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Is 1978 the only year for 350 engine and 4 speed in El-Camino during 5th generation?

No, 1978 is not the only year a 5th generation El Camino offered a combination of a 350 engine and a 4-speed manual transmission. While it was a common combination in that year, the specific engine options and transmission availability varied slightly from year to year within the 5th generation (1978-1987). You could find that combination in other years of the 5th generation, though possibly not with the exact same 350 cubic inch engine variations or 4-speed transmission specifications.