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Create a detailed notes from this given information and highlight from highly important to least asked for neet pg

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Here are the detailed notes on Emerging Infections from your Community Medicine Workbook, organized from highest to lowest frequency in NEET PG, with color-coded priority levels:

🔴 EMERGING INFECTIONS - NEET PG NOTES

Community Medicine | DBMCI Workbook 2025

🔴🔴🔴 HIGHEST PRIORITY (Most Frequently Asked)

1. NIPAH VIRUS

Feature	Detail
1st Case (Origin)	Malaysia
Reservoir	Fruit Bats
India outbreaks	West Bengal & Kerala
Mortality	40-75% (very high - favorite MCQ)
Clinical Feature	Acute Encephalitis
D/D	Japanese Encephalitis (JE)

Transmission Chains (draw these as arrows in exam):

🦇 BAT → 🐷 PIG → 👤 MAN (amplifying host pathway)
🦇 BAT → contaminated Date Palm Sap → 👤 MAN (direct, via blood/saliva/urine of bat)
👤 MAN → body fluids/secretions → 👤 MAN (human-to-human via droplets)

Key MCQ triggers:

Pig = Risk factor / amplifying host ("Barking pig" = characteristic)

Outbreak in West Bengal & Kerala (India-specific data)

Mortality 40-75% - one of the highest among viral encephalitides

D/D with JE (both cause acute encephalitis)

2. ZIKA VIRUS

Feature	Detail
Vector	Aedes mosquito (day-biting!)
Key complication in newborns	MICROCEPHALY
Neurological complication in adults	GBS (Guillain-Barre Syndrome)
Vertical transmission	Mother → Child (via placenta - Syncytiotrophoblast, Hofbauer cells, Cytotrophoblast)
Sexual transmission	Yes - via semen fluids

Prevention:

Vector control = Aedes control (Day time - important, Aedes bites during day)
Barrier contraception (to prevent sexual transmission)

Key MCQ triggers:

Zika + Microcephaly in newborns = #1 association

Zika + GBS in adults = #2 association

Only arboviral disease with sexual transmission (via semen)

Aedes = day-biting vector (unlike Anopheles/night)

🟠🟠 HIGH PRIORITY

3. EBOLA HEMORRHAGIC FEVER

Feature	Detail
Transmission	Bat → secretions → Man; Man → body fluids → Man
Clinical Feature	Acute Hemorrhagic Fever
D/D	Yellow Fever
Prevention	Universal Precautions

Transmission Sequence:

BAT --(secretions)--> MAN --(body fluids)--> MAN

Key MCQ triggers:

D/D = Yellow Fever (both cause hemorrhagic fever)

Prevention = Universal Precautions (Standard Precautions)

Reservoir = Fruit bats (same as Nipah - common confuser!)

4. CRIMEAN-CONGO HEMORRHAGIC FEVER (CCHF)

Feature	Detail
States in India	Gujarat, UP, Rajasthan
Reservoir/Amplifying hosts	Cattle, Camel, Goats, Sheep, Birds
Vector	Hard Tick (Hyalomma)
Transmission	Cattle/Camel → Hard Tick → MAN
High risk groups	Vet Doctor, Farmer (highlighted - exam favourite!)
Tick transmission	Transovarial transmission in ticks
Clinical Feature	Acute Hemorrhagic Fever

Key MCQ triggers:

Vector = Hard Tick (not soft tick)

At-risk = Vet doctors and farmers (direct tick exposure)

Indian states = Gujarat, UP, Rajasthan

Transovarial tick transmission

🟡 MODERATE PRIORITY

5. MONKEY POX (M-POX)

Feature	Detail
Reservoir	Primates, Rodents
Transmission	Primates/Rodents → (secretions) → Man; Man → (droplet + contact) → Man
Rash distribution	Face, Palms, Soles (centrifugal - like smallpox!)
Other symptoms	Fever, Rash, Posterior Cervical Lymphadenopathy (CALD)
Important comparison	Mimics Small Pox

Key MCQ triggers:

Rash on face, palms, soles = mimics smallpox (centrifugal distribution)

Posterior cervical lymphadenopathy = distinguishes Mpox from smallpox

Man-to-man via droplet + direct contact

6. HANTA VIRUS

Feature	Detail
Source	Rat feces (virus contained in rodent feces)
Mechanism	Infected feces → become airborne → inhaled by humans
High risk group	Sweepers (inhalation of dried feces)
Symptoms	Muscle aches, Fever, Headache, Cough
Clinical syndrome	ARD - Acute Respiratory Distress (ARDS)
Organ failure	Lung, Liver, Kidney failure

Key MCQ triggers:

Route = inhalation of aerosolized rat feces

Occupation at risk = Sweepers / janitors

Leads to multi-organ failure (lung + liver + kidney)

🟢 LOWER PRIORITY (But Know Basics)

7. LEPTOSPIROSIS

Feature	Detail
Source	Rat Urine in sewage/water
Target organ	Liver (jaundice)
Severe form	Weil's Disease (icteric leptospirosis with jaundice + renal failure)

Key MCQ triggers:

Rat urine in sewage = transmission route

Weil's Disease = severe icteric form with liver involvement

QUICK COMPARISON TABLE (High-Yield for NEET PG)

Disease	Reservoir	Vector/Mode	Hallmark Clinical	D/D
Nipah	Fruit Bat	Date palm sap, pig, droplets	Acute Encephalitis	JE
Ebola	Fruit Bat	Body fluids	Acute Hemorrhagic Fever	Yellow Fever
CCHF	Cattle, Camel	Hard Tick	Acute Hemorrhagic Fever	-
Zika	-	Aedes (day)	Microcephaly, GBS	-
Mpox	Primates, Rodents	Droplet + Contact	Face/Palms/Soles rash	Smallpox
Hanta	Rodents	Inhaled feces	ARDS + multi-organ failure	-
Lepto	Rats	Rat urine/sewage	Weil's Disease (liver)	-

ONE-LINERS FOR RAPID REVISION

🔑 Nipah 1st case = Malaysia; India = West Bengal + Kerala; Mortality = 40-75%; D/D = JE
🔑 Ebola D/D = Yellow Fever; Prev = Universal Precautions
🔑 CCHF = Hard Tick; Gujarat/UP/Rajasthan; Vet doctors + Farmers at risk
🔑 Zika = Aedes (day) + Microcephaly (newborn) + GBS (adult) + Sexual transmission
🔑 Mpox = Face/Palms/Soles rash + Posterior cervical lymphadenopathy; mimics Smallpox
🔑 Hanta = Rat feces inhaled; Sweepers at risk; ARDS + multi-organ failure
🔑 Leptospirosis = Rat urine; Weil's disease = severe form with liver involvement

Priority Key: 🔴🔴🔴 = Highest (3-4 MCQs per year) | 🟠🟠 = High (1-2 MCQs) | 🟡 = Moderate | 🟢 = Occasional

Make a presentation on Emerging Infections with high-yield MCQs for NEET PG prep

Reading File

Running Command

mkdir -p /home/daytona/workspace/emerging-infections-ppt

Writing File

~/emerging-infections-ppt/create_ppt.js

const pptxgen = require("pptxgenjs");

let pres = new pptxgen();
pres.layout = "LAYOUT_16x9";
pres.title = "Emerging Infections - NEET PG";
pres.author = "Community Medicine";

// ─── COLOR PALETTE ───────────────────────────────────────────────
const DARK_BG    = "0D1B2A";   // deep navy  (title / conclusion)
const MID_BG     = "1A2F4A";   // mid navy   (MCQ slides)
const LIGHT_BG   = "F0F4F8";   // off-white  (content slides)
const ACCENT_RED = "E63946";   // vivid red  (urgent / high-yield)
const ACCENT_YEL = "F4A261";   // amber      (moderate priority)
const ACCENT_GRN = "2A9D8F";   // teal-green (low priority / answer)
const WHITE      = "FFFFFF";
const DARK_TEXT  = "1A1A2E";
const LIGHT_GRAY = "D1D9E6";

// helper – full-bleed background rect
function bg(slide, fill) {
  slide.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: "100%", h: "100%", fill: { color: fill }, line: { color: fill } });
}

// helper – top accent bar
function topBar(slide, color) {
  slide.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: "100%", h: 0.08, fill: { color: color }, line: { color: color } });
}

// helper – section label chip
function chip(slide, label, x, y, color) {
  slide.addShape(pres.ShapeType.roundRect, { x, y, w: 2.1, h: 0.32, fill: { color: color }, line: { color: color }, rectRadius: 0.06 });
  slide.addText(label, { x, y, w: 2.1, h: 0.32, fontSize: 9, bold: true, color: WHITE, align: "center", valign: "middle", margin: 0 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 1 – TITLE
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, DARK_BG);

  // decorative diagonal band
  s.addShape(pres.ShapeType.rect, { x: 6.8, y: 0, w: 3.2, h: 5.625, fill: { color: MID_BG }, line: { color: MID_BG } });
  s.addShape(pres.ShapeType.rect, { x: 0, y: 4.7, w: "100%", h: 0.925, fill: { color: "122540" }, line: { color: "122540" } });

  s.addText("EMERGING", { x: 0.5, y: 0.6, w: 6, h: 1, fontSize: 54, bold: true, color: WHITE, fontFace: "Calibri" });
  s.addText("INFECTIONS", { x: 0.5, y: 1.45, w: 6, h: 1, fontSize: 54, bold: true, color: ACCENT_RED, fontFace: "Calibri" });

  s.addText("High-Yield NEET PG Preparation", { x: 0.5, y: 2.55, w: 6, h: 0.45, fontSize: 17, color: LIGHT_GRAY, fontFace: "Calibri", italic: true });

  // side decorative icons (emoji text)
  s.addText("🦠", { x: 7.1, y: 0.4, w: 2.5, h: 2.5, fontSize: 90, align: "center" });

  s.addText("Community Medicine  |  DBMCI 2025", { x: 0, y: 4.75, w: "100%", h: 0.5, fontSize: 11, color: LIGHT_GRAY, align: "center", valign: "middle", margin: 0 });
  s.addText("Nipah · Ebola · CCHF · Zika · Mpox · Hanta · Leptospirosis", { x: 0, y: 5.2, w: "100%", h: 0.35, fontSize: 10, color: "8899AA", align: "center", margin: 0 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 2 – OVERVIEW TABLE (Priority map)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);
  topBar(s, ACCENT_RED);

  s.addText("OVERVIEW – Priority Map", { x: 0.4, y: 0.15, w: 9.2, h: 0.55, fontSize: 22, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  const rows = [
    [{ text: "Disease", options: { bold: true, color: WHITE } },
     { text: "Reservoir", options: { bold: true, color: WHITE } },
     { text: "Vector / Route", options: { bold: true, color: WHITE } },
     { text: "Hallmark", options: { bold: true, color: WHITE } },
     { text: "Priority", options: { bold: true, color: WHITE } }],
    ["Nipah", "Fruit Bat", "Date palm sap / Pig / Droplets", "Acute Encephalitis", "🔴🔴🔴 Highest"],
    ["Zika", "Aedes mosquito", "Mosquito bite / Sexual", "Microcephaly + GBS", "🔴🔴🔴 Highest"],
    ["Ebola", "Fruit Bat", "Secretions / Body fluids", "Acute Hemorrhagic Fever", "🟠🟠 High"],
    ["CCHF", "Cattle, Camel", "Hard Tick", "Acute Hemorrhagic Fever", "🟠🟠 High"],
    ["Mpox", "Primates, Rodents", "Droplet + Contact", "Face/Palms/Soles rash", "🟡 Moderate"],
    ["Hanta", "Rodents", "Inhaled rat feces", "ARDS + multi-organ failure", "🟡 Moderate"],
    ["Leptospirosis", "Rats", "Rat urine / Sewage", "Weil's Disease", "🟢 Lower"],
  ];

  s.addTable(rows, {
    x: 0.3, y: 0.82, w: 9.4, h: 4.55,
    fontSize: 10.5,
    fontFace: "Calibri",
    color: DARK_TEXT,
    rowH: 0.52,
    border: { type: "solid", color: LIGHT_GRAY, pt: 0.5 },
    fill: { color: LIGHT_BG },
    valign: "middle",
    align: "center",
    colW: [1.5, 1.4, 2.3, 2.2, 2.0],
    thead: { fill: { color: DARK_BG }, color: WHITE, bold: true },
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 3 – NIPAH VIRUS (Content)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);

  // left accent strip
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 0.15, h: "100%", fill: { color: ACCENT_RED }, line: { color: ACCENT_RED } });

  chip(s, "🔴 HIGHEST PRIORITY", 0.3, 0.15, ACCENT_RED);
  s.addText("1. NIPAH VIRUS", { x: 0.3, y: 0.52, w: 9.3, h: 0.55, fontSize: 26, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  // Key facts box
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 1.15, w: 4.4, h: 2.6, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText("KEY FACTS", { x: 0.3, y: 1.18, w: 4.4, h: 0.38, fontSize: 11, bold: true, color: ACCENT_YEL, align: "center", margin: 0 });
  s.addText([
    { text: "1st Case: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Malaysia\n", options: { color: WHITE } },
    { text: "Reservoir: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Fruit Bats\n", options: { color: WHITE } },
    { text: "India Outbreaks: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "West Bengal & Kerala\n", options: { color: WHITE } },
    { text: "Mortality: ", options: { bold: true, color: ACCENT_RED } },
    { text: "40–75% (very high!)\n", options: { color: WHITE, bold: true } },
    { text: "C/O: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Acute Encephalitis\n", options: { color: WHITE } },
    { text: "D/D: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Japanese Encephalitis (JE)", options: { color: WHITE } },
  ], { x: 0.4, y: 1.6, w: 4.2, h: 2.0, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.3 });

  // Transmission box
  s.addShape(pres.ShapeType.roundRect, { x: 5.0, y: 1.15, w: 4.7, h: 2.6, fill: { color: "E8F4F8" }, line: { color: ACCENT_GRN, pt: 1.5 }, rectRadius: 0.08 });
  s.addText("TRANSMISSION CHAINS", { x: 5.0, y: 1.18, w: 4.7, h: 0.38, fontSize: 11, bold: true, color: ACCENT_GRN, align: "center", margin: 0 });
  s.addText([
    { text: "🦇 BAT → 🐷 PIG → 👤 MAN\n", options: { bold: true, color: DARK_TEXT } },
    { text: "(Pig = Amplifying host / Risk factor)\n\n", options: { color: "556677", fontSize: 10, italic: true } },
    { text: "🦇 BAT → Date Palm Sap → 👤 MAN\n", options: { bold: true, color: DARK_TEXT } },
    { text: "(via blood, saliva, urine of bat)\n\n", options: { color: "556677", fontSize: 10, italic: true } },
    { text: "👤 MAN → Body Fluids/Droplets → 👤 MAN\n", options: { bold: true, color: DARK_TEXT } },
    { text: "(Human-to-human spread)", options: { color: "556677", fontSize: 10, italic: true } },
  ], { x: 5.1, y: 1.6, w: 4.5, h: 2.1, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.2 });

  // MCQ trigger banner
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 3.9, w: 9.4, h: 1.45, fill: { color: "FFF3CD" }, line: { color: ACCENT_YEL, pt: 1 } });
  s.addText("⚡ MCQ TRIGGERS", { x: 0.4, y: 3.93, w: 9.2, h: 0.3, fontSize: 11, bold: true, color: "7B4F00", margin: 0 });
  s.addText([
    { text: "• Barking pig sound = characteristic of Nipah in pigs    ", options: {} },
    { text: "• Mortality 40–75% = highest among viral encephalitides    ", options: {} },
    { text: "• D/D = JE (both cause acute encephalitis)\n", options: {} },
    { text: "• India cases = West Bengal + Kerala    ", options: {} },
    { text: "• 1st case = Malaysia", options: {} },
  ], { x: 0.4, y: 4.26, w: 9.2, h: 1.0, fontSize: 10.5, color: DARK_TEXT, fontFace: "Calibri", lineSpacingMultiple: 1.25 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 4 – NIPAH MCQ
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, MID_BG);
  topBar(s, ACCENT_RED);

  s.addText("MCQ – NIPAH VIRUS", { x: 0.4, y: 0.18, w: 9.2, h: 0.5, fontSize: 20, bold: true, color: WHITE, fontFace: "Calibri" });

  // Q1
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 0.78, w: 9.4, h: 1.6, fill: { color: "16304E" }, line: { color: LIGHT_GRAY, pt: 0.5 }, rectRadius: 0.08 });
  s.addText("Q1. A 35-year-old farmer from Kerala presents with fever and acute encephalitis. History of contact with pigs and consuming fresh date palm sap. Which virus is the MOST likely causative agent?", { x: 0.5, y: 0.85, w: 9.0, h: 0.9, fontSize: 12, color: WHITE, fontFace: "Calibri", lineSpacingMultiple: 1.3 });
  s.addText([
    { text: "  A. Japanese Encephalitis     B. Nipah Virus     C. Rabies     D. Herpes Simplex Encephalitis", options: { color: LIGHT_GRAY } }
  ], { x: 0.5, y: 1.68, w: 9.0, h: 0.35, fontSize: 11, fontFace: "Calibri" });

  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 2.45, w: 9.4, h: 0.52, fill: { color: ACCENT_GRN }, line: { color: ACCENT_GRN }, rectRadius: 0.06 });
  s.addText("✅  Answer: B. Nipah Virus  —  Kerala + pig contact + date palm sap = classic Nipah scenario", { x: 0.4, y: 2.47, w: 9.2, h: 0.46, fontSize: 11.5, bold: true, color: WHITE, fontFace: "Calibri", valign: "middle", margin: 0 });

  // Q2
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 3.1, w: 9.4, h: 1.15, fill: { color: "16304E" }, line: { color: LIGHT_GRAY, pt: 0.5 }, rectRadius: 0.08 });
  s.addText("Q2. What is the mortality rate of Nipah virus infection in humans?", { x: 0.5, y: 3.15, w: 9.0, h: 0.45, fontSize: 12, color: WHITE, fontFace: "Calibri" });
  s.addText("  A. 5–10%     B. 15–25%     C. 40–75%     D. >90%", { x: 0.5, y: 3.6, w: 9.0, h: 0.35, fontSize: 11, color: LIGHT_GRAY, fontFace: "Calibri" });

  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 4.3, w: 9.4, h: 0.52, fill: { color: ACCENT_GRN }, line: { color: ACCENT_GRN }, rectRadius: 0.06 });
  s.addText("✅  Answer: C. 40–75%  —  One of the highest mortality rates among viral encephalitides", { x: 0.4, y: 4.32, w: 9.2, h: 0.46, fontSize: 11.5, bold: true, color: WHITE, fontFace: "Calibri", valign: "middle", margin: 0 });

  s.addText("Q3. Reservoir of Nipah virus: (A) Dog  (B) Pig  (C) Fruit Bat  (D) Rodent  →  ✅ C. Fruit Bat", { x: 0.3, y: 4.97, w: 9.4, h: 0.38, fontSize: 10.5, color: LIGHT_GRAY, italic: true, fontFace: "Calibri" });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 5 – EBOLA (Content)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 0.15, h: "100%", fill: { color: "C1121F" }, line: { color: "C1121F" } });

  chip(s, "🟠 HIGH PRIORITY", 0.3, 0.15, "C1121F");
  s.addText("2. EBOLA HEMORRHAGIC FEVER", { x: 0.3, y: 0.52, w: 9.3, h: 0.55, fontSize: 24, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  // Left box
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 1.15, w: 4.4, h: 2.4, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText("KEY FACTS", { x: 0.3, y: 1.18, w: 4.4, h: 0.35, fontSize: 11, bold: true, color: ACCENT_YEL, align: "center", margin: 0 });
  s.addText([
    { text: "Reservoir: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Fruit Bats\n", options: { color: WHITE } },
    { text: "C/O: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Acute Hemorrhagic Fever\n", options: { color: WHITE } },
    { text: "D/D: ", options: { bold: true, color: ACCENT_RED } },
    { text: "Yellow Fever ⭐\n", options: { color: WHITE, bold: true } },
    { text: "Prevention: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Universal Precautions\n", options: { color: WHITE } },
    { text: "Note: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Same reservoir as Nipah (Fruit Bat)", options: { color: LIGHT_GRAY, italic: true } },
  ], { x: 0.4, y: 1.57, w: 4.2, h: 1.9, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.35 });

  // Right box
  s.addShape(pres.ShapeType.roundRect, { x: 5.0, y: 1.15, w: 4.7, h: 2.4, fill: { color: "E8F4F8" }, line: { color: "C1121F", pt: 1.5 }, rectRadius: 0.08 });
  s.addText("TRANSMISSION", { x: 5.0, y: 1.18, w: 4.7, h: 0.35, fontSize: 11, bold: true, color: "C1121F", align: "center", margin: 0 });
  s.addText([
    { text: "Step 1:\n", options: { bold: true, color: DARK_TEXT } },
    { text: "🦇 BAT  --secretions-->  👤 MAN\n\n", options: { color: DARK_TEXT } },
    { text: "Step 2:\n", options: { bold: true, color: DARK_TEXT } },
    { text: "👤 MAN  --body fluids-->  👤 MAN\n\n", options: { color: DARK_TEXT } },
    { text: "⚠ Healthcare workers at HIGH risk\n", options: { color: "C1121F", bold: true } },
    { text: "(Universal precautions mandatory)", options: { color: "556677", italic: true } },
  ], { x: 5.1, y: 1.6, w: 4.5, h: 1.9, fontSize: 11.5, fontFace: "Calibri", lineSpacingMultiple: 1.25 });

  // MCQ banner
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 3.68, w: 9.4, h: 1.65, fill: { color: "FFF3CD" }, line: { color: ACCENT_YEL, pt: 1 } });
  s.addText("⚡ MCQ TRIGGERS + QUICK MCQ", { x: 0.4, y: 3.71, w: 9.2, h: 0.3, fontSize: 11, bold: true, color: "7B4F00", margin: 0 });
  s.addText([
    { text: "• Ebola D/D = Yellow Fever (both: hemorrhagic fever)    • Prevention = Universal Precautions\n", options: {} },
    { text: "• Reservoir = Fruit Bat (same as Nipah — common confuser!)\n", options: {} },
    { text: "Q: Prevention of Ebola: (A) Vaccine  (B) Universal precautions  (C) Quarantine  (D) Antiviral  →  ✅ B. Universal Precautions", options: { bold: true, color: "7B4F00" } },
  ], { x: 0.4, y: 4.04, w: 9.2, h: 1.22, fontSize: 10.5, color: DARK_TEXT, fontFace: "Calibri", lineSpacingMultiple: 1.28 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 6 – CCHF (Content)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 0.15, h: "100%", fill: { color: "E07B00" }, line: { color: "E07B00" } });

  chip(s, "🟠 HIGH PRIORITY", 0.3, 0.15, "E07B00");
  s.addText("3. CRIMEAN-CONGO HEMORRHAGIC FEVER (CCHF)", { x: 0.3, y: 0.52, w: 9.3, h: 0.55, fontSize: 21, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  // Left
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 1.15, w: 4.4, h: 2.7, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText("KEY FACTS", { x: 0.3, y: 1.18, w: 4.4, h: 0.35, fontSize: 11, bold: true, color: ACCENT_YEL, align: "center", margin: 0 });
  s.addText([
    { text: "Indian States: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Gujarat, UP, Rajasthan\n", options: { color: WHITE } },
    { text: "Reservoir: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Cattle, Camel, Goats, Sheep\n", options: { color: WHITE } },
    { text: "Vector: ", options: { bold: true, color: ACCENT_RED } },
    { text: "Hard Tick (Hyalomma) ⭐\n", options: { color: WHITE, bold: true } },
    { text: "Tick transmission: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Transovarial\n", options: { color: WHITE } },
    { text: "C/O: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Acute Hemorrhagic Fever\n", options: { color: WHITE } },
    { text: "High-risk: ", options: { bold: true, color: ACCENT_RED } },
    { text: "Vet Doctors + Farmers ⭐", options: { color: WHITE, bold: true } },
  ], { x: 0.4, y: 1.57, w: 4.2, h: 2.2, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.3 });

  // Right
  s.addShape(pres.ShapeType.roundRect, { x: 5.0, y: 1.15, w: 4.7, h: 2.7, fill: { color: "FFF8EE" }, line: { color: "E07B00", pt: 1.5 }, rectRadius: 0.08 });
  s.addText("TRANSMISSION CYCLE", { x: 5.0, y: 1.18, w: 4.7, h: 0.35, fontSize: 11, bold: true, color: "E07B00", align: "center", margin: 0 });
  s.addText([
    { text: "Cattle / Camel\n", options: { bold: true, color: DARK_TEXT, fontSize: 13 } },
    { text: "          ↓\n", options: { color: DARK_TEXT, fontSize: 14 } },
    { text: "Hard Tick (vector)\n", options: { bold: true, color: "C1121F", fontSize: 13 } },
    { text: "          ↓\n", options: { color: DARK_TEXT, fontSize: 14 } },
    { text: "MAN\n", options: { bold: true, color: DARK_TEXT, fontSize: 13 } },
    { text: "\n⚠ Vet doctors & farmers\n", options: { bold: true, color: "C1121F" } },
    { text: "have highest occupational risk", options: { italic: true, color: "556677" } },
  ], { x: 5.1, y: 1.6, w: 4.5, h: 2.15, fontSize: 11.5, fontFace: "Calibri", lineSpacingMultiple: 1.15 });

  // Banner
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 3.98, w: 9.4, h: 1.35, fill: { color: "FFF3CD" }, line: { color: ACCENT_YEL, pt: 1 } });
  s.addText("⚡ MCQ TRIGGERS + QUICK MCQ", { x: 0.4, y: 4.01, w: 9.2, h: 0.28, fontSize: 11, bold: true, color: "7B4F00", margin: 0 });
  s.addText([
    { text: "• Vector = Hard Tick (NOT soft tick)    • At-risk = Vet doctors & Farmers    • Indian states = Gujarat, UP, Rajasthan\n", options: {} },
    { text: "Q: CCHF vector: (A) Soft tick  (B) Hard tick  (C) Mosquito  (D) Sand fly  →  ✅ B. Hard Tick (Hyalomma species)", options: { bold: true, color: "7B4F00" } },
  ], { x: 0.4, y: 4.31, w: 9.2, h: 0.95, fontSize: 10.5, color: DARK_TEXT, fontFace: "Calibri", lineSpacingMultiple: 1.3 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 7 – ZIKA (Content)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 0.15, h: "100%", fill: { color: ACCENT_RED }, line: { color: ACCENT_RED } });

  chip(s, "🔴 HIGHEST PRIORITY", 0.3, 0.15, ACCENT_RED);
  s.addText("4. ZIKA VIRUS", { x: 0.3, y: 0.52, w: 9.3, h: 0.55, fontSize: 26, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  // Left
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 1.15, w: 4.4, h: 2.85, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText("KEY FACTS", { x: 0.3, y: 1.18, w: 4.4, h: 0.35, fontSize: 11, bold: true, color: ACCENT_YEL, align: "center", margin: 0 });
  s.addText([
    { text: "Vector: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Aedes mosquito (DAY-biting!) ⭐\n", options: { color: WHITE } },
    { text: "Newborn complication: ", options: { bold: true, color: ACCENT_RED } },
    { text: "MICROCEPHALY ⭐\n", options: { color: WHITE, bold: true } },
    { text: "Adult complication: ", options: { bold: true, color: ACCENT_RED } },
    { text: "GBS (Guillain-Barre Syndrome) ⭐\n", options: { color: WHITE, bold: true } },
    { text: "Vertical transmission: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Mother → Child (via placenta)\n", options: { color: WHITE } },
    { text: "  → Syncytiotrophoblast, Hofbauer cells, Cytotrophoblast\n", options: { color: LIGHT_GRAY, fontSize: 9.5 } },
    { text: "Sexual transmission: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Yes – via semen fluids ⭐", options: { color: WHITE, bold: true } },
  ], { x: 0.4, y: 1.57, w: 4.2, h: 2.35, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.28 });

  // Right
  s.addShape(pres.ShapeType.roundRect, { x: 5.0, y: 1.15, w: 4.7, h: 2.85, fill: { color: "E8F4F8" }, line: { color: ACCENT_RED, pt: 1.5 }, rectRadius: 0.08 });
  s.addText("PREVENTION", { x: 5.0, y: 1.18, w: 4.7, h: 0.35, fontSize: 11, bold: true, color: ACCENT_RED, align: "center", margin: 0 });
  s.addText([
    { text: "1. Vector Control\n", options: { bold: true, color: DARK_TEXT, fontSize: 13 } },
    { text: "   → Aedes control\n", options: { color: DARK_TEXT } },
    { text: "   → Day-time protection (Aedes bites by day)\n\n", options: { color: "556677", italic: true } },
    { text: "2. Barrier Contraception\n", options: { bold: true, color: DARK_TEXT, fontSize: 13 } },
    { text: "   → Prevents sexual transmission\n\n", options: { color: "556677", italic: true } },
    { text: "⚠ No vaccine available\n", options: { bold: true, color: ACCENT_RED } },
    { text: "⚠ Avoid pregnancy if Zika-positive", options: { bold: true, color: ACCENT_RED } },
  ], { x: 5.1, y: 1.6, w: 4.5, h: 2.35, fontSize: 11.5, fontFace: "Calibri", lineSpacingMultiple: 1.2 });

  // Banner
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 4.12, w: 9.4, h: 1.22, fill: { color: "FFF3CD" }, line: { color: ACCENT_YEL, pt: 1 } });
  s.addText("⚡ MCQ TRIGGERS", { x: 0.4, y: 4.15, w: 9.2, h: 0.28, fontSize: 11, bold: true, color: "7B4F00", margin: 0 });
  s.addText([
    { text: "• Only arboviral disease with SEXUAL transmission    • Zika + Microcephaly (newborn) = #1 association    • Zika + GBS (adult) = #2\n", options: {} },
    { text: "• Aedes = DAY-biting (≠ Anopheles night)    • Vertical transmission via Hofbauer cells of placenta", options: {} },
  ], { x: 0.4, y: 4.45, w: 9.2, h: 0.82, fontSize: 10.5, color: DARK_TEXT, fontFace: "Calibri", lineSpacingMultiple: 1.3 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 8 – ZIKA MCQ
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, MID_BG);
  topBar(s, ACCENT_RED);

  s.addText("MCQ – ZIKA VIRUS", { x: 0.4, y: 0.18, w: 9.2, h: 0.5, fontSize: 20, bold: true, color: WHITE, fontFace: "Calibri" });

  const mcqs = [
    {
      q: "Q1. A pregnant woman in her first trimester develops fever and rash after Aedes mosquito bite. Her newborn at delivery shows a very small head circumference. What is the diagnosis?",
      opts: "  A. Rubella     B. Cytomegalovirus     C. Zika Virus     D. Toxoplasmosis",
      ans: "✅  Answer: C. Zika Virus  —  Aedes + Microcephaly in newborn = pathognomonic Zika scenario",
      y: 0.78, ay: 2.1,
    },
    {
      q: "Q2. A patient returning from a Zika-endemic area develops progressive ascending weakness and areflexia 2 weeks later. What is the most likely complication of Zika?",
      opts: "  A. ADEM     B. Transverse myelitis     C. Guillain-Barré Syndrome     D. Meningitis",
      ans: "✅  Answer: C. Guillain-Barré Syndrome (GBS)  —  Zika = #1 cause of GBS in adults (post-infectious)",
      y: 2.72, ay: 4.05,
    },
  ];

  mcqs.forEach(m => {
    s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: m.y, w: 9.4, h: 1.2, fill: { color: "16304E" }, line: { color: LIGHT_GRAY, pt: 0.5 }, rectRadius: 0.08 });
    s.addText(m.q, { x: 0.5, y: m.y + 0.07, w: 9.0, h: 0.8, fontSize: 11.5, color: WHITE, fontFace: "Calibri", lineSpacingMultiple: 1.25 });
    s.addText(m.opts, { x: 0.5, y: m.y + 0.85, w: 9.0, h: 0.3, fontSize: 11, color: LIGHT_GRAY, fontFace: "Calibri" });

    s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: m.ay, w: 9.4, h: 0.5, fill: { color: ACCENT_GRN }, line: { color: ACCENT_GRN }, rectRadius: 0.06 });
    s.addText(m.ans, { x: 0.4, y: m.ay + 0.02, w: 9.2, h: 0.46, fontSize: 11, bold: true, color: WHITE, fontFace: "Calibri", valign: "middle", margin: 0 });
  });

  s.addText("Q3. Unique feature of Zika vs other arboviruses: (A) High mortality  (B) Sexual transmission  (C) No vector  (D) Airborne  →  ✅ B. Sexual transmission", { x: 0.3, y: 4.67, w: 9.4, h: 0.65, fontSize: 10.5, color: LIGHT_GRAY, italic: true, fontFace: "Calibri", lineSpacingMultiple: 1.2 });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 9 – MPOX + HANTA (Content)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);

  // Mpox section
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 5.0, h: 5.625, fill: { color: "F7F9FC" }, line: { color: "F7F9FC" } });
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 0.12, h: "100%", fill: { color: ACCENT_YEL }, line: { color: ACCENT_YEL } });

  chip(s, "🟡 MODERATE", 0.25, 0.12, ACCENT_YEL);
  s.addText("5. MONKEY POX (M-POX)", { x: 0.25, y: 0.48, w: 4.5, h: 0.45, fontSize: 16, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  s.addShape(pres.ShapeType.roundRect, { x: 0.25, y: 1.0, w: 4.5, h: 3.5, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText([
    { text: "Reservoir: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Primates, Rodents\n", options: { color: WHITE } },
    { text: "Transmission:\n", options: { bold: true, color: ACCENT_YEL } },
    { text: "  Animals → secretions → Man\n", options: { color: WHITE } },
    { text: "  Man → Droplet + Contact → Man\n\n", options: { color: WHITE } },
    { text: "Rash distribution ⭐:\n", options: { bold: true, color: ACCENT_RED } },
    { text: "  Face, Palms, Soles (centrifugal)\n", options: { color: WHITE, bold: true } },
    { text: "  Mimics Smallpox!\n\n", options: { color: LIGHT_GRAY, italic: true } },
    { text: "Unique sign ⭐:\n", options: { bold: true, color: ACCENT_RED } },
    { text: "  Posterior Cervical Lymphadenopathy\n", options: { color: WHITE, bold: true } },
    { text: "  (distinguishes from Smallpox)\n\n", options: { color: LIGHT_GRAY, italic: true, fontSize: 9.5 } },
    { text: "Other: Fever, Rash, CALD\n\n", options: { color: WHITE } },
    { text: "MCQ: Mpox vs Smallpox = post. cervical LAP!", options: { color: ACCENT_YEL, italic: true, fontSize: 9.5 } },
  ], { x: 0.35, y: 1.15, w: 4.3, h: 3.25, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.2 });

  // Hanta section
  s.addShape(pres.ShapeType.rect, { x: 5.05, y: 0, w: 0.12, h: "100%", fill: { color: "5C7AEA" }, line: { color: "5C7AEA" } });
  chip(s, "🟡 MODERATE", 5.25, 0.12, "5C7AEA");
  s.addText("6. HANTA VIRUS", { x: 5.25, y: 0.48, w: 4.5, h: 0.45, fontSize: 16, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  s.addShape(pres.ShapeType.roundRect, { x: 5.25, y: 1.0, w: 4.5, h: 3.5, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText([
    { text: "Source: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Rat feces (aerosolized)\n", options: { color: WHITE } },
    { text: "Route: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Inhalation ⭐\n", options: { color: WHITE, bold: true } },
    { text: "High-risk: ", options: { bold: true, color: ACCENT_RED } },
    { text: "Sweepers / Janitors ⭐\n\n", options: { color: WHITE, bold: true } },
    { text: "Symptoms:\n", options: { bold: true, color: ACCENT_YEL } },
    { text: "  Muscle aches, Fever, Headache, Cough\n", options: { color: WHITE } },
    { text: "  → ARD (Acute Respiratory Distress)\n\n", options: { color: WHITE } },
    { text: "Organ failure:\n", options: { bold: true, color: ACCENT_RED } },
    { text: "  Lung + Liver + Kidney ⭐\n\n", options: { color: WHITE, bold: true } },
    { text: "MCQ: Sweeper + respiratory distress\n→ Think Hanta virus!", options: { color: ACCENT_YEL, italic: true, fontSize: 9.5 } },
  ], { x: 5.35, y: 1.15, w: 4.3, h: 3.25, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.2 });

  // divider
  s.addShape(pres.ShapeType.line, { x: 5.0, y: 0.1, w: 0, h: 5.42, line: { color: LIGHT_GRAY, pt: 1 } });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 10 – LEPTOSPIROSIS + MCQ Mix
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, LIGHT_BG);
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 0.15, h: "100%", fill: { color: ACCENT_GRN }, line: { color: ACCENT_GRN } });

  chip(s, "🟢 LOWER PRIORITY", 0.3, 0.12, ACCENT_GRN);
  s.addText("7. LEPTOSPIROSIS", { x: 0.3, y: 0.5, w: 4.5, h: 0.48, fontSize: 22, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 1.05, w: 4.5, h: 2.45, fill: { color: "1A2F4A" }, line: { color: "1A2F4A" }, rectRadius: 0.08 });
  s.addText([
    { text: "Source: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Rat urine in sewage / water\n", options: { color: WHITE } },
    { text: "Target organ: ", options: { bold: true, color: ACCENT_YEL } },
    { text: "Liver (jaundice)\n", options: { color: WHITE } },
    { text: "Severe form: ", options: { bold: true, color: ACCENT_RED } },
    { text: "Weil's Disease ⭐\n", options: { color: WHITE, bold: true } },
    { text: "  (icteric leptospirosis + renal failure)\n\n", options: { color: LIGHT_GRAY, italic: true, fontSize: 9.5 } },
    { text: "MCQ tip: Rat urine exposure\n+ jaundice = Weil's disease", options: { color: ACCENT_YEL, italic: true, fontSize: 10 } },
  ], { x: 0.4, y: 1.2, w: 4.3, h: 2.2, fontSize: 11, fontFace: "Calibri", lineSpacingMultiple: 1.3 });

  // Right side – mixed MCQs
  s.addText("⚡ MIXED NEET PG MCQs", { x: 5.0, y: 0.15, w: 4.7, h: 0.4, fontSize: 15, bold: true, color: DARK_TEXT, fontFace: "Calibri" });

  const quickMcqs = [
    { q: "Q: Nipah 1st case country?", a: "Malaysia" },
    { q: "Q: CCHF Indian states?", a: "Gujarat, UP, Rajasthan" },
    { q: "Q: Zika + newborn complication?", a: "Microcephaly" },
    { q: "Q: Ebola D/D?", a: "Yellow Fever" },
    { q: "Q: Hanta virus at-risk occupation?", a: "Sweepers (rat feces inhalation)" },
    { q: "Q: Leptospirosis severe form?", a: "Weil's Disease" },
    { q: "Q: Mpox distinguishing sign vs Smallpox?", a: "Posterior cervical lymphadenopathy" },
  ];

  quickMcqs.forEach((m, i) => {
    const y = 0.62 + i * 0.68;
    s.addShape(pres.ShapeType.roundRect, { x: 5.0, y, w: 4.7, h: 0.62, fill: { color: "E8F4F8" }, line: { color: LIGHT_GRAY }, rectRadius: 0.05 });
    s.addText(m.q, { x: 5.1, y: y + 0.03, w: 4.5, h: 0.28, fontSize: 10.5, bold: true, color: DARK_TEXT, fontFace: "Calibri" });
    s.addText("✅ " + m.a, { x: 5.1, y: y + 0.31, w: 4.5, h: 0.26, fontSize: 10, color: ACCENT_GRN, bold: true, fontFace: "Calibri" });
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 11 – MASTER COMPARISON TABLE
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, DARK_BG);
  topBar(s, ACCENT_YEL);

  s.addText("MASTER COMPARISON TABLE", { x: 0.3, y: 0.12, w: 9.4, h: 0.5, fontSize: 22, bold: true, color: WHITE, fontFace: "Calibri" });
  s.addText("Most-tested distinctions in NEET PG", { x: 0.3, y: 0.62, w: 9.4, h: 0.28, fontSize: 11, color: LIGHT_GRAY, italic: true, fontFace: "Calibri" });

  const rows = [
    [
      { text: "Disease", options: { bold: true, color: WHITE } },
      { text: "Reservoir", options: { bold: true, color: WHITE } },
      { text: "Vector / Route", options: { bold: true, color: WHITE } },
      { text: "Key Complication", options: { bold: true, color: WHITE } },
      { text: "D/D", options: { bold: true, color: WHITE } },
      { text: "At-Risk", options: { bold: true, color: WHITE } },
    ],
    ["Nipah", "Fruit Bat", "Date palm sap / Pig", "Acute Encephalitis (40-75% mort.)", "JE", "General public"],
    ["Ebola", "Fruit Bat", "Body fluids", "Acute Hemorrhagic Fever", "Yellow Fever", "Healthcare workers"],
    ["CCHF", "Cattle/Camel", "Hard Tick", "Acute Hemorrhagic Fever", "-", "Vet doctors, Farmers"],
    ["Zika", "NA", "Aedes (day) + Sexual", "Microcephaly / GBS", "-", "Pregnant women"],
    ["Mpox", "Primates/Rodents", "Droplet + Contact", "Face/Palms/Soles rash", "Smallpox", "Close contacts"],
    ["Hanta", "Rodents", "Inhaled rat feces", "ARDS + multi-organ failure", "-", "Sweepers"],
    ["Lepto", "Rats", "Rat urine/Sewage", "Weil's Disease (liver)", "-", "Sewer workers"],
  ];

  s.addTable(rows, {
    x: 0.2, y: 0.95, w: 9.6, h: 4.4,
    fontSize: 10,
    fontFace: "Calibri",
    color: WHITE,
    rowH: 0.5,
    border: { type: "solid", color: "2A4060", pt: 0.5 },
    fill: { color: "16304E" },
    valign: "middle",
    align: "center",
    colW: [1.3, 1.3, 1.8, 2.2, 1.3, 1.7],
    thead: { fill: { color: ACCENT_RED }, color: WHITE, bold: true },
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 12 – RAPID FIRE MCQ Round
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, MID_BG);
  topBar(s, ACCENT_GRN);

  s.addText("⚡ RAPID FIRE – 10 HIGH-YIELD MCQs", { x: 0.3, y: 0.12, w: 9.4, h: 0.5, fontSize: 21, bold: true, color: WHITE, fontFace: "Calibri" });

  const rfs = [
    { n: "1", q: "Nipah first case – country?", a: "Malaysia" },
    { n: "2", q: "Nipah reservoir?", a: "Fruit Bat" },
    { n: "3", q: "Nipah mortality rate?", a: "40–75%" },
    { n: "4", q: "Nipah clinical presentation?", a: "Acute Encephalitis (D/D = JE)" },
    { n: "5", q: "Zika newborn complication?", a: "Microcephaly" },
    { n: "6", q: "Zika adult complication?", a: "GBS (Guillain-Barre Syndrome)" },
    { n: "7", q: "CCHF vector?", a: "Hard Tick (Hyalomma)" },
    { n: "8", q: "CCHF at-risk occupation?", a: "Vet doctors + Farmers" },
    { n: "9", q: "Hanta at-risk group?", a: "Sweepers (inhale rat feces)" },
    { n: "10", q: "Mpox distinguishing sign from smallpox?", a: "Posterior cervical lymphadenopathy" },
  ];

  // Two columns
  rfs.forEach((r, i) => {
    const col = i < 5 ? 0 : 1;
    const row = i % 5;
    const x = col === 0 ? 0.2 : 5.1;
    const y = 0.72 + row * 0.92;

    s.addShape(pres.ShapeType.roundRect, { x, y, w: 4.7, h: 0.85, fill: { color: "16304E" }, line: { color: ACCENT_GRN, pt: 0.8 }, rectRadius: 0.06 });
    s.addText(`Q${r.n}. ${r.q}`, { x: x + 0.12, y: y + 0.04, w: 4.48, h: 0.36, fontSize: 11, color: WHITE, bold: false, fontFace: "Calibri" });
    s.addText(`✅ ${r.a}`, { x: x + 0.12, y: y + 0.42, w: 4.48, h: 0.36, fontSize: 10.5, color: ACCENT_GRN, bold: true, fontFace: "Calibri" });
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 13 – ONE-LINERS CHEAT SHEET
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, DARK_BG);

  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: "100%", h: 0.7, fill: { color: ACCENT_RED }, line: { color: ACCENT_RED } });
  s.addText("🔑 ONE-LINERS CHEAT SHEET", { x: 0, y: 0, w: "100%", h: 0.7, fontSize: 22, bold: true, color: WHITE, align: "center", valign: "middle", fontFace: "Calibri", margin: 0 });

  const lines = [
    { emoji: "🦠", text: "Nipah = Malaysia (1st) | W.Bengal + Kerala (India) | Fruit Bat reservoir | 40-75% mortality | D/D = JE", color: ACCENT_RED },
    { emoji: "🩸", text: "Ebola = Fruit Bat → Man → Body fluids → Man | D/D = Yellow Fever | Prev = Universal Precautions", color: "E07B00" },
    { emoji: "🐄", text: "CCHF = Hard Tick | Cattle/Camel | Gujarat/UP/Rajasthan | Vet doctors + Farmers at risk", color: ACCENT_YEL },
    { emoji: "🦟", text: "Zika = Aedes (day) | Microcephaly (newborn) | GBS (adult) | Only arbovirus with sexual transmission", color: ACCENT_GRN },
    { emoji: "🐒", text: "Mpox = Primates/Rodents | Face+Palms+Soles rash | Posterior cervical LAP | Mimics Smallpox", color: "5C7AEA" },
    { emoji: "🐀", text: "Hanta = Rat feces inhaled | Sweepers at risk | ARDS + Lung/Liver/Kidney failure", color: "9B59B6" },
    { emoji: "💧", text: "Leptospirosis = Rat urine/Sewage | Liver → Weil's Disease (icteric + renal failure)", color: "00B4D8" },
  ];

  lines.forEach((l, i) => {
    const y = 0.82 + i * 0.67;
    s.addShape(pres.ShapeType.roundRect, { x: 0.25, y, w: 9.5, h: 0.6, fill: { color: "122540" }, line: { color: l.color, pt: 1.2 }, rectRadius: 0.05 });
    s.addText([
      { text: l.emoji + " ", options: { fontSize: 14 } },
      { text: l.text, options: { color: WHITE, fontSize: 11 } },
    ], { x: 0.4, y: y + 0.04, w: 9.2, h: 0.52, fontFace: "Calibri", valign: "middle" });
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 14 – FINAL / THANK YOU
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  bg(s, DARK_BG);
  s.addShape(pres.ShapeType.rect, { x: 0, y: 4.8, w: "100%", h: 0.825, fill: { color: ACCENT_RED }, line: { color: ACCENT_RED } });

  s.addText("ALL THE BEST", { x: 0.5, y: 1.0, w: 9, h: 1.2, fontSize: 62, bold: true, color: WHITE, align: "center", fontFace: "Calibri", charSpacing: 6 });
  s.addText("for NEET PG!", { x: 0.5, y: 2.0, w: 9, h: 0.8, fontSize: 28, color: ACCENT_YEL, align: "center", fontFace: "Calibri", italic: true });

  s.addText([
    { text: "Nipah · Ebola · CCHF · Zika · Mpox · Hanta · Leptospirosis", options: { color: LIGHT_GRAY } }
  ], { x: 0.5, y: 3.1, w: 9, h: 0.45, fontSize: 13, align: "center", fontFace: "Calibri" });
  s.addText("You've got this. Master the one-liners. Read the clues. Score full marks.", {
    x: 0.5, y: 3.62, w: 9, h: 0.45, fontSize: 12, color: "8899AA", align: "center", italic: true, fontFace: "Calibri"
  });

  s.addText("Community Medicine Workbook  |  DBMCI 2025  |  Emerging Infections", { x: 0, y: 4.83, w: "100%", h: 0.5, fontSize: 11, color: WHITE, align: "center", valign: "middle", fontFace: "Calibri", margin: 0 });
}

// ─── WRITE FILE ───────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/emerging-infections-ppt/Emerging_Infections_NEET_PG.pptx" })
  .then(() => console.log("DONE: file saved."))
  .catch(e => { console.error("ERROR:", e); process.exit(1); });

Running Command

cd /home/daytona/workspace/emerging-infections-ppt && node create_ppt.js 2>&1

Running Command

ls -lh /home/daytona/workspace/emerging-infections-ppt/Emerging_Infections_NEET_…

Your presentation is ready! Download it here:

Emerging Infections NEET PG

Presentation · PPTX

What's inside (14 slides, deep navy + red color theme):

Slide	Content
1	Title slide
2	Priority Overview Table (all 7 diseases at a glance)
3	Nipah - full content (key facts + transmission chains + MCQ triggers)
4	Nipah - 3 MCQs with answers
5	Ebola - content + inline MCQ
6	CCHF - content + inline MCQ
7	Zika - full content (Microcephaly, GBS, sexual transmission, prevention)
8	Zika - 3 MCQs with answers
9	Mpox + Hanta (side-by-side layout)
10	Leptospirosis + 7 rapid-answer MCQs
11	Master Comparison Table (all diseases vs reservoir/vector/complication/D/D)
12	Rapid Fire - 10 High-Yield MCQs with answers
13	One-Liners Cheat Sheet (color-coded per disease)
14	Closing motivational slide

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