Under RBSK (Rashtriya Bal Swasthya Karyakram), the deficiencies included are I, II, and IV (Hypothyroidism, Vitamin A deficiency, and Vitamin D deficiency), making option B correct.

RBSK Program Overview:

• Launched in 2013 for child health screening
• Covers 0-18 years age group
• Focuses on 4 D’s: Defects, Diseases, Deficiencies, Development delays

Deficiencies Covered by RBSK:

• Hypothyroidism: ✓ Included – Congenital hypothyroidism screening, impacts growth and development
• Vitamin A Deficiency: ✓ Included – Major cause of childhood blindness, impacts immunity
• Anemia: ✗ Not specifically listed as deficiency under RBSK
• Vitamin D Deficiency: ✓ Included – Causes rickets and bone deformities

The correct statements regarding pediatric hyperkalemia management are III and IV, making option D correct.

Analysis of Each Statement:

• Statement I – Incorrect: IV calcium stabilizes cardiac membrane but doesn’t enhance K⁺ uptake
• Statement II – Incorrect: Beta-agonists enhance cellular K⁺ uptake, calcium stabilizes membrane
• Statement III – Correct: Insulin + glucose activates Na⁺-K⁺-ATPase pump, driving K⁺ into cells
• Statement IV – Correct: Sodium polystyrene sulfonate removes K⁺ via GI tract

Treatment Algorithm:

1. Membrane stabilization: IV calcium gluconate
2. Cellular shift: Insulin+glucose, beta-agonists
3. K⁺ elimination: Exchange resins, dialysis

A child who can make a tower of 3 blocks, runs, copies mother while sweeping, and has 8-10 words has a developmental age of 18 months.

Milestone Analysis:

• Fine Motor: 3-block tower = 18 months
• Gross Motor: Running (stiffly) = 18 months
• Social: Imitating household activities = 18 months
• Language: 8-10 words = 18 months (typical range 10-20 words)

18-Month Milestones:

• Builds tower of 3-4 blocks
• Runs stiffly with frequent falls
• Imitates household activities
• Has vocabulary of 10-20 words
• Follows simple commands