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
Hypoxic Ischemic encephalopathy true is – 
Select and explain. 
A. Lower limbs affected more than upper limbs, B. Prox. Muscles > distal muscles, C. Seizure, D. Trunk involved
C: Seizure
Answer: C: Seizure 
Explanation: Clinical features of hypoxic ischemic encephalopathy

Encephalopathy progress over time -


Birth to 12 hours --> Decreased level of conciousness, poor tone, decreased spontaneous movement, periodic breathing or apnea, seizures.
12-24 hours --> More seizuers, Apneic spells, jitteriness, weakness.
After 24 hours —> Hypotonia, conciousness, poor feeding, brainstem signs (oculomotor) and pupillary disturbances.