This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Nutrition, Subject name: Pediatrics
Kwashiorkor is diagnosed in growth-retarded children along with ________ 
Select and explain. 
A. Edema and mental changes, B. Hypopigmentation and anemia, C. Edema and hypopigmentation, D. Hepatomegaly and good appetite
A: Edema and mental changes
Answer: A: Edema and mental changes 
Explanation: Kwashiorkor children have pitting edema, usually staing in the legs and feet and spreading, in more advanced cases to hands and face.The mental changes include unhappiness, apathy, or irritability with sad, intermittent cry. They show no signs of hunger and is difficult to feed them.There will be hyperpigmentation. Ref: Page 67; Ghai Essential Pediatrics; 7th edition