topic 3: Pituitary and Hypothalamic Disorders | 15% | - Hypothalamic dysfunction - Diabetes insipidus and SIADH - Hypopituitarism and hormone replacement - Pituitary adenomas: prolactinoma, acromegaly, Cushing's disease |
| Topic 4: Thyroid Disorders | 15% | - Hypothyroidism and myxoedema coma - Thyroid nodules and cancer - Hyperthyroidism: Graves’ disease, toxic nodular disease - Thyroiditis and subclinical dysfunction |
| Topic 5: Diabetes Mellitus | 40% | - Other forms of diabetes
|
MRCPUK SEND Exam: Every Stage, Answered
The MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) is MRCPUK's certification exam for Specialty Certificate in Endocrinology and Diabetes, at the Specialist / Advanced level. The certificate is an indispensable part of becoming an elite in this field — priority in salary, outlook, and promotion follows it. Related credentials include MRCP(UK), CCT (Certificate of Completion of Training), CESR.
Through the vendor's official registration channels:
The MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) is delivered Computer-based at global Pearson VUE test centres; no online proctoring — pick the arrangement that suits you when booking.
Right after you place your order, our system emails the MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) material automatically — about a minute, so you can download and begin your practice plans immediately, with 24/7 help if nothing arrives within 2 hours. If you fail the corresponding SEND exam within 60 days of purchase, we return your full amount: send a scanned enrollment slip plus the official Score Report PDF within 2 days of the exam, processed within 7 days. Excluded: exams within 3 days of purchase, candidate names that don't match the payer, and free or expired products. Or exchange for two equal-value products free.
£585 (UK), £755 (International) - 2025/26 rates per attempt, Variable scaled score (Angoff standard-setting, published post-exam) to pass. Retakes cost the full fee again — plan your preparation regularly with the 200 practice questions for the SEND exam at ExamTorrent.
Yes — download the free MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) demo before paying; the full torrent goes well beyond it. Purchases include 365 days of free updates by email; renew afterward at 50% off.
360 (180 minutes per paper, 1-hour break) for 200 (100 per paper) questions. Rich functions in the ExamTorrent software and app engines — timed modes and progress tracking — build the pacing you need.
The MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) blueprint spans 5 domains — including Reproductive and Other Endocrine Conditions (15%), Pituitary and Hypothalamic Disorders (15%), Adrenal and Parathyroid/Metabolic Bone Disorders (15%). Plan practice around the heavier domains; the complete outline above lists every subtopic.
Yes:
After any course, speed up your pace with the 200 practice questions for the MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) — every answer expert-verified.
No formal prerequisite; MRCP(UK) recommended; mandatory for CCT in Endocrinology & Diabetes Eligibility rules change over time, so verify the current requirements on the official page (official SEND exam page) before registering.
MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) Sample Questions:
A 42-year-old policewoman presented with thirst, polyuria and tiredness of 3 months' duration. She gave a family history of thyrotoxicosis.
On examination, her pulse was 108 beats per minute and her blood pressure was 150/70 mmHg. She had a fine tremor and diffuse thyroid enlargement. She also had mild proptosis.
Investigations:
haemoglobin146 g/L (115-165)
platelet count164 ? 109/L (150-400)
serum sodium143 mmol/L (137-144)
serum creatinine135 umol/L (60-110)
serum corrected calcium3.60 mmol/L (2.20-2.60)
serum thyroid-stimulating hormone<0.02 mU/L (0.4-5.0)
serum free T431.9 pmol/L (10.0-22.0)
serum free T315.6 pmol/L (3.0-7.0)
What is the most appropriate next investigation?
- A. serum phosphate
- B. fine-needle aspiration of thyroid
- C. isotope bone scan
- D. 24-h urinary calcium
- E. plasma parathyroid hormone
Correct Answer: E 🗳️
A 16-year-old Caucasian girl presented with a 4-year history of facial hair growth, acne and secondary amenorrhoea.
On examination, her body mass index was 20 kg/m2 (18-25). Her gums and palmar creases were pigmented. Facial hair was evident on her upper lip and chin, and terminal hair was evident on her chest and abdomen. Her Ferriman-Gallwey score was 25. She had acne affecting her face and back.
Investigations:
serum dehydroepiandrosterone sulphate15 umol/L (3-12)
serum androstenedione12.2 nmol/L (0.6-8.8)
serum 17-hydroxyprogesterone120 nmol/L (1-10)
serum testosterone6.0 nmol/L (0.5-3.0)
serum sex hormone binding globulin18 nmol/L (40-137)
What treatment is likely to be of most benefit?
- A. fludrocortisone
- B. cyproterone acetate
- C. flutamide
- D. hydrocortisone
- E. metformin
Correct Answer: D 🗳️
A 54-year-old man on the neurosurgery unit developed hyponatraemia 3 days after presenting with a significant head injury. His Glasgow coma score (GCS) had been 6 on admission.
On examination, his GCS was 12. His blood pressure was 124/84 mmHg. There was no
oedema.
Investigations:
serum sodium118 mmol/L (137-144)
serum urea3.0 mmol/L (2.5-7.0)
serum creatinine72 umol/L (60-110)
random serum cortisol (08.00 h on day of review)480 nmol/L
serum thyroid-stimulating hormone1.2 mU/L (0.4-5.0)
random urinary sodium60 mmol/L
What is the most appropriate interpretation of these data?
- A. the urinary sodium concentration is diagnostic of cerebral salt wasting
- B. a short tetracosactide (Synacthen@) test (250 micrograms) is required to exclude secondary hypoadrenalism
- C. the diagnosis would be helped by measurement of plasma vasopressin concentration
- D. they are consistent with syndrome of inappropriate antidiuresis
- E. intravascular volume depletion
Correct Answer: D 🗳️
A 33-year-old woman was seen for diabetes review 2 months after her first pregnancy. Diabetes mellitus had been diagnosed at 18 weeks' gestation. She had experienced no symptoms; routine urinalysis had shown glucose 4+, with no ketones, and her fasting blood glucose concentration was 6.2 mmol/L (3.0-6.0), rising to 13.5 mmol/L (<7.8) in a 75-g oral glucose tolerance test. She had been treated with insulin during the pregnancy, and stopped after delivery. Her mother and maternal aunt had been treated for type 2 diabetes mellitus, and a maternal uncle for type 1 diabetes. Her body mass index was 23.7 kg/m2 (18-25).
Without insulin she remained well, with no osmotic symptoms, no weight loss and no ketosis.
Investigations:
fasting plasma glucose8.4 mmol/L (3.0-6.0)
haemoglobin A1c68 mmol/mol (20-42)
oral glucose tolerance test (75 g):
fasting plasma glucose7.9 mmol/L (3.0-6.0)
2-h plasma glucose13.8 mmol/L (<7.8)
serum insulin72 pmol/L (<186)
serum C-peptide945 pmol/L (180-360)
A trial of therapy with gliclazide 40 mg once daily led to a significant improvement in her blood glucose.
What is the most likely cause of her diabetes?
- A. type 1 diabetes mellitus
- B. maturity-onset diabetes of the young caused by HNF-1? mutation
- C. latent autoimmune diabetes in adulthood
- D. type 2 diabetes mellitus
- E. maturity-onset diabetes of the young caused by glucokinase mutation
Correct Answer: B 🗳️
A 15-year-old boy was referred by the school nurse because she was concerned about his weight. There was no past history of note. He was not taking any medication. His height was 1.61 m and he weighed 70.5 kg.
Investigations: growth chartsee image
What is the most likely diagnosis?
- A. leptin deficiency
- B. simple obesity
- C. Prader-Willi syndrome
- D. growth hormone deficiency
- E. Cushing's disease
Correct Answer: E 🗳️
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