This presentation will look at specific samples of SCE exam questions. The rationale of the questions and the thinking behind the question writing will be explained. The background and rationale of the exam will be explained in terms of this being an exit exam in Endocrinology and Diabetes to test clinical discernment and understanding within a practical context. It is linked with the JRCPTB specialty training curriculum, to enable a CCT to be awadred in awarded in Endocrinologya nd Diabetes. The detail of how the exam is constructed and the quality assurance around the exam questions will be explained. The key documents that the exam refers to will be mentioned, before running through a series of questions in detail. There will be plenty of time for questions and answers.