1. Describe the recommended schedule for active immunization of normal infants and children. (15%)

4. Describe the diagnosis and management of adrenal insufficiency. (15%)

5. Please describe the management of hypernatremi(A) (10%)

6. A patient presents to the emergency room and has the following laboratory value: sodium 139 mEq/L, potassium 4.1 mEq/L, chloride 112 mEq/L, bicarbonate 15 mEq/L, blood urea nitrogen 24 mg/dL, creatinine 1.4 mg/dL and glucose 180 mg/dL. (10%) (A) What is the calculated anion gap and calculated osmolarity? b. Please list the possible etiologies that are responsible for the patient’s metabolic acidosis.

7. A 58-year-old man presented with 1 hour of chest and upper back pain. Blood pressure was 160/100 mmHg in the right arm and 106/50 mmHg in the left arm. There was a grade III/VI diastolic blowing murmur audible at left upper sternal border. Electrocardiography showed sinus rhythm with left ventricular hypertrophy. (10%) (A) What diagnostic procedures will you order for this patient? b. What is the most possible diagnosis? (C) What is your treatment plan?

2. Describe the diagnosis and management of hand-foot-and-mouth disease. (15%)

3. How to resuscitate a 5-year-old boy with sudden cardiac arrest? (15%)

4. Describe the causes of failure to thrive (FTT). (15%)

5. Describe the evaluation and management of the comatose patient. (15%)

6. Describe the management of status epilepticus. (10%)

7. Describe the medical disorders that may cause acute psychosis. (15%)