2. Please describe the diagnosis and management of duodenal ulcer with gastrointestinal bleeding. (15%)

3. List the tumors associated with the following biomarkers. (20%) (A) α-fetoprotein b. Calcitonin (C) Human chorionic gonadotropin d. Carcinoembryonic antigen e. Neuron-specific enolase

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?

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

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%)

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