This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Mostly death in PEM is due to all except – \nSelect and explain. \nA. Hypothermia, B. CCF, C. Worm infestation, D. Electrolyte imbalance', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Hepatomegaly is one of the essential diagnostic feature of kwashiorkor, it does not indicate poor prognosis.\nPoor prognostic factors in PEM, which can lead to early death -\n\n\nHypothermia \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0\nHypoglycemia\xa0\xa0\xa0\xa0\nSystemic infections\xa0\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0\xa0\nDiarrhea\nSevere anemia\xa0\xa0 \xa0\nLiver failure \xa0\nCardiac failure \xa0\nDehydration or over hydration\nFluid & electrolyte imbalance', 'role': 'assistant'}]