KNRUHS MBBS FMT Forensic Medicine Toxicology syllabus Phase III Part 1 exam pattern

KNRUHS Forensic Medicine Toxicology important topics previous year questions high yield

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ls /home/daytona/workspace/ 2>/dev/null && mkdir -p /home/daytona/workspace/fmt-…

~/fmt-cheatsheet/build.js

const pptxgen = require("pptxgenjs");
const pres = new pptxgen();
pres.layout = "LAYOUT_WIDE"; // 13.3 x 7.5 inches
pres.title = "FMT Quick-Reference Cheat Sheet – KNRUHS";

// ─── PALETTE ───────────────────────────────────────────────
const BG_DARK   = "0D1B2A";  // navy
const BG_MED    = "1B2838";  // dark slate
const ACCENT1   = "E63946";  // red
const ACCENT2   = "F4A261";  // amber
const ACCENT3   = "2EC4B6";  // teal
const ACCENT4   = "8338EC";  // purple
const WHITE     = "FFFFFF";
const LIGHT     = "E0E7EF";
const GREY      = "A0AEC0";
const YELLOW    = "FFD60A";

// ─── HELPER: section header bar ───────────────────────────
function headerBar(slide, title, color) {
  slide.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 13.3, h: 0.72, fill: { color } });
  slide.addText(title, {
    x: 0.25, y: 0, w: 12.8, h: 0.72,
    fontSize: 22, bold: true, color: WHITE, valign: "middle", margin: 0
  });
}

// ─── HELPER: colored badge ─────────────────────────────────
function badge(slide, text, x, y, w, h, bg, fg) {
  slide.addShape(pres.ShapeType.roundRect, { x, y, w, h, fill: { color: bg }, rectRadius: 0.08 });
  slide.addText(text, { x, y, w, h, fontSize: 10, bold: true, color: fg, align: "center", valign: "middle", margin: 0 });
}

// ─── HELPER: section label ─────────────────────────────────
function sectionLabel(slide, text, x, y, w, color) {
  slide.addShape(pres.ShapeType.rect, { x, y, w, h: 0.28, fill: { color } });
  slide.addText(text, { x, y, w, h: 0.28, fontSize: 9.5, bold: true, color: WHITE, align: "center", valign: "middle", margin: 0 });
}

// ─── HELPER: table helper ─────────────────────────────────
function addTable(slide, rows, x, y, w, colW, opts = {}) {
  slide.addTable(rows, {
    x, y, w,
    colW,
    fontSize: opts.fontSize || 9.5,
    fontFace: "Calibri",
    border: { pt: 0.5, color: opts.borderColor || "334155" },
    ...opts
  });
}

// ══════════════════════════════════════════════════════════════
// SLIDE 1 — TITLE SLIDE
// ══════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG_DARK };

  // Top accent strip
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 13.3, h: 0.18, fill: { color: ACCENT1 } });

  // Red vertical bar
  s.addShape(pres.ShapeType.rect, { x: 0.5, y: 1.0, w: 0.12, h: 4.2, fill: { color: ACCENT1 } });

  s.addText("FMT", {
    x: 0.85, y: 0.95, w: 11, h: 1.6,
    fontSize: 96, bold: true, color: WHITE, fontFace: "Calibri", margin: 0
  });
  s.addText("Quick-Reference Cheat Sheet", {
    x: 0.85, y: 2.45, w: 11, h: 0.6,
    fontSize: 28, bold: false, color: ACCENT2, fontFace: "Calibri", margin: 0
  });
  s.addText("Forensic Medicine & Toxicology  |  KNRUHS MBBS Final Year", {
    x: 0.85, y: 3.05, w: 11, h: 0.45,
    fontSize: 17, color: LIGHT, fontFace: "Calibri", margin: 0
  });

  // 3 subject pills
  const pills = [
    { label: "IPC Sections", color: ACCENT1 },
    { label: "Toxicology Antidotes", color: ACCENT3 },
    { label: "Medicolegal Cutoffs", color: ACCENT2 },
  ];
  pills.forEach((p, i) => {
    badge(s, p.label, 0.85 + i * 3.1, 3.7, 2.8, 0.42, p.color, WHITE);
  });

  s.addText("Based on KNRUHS exam pattern & KS Narayan Reddy (FMT)", {
    x: 0.85, y: 6.9, w: 11, h: 0.35,
    fontSize: 10, color: GREY, italic: true, margin: 0
  });

  // Bottom strip
  s.addShape(pres.ShapeType.rect, { x: 0, y: 7.32, w: 13.3, h: 0.18, fill: { color: ACCENT3 } });
}

// ══════════════════════════════════════════════════════════════
// SLIDE 2 — IPC SECTIONS (Part 1): Injuries, Death, Sexual
// ══════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG_DARK };
  headerBar(s, "IPC SECTIONS  —  Part 1: Injuries · Death · Sexual Offences", ACCENT1);

  // ── Col 1: Injuries & Hurt
  sectionLabel(s, "HURT & INJURIES", 0.18, 0.85, 3.9, ACCENT1);
  const injTable = [
    [{ text: "Section", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Offence", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["IPC 319", "Hurt"],
    ["IPC 320", "Grievous Hurt (8 kinds)"],
    ["IPC 321", "Voluntarily causing Hurt"],
    ["IPC 322", "Voluntarily causing Grievous Hurt"],
    ["IPC 323", "Punishment for Hurt (1 yr / ₹1000)"],
    ["IPC 325", "Punishment for Grievous Hurt (7 yr)"],
    ["IPC 326", "Hurt by dangerous weapon (10 yr/life)"],
    ["IPC 334", "Hurt on Provocation (1 month)"],
    ["IPC 304A", "Death by Negligence (2 yr / fine)"],
    ["IPC 299", "Culpable Homicide"],
    ["IPC 300", "Murder"],
    ["IPC 302", "Punishment – Murder (death/life)"],
    ["IPC 304", "Culpable Homicide not amounting to murder"],
    ["IPC 306", "Abetment of Suicide"],
  ];
  injTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT2, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, injTable, 0.18, 1.15, 4.0, [1.1, 2.9], { fontSize: 9, color: LIGHT, fill: BG_MED });

  // ── Col 2: Sexual offences
  sectionLabel(s, "SEXUAL OFFENCES", 4.5, 0.85, 4.1, "B5179E");
  const sexTable = [
    [{ text: "Section", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Offence", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["IPC 375", "Definition of Rape (7 acts)"],
    ["IPC 376", "Punishment for Rape (7 yr – life)"],
    ["IPC 376A", "Rape → death/vegetative state (20 yr-life)"],
    ["IPC 376B", "Intercourse by husband during separation"],
    ["IPC 376C", "Intercourse by authority (5–10 yr)"],
    ["IPC 376D", "Gang Rape (20 yr – life)"],
    ["IPC 376E", "Repeat offenders (life/death)"],
    ["POCSO S.3", "Penetrative sexual assault on child"],
    ["POCSO S.4", "Punishment – 7 yr to life"],
    ["IPC 377", "Unnatural offences (sodomy, 10 yr-life)"],
    ["IPC 354", "Outraging modesty of woman (1–5 yr)"],
    ["IPC 509", "Word/gesture insulting modesty (1 yr)"],
    ["IPC 312", "Causing miscarriage (3 yr)"],
    ["IPC 313", "Miscarriage without consent (life)"],
  ];
  sexTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT3, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, sexTable, 4.5, 1.15, 4.2, [1.2, 3.0], { fontSize: 9, color: LIGHT, fill: BG_MED });

  // ── Col 3: Misc
  sectionLabel(s, "DEATH / MISC", 8.9, 0.85, 4.2, ACCENT3);
  const miscTable = [
    [{ text: "Section", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Offence/Description", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["IPC 174", "Police Inquest"],
    ["IPC 176", "Magistrate Inquest"],
    ["IPC 39", "Duty to give info of offences"],
    ["IPC 32", "Dying Declaration as evidence"],
    ["IPC 45", "Medical Opinion / Expert Evidence"],
    ["IPC 84", "Act of person of unsound mind (McNaughten)"],
    ["IPC 85", "Intoxication by another – no responsibility"],
    ["IPC 86", "Voluntary intoxication – reduced intent"],
    ["IPC 302", "Murder – punishment (death/life)"],
    ["IPC 318", "Concealment of birth (2 yr)"],
    ["IPC 315", "Act to prevent child being born alive"],
    ["IPC 316", "Act causing death of quick unborn child"],
    ["IPC 304B", "Dowry Death (7 yr – life)"],
    ["IPC 498A", "Cruelty to wife (3 yr)"],
  ];
  miscTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT2, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, miscTable, 8.9, 1.15, 4.2, [1.15, 3.05], { fontSize: 9, color: LIGHT, fill: BG_MED });

  s.addText("Slide 2 of 5  |  FMT Cheat Sheet – KNRUHS", {
    x: 0.2, y: 7.25, w: 12.9, h: 0.22, fontSize: 7.5, color: GREY, align: "right", margin: 0
  });
}

// ══════════════════════════════════════════════════════════════
// SLIDE 3 — IPC SECTIONS (Part 2): Negligence, Consent, Ethics + CrPC/Evidence
// ══════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG_DARK };
  headerBar(s, "IPC SECTIONS  —  Part 2: Negligence · Consent · Evidence · Abortion · Psychiatry", ACCENT4);

  // Col 1: Negligence & Ethics
  sectionLabel(s, "NEGLIGENCE & ETHICS", 0.18, 0.85, 4.0, ACCENT4);
  const negTable = [
    [{ text: "Section/Act", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Key Point", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["IPC 304A", "Criminal negligence – 2 yr / fine / both"],
    ["IPC 80", "Accident – no criminal liability"],
    ["IPC 88", "Act for benefit of person (no consent needed)"],
    ["IPC 89", "Act done for child / insane person"],
    ["IPC 92", "Act done in good faith even without consent"],
    ["Consumer Protection Act 1986 / 2019", "Medical services covered; deficiency in service"],
    ["Bolam Test (1957)", "Doctor judged by standard of same specialty"],
    ["Bolitho Modification", "Expert opinion must be logically defensible"],
    ["Res Ipsa Loquitur", "Negligence speaks for itself (no expert needed)"],
    ["NMC Act 2019", "Replaces MCI; governs medical registration"],
    ["Clinical Estab. Act 2010", "Regulates hospitals/clinics"],
  ];
  negTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT3, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, negTable, 0.18, 1.15, 4.1, [1.6, 2.5], { fontSize: 8.5, color: LIGHT, fill: BG_MED });

  // Col 2: Evidence & Inquest
  sectionLabel(s, "EVIDENCE & INQUEST", 4.5, 0.85, 4.1, "0077B6");
  const evTable = [
    [{ text: "Section/Rule", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Relevance", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["CrPC 174", "Police inquest (Executive Magistrate area)"],
    ["CrPC 176", "Magistrate inquest – dowry, rape, custodial deaths"],
    ["Sec 32 IEA", "Dying declaration – admissible even w/o oath"],
    ["Sec 45 IEA", "Expert opinion admissible (doctor as expert)"],
    ["Sec 46 IEA", "Facts bearing upon expert opinion"],
    ["Sec 118 IEA", "Who can testify – anyone who can understand"],
    ["Sec 133 IEA", "Accomplice can be witness"],
    ["CrPC 164", "Statement to Magistrate (confession)"],
    ["CrPC 313", "Examination of accused"],
    ["Evidence Act Sec 27", "Discovery of facts on accused's info"],
    ["Sec 112 IEA", "Legitimacy of child (born during wedlock)"],
  ];
  evTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT2, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, evTable, 4.5, 1.15, 4.2, [1.55, 2.65], { fontSize: 8.5, color: LIGHT, fill: BG_MED });

  // Col 3: Abortion & Psychiatry
  sectionLabel(s, "ABORTION & PSYCHIATRY", 8.9, 0.85, 4.22, "E76F51");
  const abTable = [
    [{ text: "Section/Act", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Key Point", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["IPC 312", "Causing miscarriage (3 yr / 7 yr if woman)"],
    ["IPC 313", "Without consent – life imprisonment"],
    ["IPC 315", "Preventing child from being born alive"],
    ["MTP Act 1971 (Amended 2021)", "Termination of pregnancy up to 24 wks"],
    ["MTP – Gestational Limits", "≤20 wk: 1 doctor; 20–24 wk: 2 doctors; any wk if fetal anomaly/rape/minor"],
    ["IPC 84", "Insanity defense – McNaughten Rules"],
    ["Mental Healthcare Act 2017", "Replaces Mental Health Act 1987"],
    ["MHA 2017 Sec 3", "Right to access mental healthcare"],
    ["MHA 2017 Sec 20–28", "Admission: Voluntary / Independent / Supported"],
    ["IPC 309", "Attempt to suicide (decriminalized 2017)"],
    ["Mental Healthcare Act S.115", "Presumption of mental illness in attempt to suicide"],
    ["IPC 376 Proviso", "Rape within marriage (wife <18 yr): yes offence"],
  ];
  abTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT3, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, abTable, 8.9, 1.15, 4.22, [1.65, 2.57], { fontSize: 8.2, color: LIGHT, fill: BG_MED });

  s.addText("Slide 3 of 5  |  FMT Cheat Sheet – KNRUHS", {
    x: 0.2, y: 7.25, w: 12.9, h: 0.22, fontSize: 7.5, color: GREY, align: "right", margin: 0
  });
}

// ══════════════════════════════════════════════════════════════
// SLIDE 4 — TOXICOLOGY ANTIDOTES
// ══════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG_DARK };
  headerBar(s, "TOXICOLOGY ANTIDOTES  —  Quick Reference", ACCENT3);

  sectionLabel(s, "SPECIFIC ANTIDOTES", 0.18, 0.82, 12.9, ACCENT3);

  const antidoteRows = [
    // Header
    [
      { text: "Poison / Drug", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
      { text: "Antidote / Specific Treatment", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
      { text: "Key Notes", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
      { text: "Poison / Drug", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
      { text: "Antidote / Treatment", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
      { text: "Key Notes", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
    ],
    // Row 1
    [
      { text: "Organophosphorus (OPC)", options: { color: ACCENT1, bold: true } },
      { text: "Atropine + Pralidoxime (PAM)", options: { color: WHITE } },
      { text: "PAM within 24–48 hr; atropinize fully (dry secretions)", options: { color: LIGHT } },
      { text: "Paracetamol (Acetaminophen)", options: { color: ACCENT1, bold: true } },
      { text: "N-Acetylcysteine (NAC)", options: { color: WHITE } },
      { text: "Within 8 hr most effective; also methionine", options: { color: LIGHT } },
    ],
    // Row 2
    [
      { text: "Carbamates (CARB)", options: { color: ACCENT2, bold: true } },
      { text: "Atropine ONLY (NO PAM)", options: { color: WHITE } },
      { text: "PAM contraindicated in carbamates!", options: { color: ACCENT1, bold: true } },
      { text: "Iron (Fe) poisoning", options: { color: ACCENT2, bold: true } },
      { text: "Desferrioxamine (Deferoxamine)", options: { color: WHITE } },
      { text: "IV infusion; also supportive care", options: { color: LIGHT } },
    ],
    // Row 3
    [
      { text: "Opioids (Morphine, Heroin)", options: { color: ACCENT3, bold: true } },
      { text: "Naloxone (Narcan)", options: { color: WHITE } },
      { text: "0.4–2 mg IV; repeat q2–3 min; short half-life", options: { color: LIGHT } },
      { text: "Methanol / Ethylene glycol", options: { color: ACCENT3, bold: true } },
      { text: "Ethanol or Fomepizole (4-MP)", options: { color: WHITE } },
      { text: "Competitive substrate; also folate for methanol", options: { color: LIGHT } },
    ],
    // Row 4
    [
      { text: "Benzodiazepines", options: { color: ACCENT4, bold: true } },
      { text: "Flumazenil", options: { color: WHITE } },
      { text: "Short acting; avoid in mixed TCA overdose", options: { color: LIGHT } },
      { text: "Arsenic / Heavy metals", options: { color: ACCENT4, bold: true } },
      { text: "BAL (British Anti Lewisite / Dimercaprol)", options: { color: WHITE } },
      { text: "Also DMSA for mild-moderate; for Mercury, Lead", options: { color: LIGHT } },
    ],
    // Row 5
    [
      { text: "Cyanide (HCN, Prussic acid)", options: { color: ACCENT1, bold: true } },
      { text: "Amyl nitrite → Sodium nitrite → Sodium thiosulfate", options: { color: WHITE } },
      { text: "Hydroxocobalamin IV is modern antidote", options: { color: LIGHT } },
      { text: "Lead (Pb) poisoning", options: { color: ACCENT1, bold: true } },
      { text: "EDTA (Ca-EDTA) / DMSA (Succimer)", options: { color: WHITE } },
      { text: "DMSA oral for mild; EDTA IV for severe", options: { color: LIGHT } },
    ],
    // Row 6
    [
      { text: "Carbon Monoxide (CO)", options: { color: ACCENT2, bold: true } },
      { text: "100% O₂ (normobaric); hyperbaric O₂", options: { color: WHITE } },
      { text: "HBO for severe/COHb >25%; cardiac/neuro involvement", options: { color: LIGHT } },
      { text: "Mercury (Hg)", options: { color: ACCENT2, bold: true } },
      { text: "BAL (Dimercaprol) / DMSA", options: { color: WHITE } },
      { text: "Organic mercury (MeHg): DMSA preferred", options: { color: LIGHT } },
    ],
    // Row 7
    [
      { text: "Warfarin / Rodenticides (superwarfarin)", options: { color: ACCENT3, bold: true } },
      { text: "Vitamin K (Phytonadione)", options: { color: WHITE } },
      { text: "Vit K1 IV/oral; FFP for immediate reversal", options: { color: LIGHT } },
      { text: "Copper Sulphate (vitriol)", options: { color: ACCENT3, bold: true } },
      { text: "D-Penicillamine (specific chelator)", options: { color: WHITE } },
      { text: "Also supportive; remove from exposure", options: { color: LIGHT } },
    ],
    // Row 8
    [
      { text: "Digoxin / Digitalis glycosides", options: { color: ACCENT4, bold: true } },
      { text: "Digoxin-Specific Fab antibody fragments", options: { color: WHITE } },
      { text: "DigiFab/Digibind; also correct K+/Mg2+", options: { color: LIGHT } },
      { text: "Heparin (anticoagulant)", options: { color: ACCENT4, bold: true } },
      { text: "Protamine Sulfate", options: { color: WHITE } },
      { text: "1 mg per 100 IU heparin; slow IV", options: { color: LIGHT } },
    ],
    // Row 9
    [
      { text: "Tricyclic Antidepressants (TCA)", options: { color: ACCENT1, bold: true } },
      { text: "Sodium Bicarbonate (NaHCO₃)", options: { color: WHITE } },
      { text: "Alkalinize blood pH to 7.45–7.55; QRS >100 ms", options: { color: LIGHT } },
      { text: "Anticholinergic (Atropine, Dhatura)", options: { color: ACCENT1, bold: true } },
      { text: "Physostigmine (Neostigmine)", options: { color: WHITE } },
      { text: "Reverse CNS + peripheral effects", options: { color: LIGHT } },
    ],
    // Row 10
    [
      { text: "Beta-Blockers (propranolol OD)", options: { color: ACCENT2, bold: true } },
      { text: "Glucagon + Atropine + High-dose Insulin", options: { color: WHITE } },
      { text: "Glucagon bypasses receptor; ECMO in refractory", options: { color: LIGHT } },
      { text: "Fluoride / Oxalate", options: { color: ACCENT2, bold: true } },
      { text: "Calcium Gluconate IV", options: { color: WHITE } },
      { text: "Corrects hypocalcemia; also for HF acid, Ca-channel blockers", options: { color: LIGHT } },
    ],
    // Row 11
    [
      { text: "Cobra / Neurotoxic Snakebite", options: { color: ACCENT3, bold: true } },
      { text: "Polyvalent Anti-Snake Venom (ASV)", options: { color: WHITE } },
      { text: "Neostigmine + Atropine for neostigmine-responsive cases", options: { color: LIGHT } },
      { text: "Methemoglobin (nitrites, dapsone)", options: { color: ACCENT3, bold: true } },
      { text: "Methylene Blue 1–2 mg/kg IV", options: { color: WHITE } },
      { text: "Reduces MetHb; repeat if needed; avoid in G6PD deficiency", options: { color: LIGHT } },
    ],
    // Row 12
    [
      { text: "Isoniazid (INH) overdose", options: { color: ACCENT4, bold: true } },
      { text: "Pyridoxine (Vit B6)", options: { color: WHITE } },
      { text: "Gram for gram dose; controls seizures", options: { color: LIGHT } },
      { text: "Hydrofluoric (HF) acid", options: { color: ACCENT4, bold: true } },
      { text: "Calcium Gluconate (topical + IV)", options: { color: WHITE } },
      { text: "Topical gel first; IV for systemic fluoride toxicity", options: { color: LIGHT } },
    ],
  ];

  addTable(s, antidoteRows, 0.18, 1.1, 12.94,
    [2.1, 2.2, 2.3, 2.0, 2.2, 2.14],
    { fontSize: 8.2, color: LIGHT, fill: BG_MED, colW: [2.1, 2.2, 2.3, 2.0, 2.2, 2.14] }
  );

  // Memory tip
  s.addShape(pres.ShapeType.rect, { x: 0.18, y: 6.82, w: 12.94, h: 0.4, fill: { color: "1e293b" } });
  s.addText("⚡ MEMORY AIDS: OPC → 'A+P' (Atropine + PAM)  |  Carbamate → Atropine ONLY (no PAM!)  |  Opioid → Naloxone  |  BZD → Flumazenil  |  Cyanide → Hydroxycobalamin (modern) / Nitrite-Thiosulfate  |  Paracetamol → NAC  |  CO → O₂", {
    x: 0.25, y: 6.85, w: 12.8, h: 0.34, fontSize: 8.5, bold: true, color: YELLOW, margin: 0
  });

  s.addText("Slide 4 of 5  |  FMT Cheat Sheet – KNRUHS", {
    x: 0.2, y: 7.25, w: 12.9, h: 0.22, fontSize: 7.5, color: GREY, align: "right", margin: 0
  });
}

// ══════════════════════════════════════════════════════════════
// SLIDE 5 — MEDICOLEGAL CUTOFFS & KEY NUMBERS
// ══════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: BG_DARK };
  headerBar(s, "MEDICOLEGAL CUTOFFS  —  Age Thresholds · Legal Limits · Forensic Numbers", ACCENT2);

  // ── COL 1: Age cutoffs
  sectionLabel(s, "AGE-RELATED CUTOFFS", 0.18, 0.85, 4.0, ACCENT2);
  const ageTable = [
    [{ text: "Age", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Legal/Medicolegal Significance", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["< 7 years", "Doli incapax – no criminal responsibility"],
    ["7–12 years", "Partial responsibility (court judges maturity)"],
    ["12 years", "Age of discretion – POCSO child ≤18 yr"],
    ["< 14 years", "Child labour prohibited (Child Labour Act)"],
    ["< 16 years", "Consent to sex = rape (IPC 375)"],
    ["< 18 years", "Juvenile – Juvenile Justice Act"],
    ["< 18 years (girl)", "Child marriage (Prohibition) Act – girl"],
    ["< 21 years (boy)", "Child marriage – boy"],
    ["18 years", "Age of consent (sexual intercourse)"],
    ["18 years", "Voting age; driving license (LMV)"],
    ["18 years", "MTP Act – no parental consent needed"],
    ["21 years", "Full legal capacity; driving heavy vehicle"],
    ["< 20 weeks", "MTP – 1 doctor can terminate (routine)"],
    ["20–24 weeks", "MTP – 2 doctors needed (special category)"],
    ["Any gestation", "MTP allowed – rape/fetal anomaly/contraception failure"],
    ["45 days", "Sperm motility detectable in vagina post coitus"],
    ["72 hours", "Sperm identifiable in vagina (non-motile)"],
  ];
  ageTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT2, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, ageTable, 0.18, 1.13, 4.1, [1.1, 3.0], { fontSize: 8.5, color: LIGHT, fill: BG_MED });

  // ── COL 2: Alcohol / Thanatology numbers
  sectionLabel(s, "ALCOHOL LEVELS & THANATOLOGY", 4.5, 0.85, 4.1, ACCENT3);
  const alcTable = [
    [{ text: "Level / Time", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Effect / Finding", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["30 mg/100 mL", "Mild euphoria, slight impairment"],
    ["50 mg/100 mL", "Legal limit for driving in India (MV Act)"],
    ["80 mg/100 mL", "UK legal limit; marked impairment"],
    ["100 mg/100 mL", "Drunkenness; incoordination"],
    ["200 mg/100 mL", "Stupor; severe CNS depression"],
    ["300 mg/100 mL", "Coma risk"],
    ["≥ 400 mg/100 mL", "Usually fatal (respiratory arrest)"],
    ["--- THANATOLOGY ---", "--- Post-mortem changes ---"],
    ["0–3 hrs", "Algor mortis starts (1°C / hr cooling)"],
    ["3–6 hrs", "Rigor mortis begins (jaw, neck)"],
    ["12 hrs", "Rigor mortis fully established"],
    ["24–48 hrs", "Rigor mortis passes off"],
    ["36–72 hrs", "Early putrefaction – green discoloration (R iliac fossa)"],
    ["3–10 days", "Bloating, skin-slippage"],
    ["1 month+", "Adipocere / Mummification (dry climate)"],
    ["--- LIVIDITY ---", "--- Hypostasis ---"],
    ["30 min–2 hr", "Lividity appears"],
    ["6–8 hr", "Fixation of lividity begins"],
    ["12 hr", "Fully fixed (not blanchable)"],
  ];
  alcTable.forEach((row, i) => {
    if (i > 0) {
      const isHeader = (row[0] === "--- THANATOLOGY ---" || row[0] === "--- LIVIDITY ---");
      row[0] = { text: row[0], options: { color: isHeader ? ACCENT3 : ACCENT2, bold: true } };
      row[1] = { text: row[1], options: { color: isHeader ? ACCENT3 : LIGHT, bold: isHeader } };
    }
  });
  addTable(s, alcTable, 4.5, 1.13, 4.2, [1.45, 2.75], { fontSize: 8.2, color: LIGHT, fill: BG_MED });

  // ── COL 3: Forensic key numbers
  sectionLabel(s, "KEY FORENSIC NUMBERS & LIMITS", 8.9, 0.85, 4.22, ACCENT1);
  const numTable = [
    [{ text: "Item", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } },
     { text: "Value / Rule", options: { bold: true, color: YELLOW, fill: { color: "1e293b" } } }],
    ["Rule of 9 (Burns)", "Head 9%, Each arm 9%, Each leg 18%, Trunk ant 18%, Trunk post 18%, Perineum 1%"],
    ["Vitreous K+ for TSD", "Rises 0.14 mmol/L/hr after death"],
    ["Diatom test", "Silicified algae in bone marrow = antemortem drowning"],
    ["Lung flotation test", "Lungs float = air breathed (live birth) vs sink = stillborn"],
    ["Fatal dose – Arsenic", "120–180 mg (As2O3)"],
    ["Fatal dose – Cyanide", "50–60 mg (HCN gas); 100–300 mg (KCN/NaCN)"],
    ["Fatal dose – OPC", "Varies widely by compound"],
    ["Fatal dose – CO", "COHb >50% usually fatal"],
    ["Fatal dose – Alcohol", "400–500 mg/100 mL blood"],
    ["Snakebite – ASV", "≥10 vials polyvalent IV (repeated if needed)"],
    ["Grievous Hurt – 8 kinds", "Emasculation, loss of sight, hearing, joint, limb, deformity, life-endanger, >20 day incapacity"],
    ["Hymen – forensic", "Not reliable indicator of virginity; elastic in many"],
    ["Age of bone fusion – medial clavicle", "25 yr = last epiphysis to fuse (oldest reliable)"],
    ["Ossification – iliac crest", "Fuses at 21–25 yr"],
    ["PITS mnemonic (antemortem burns)", "Pain, Inflammatory reaction, Tissue charring, Smell – all present"],
    ["Carbon monoxide – cherry red lividity", "Carboxyhemoglobin >20–30%"],
    ["McIndoe test", "Confirms seminal fluid (acid phosphatase test)"],
    ["Locard exchange principle", "Every contact leaves a trace"],
    ["Bertillon system", "First scientific identification method (11 body measurements)"],
  ];
  numTable.forEach((row, i) => {
    if (i > 0) {
      row[0] = { text: row[0], options: { color: ACCENT2, bold: true } };
      row[1] = { text: row[1], options: { color: LIGHT } };
    }
  });
  addTable(s, numTable, 8.9, 1.13, 4.22, [1.85, 2.37], { fontSize: 8, color: LIGHT, fill: BG_MED });

  s.addText("Slide 5 of 5  |  FMT Cheat Sheet – KNRUHS  |  Based on KS Narayan Reddy & CBME syllabus", {
    x: 0.2, y: 7.25, w: 12.9, h: 0.22, fontSize: 7.5, color: GREY, align: "right", margin: 0
  });
}

// ══════════════════════════════════════════════════════════════
// WRITE FILE
// ══════════════════════════════════════════════════════════════
pres.writeFile({ fileName: "/home/daytona/workspace/fmt-cheatsheet/FMT_CheatSheet_KNRUHS.pptx" })
  .then(() => console.log("DONE: FMT_CheatSheet_KNRUHS.pptx created"))
  .catch(e => { console.error("ERROR:", e); process.exit(1); });

cd /home/daytona/workspace/fmt-cheatsheet && node build.js 2>&1

ls -lh /home/daytona/workspace/fmt-cheatsheet/FMT_CheatSheet_KNRUHS.pptx