diff --git a/app/src/main/res/layout/activity_main.xml b/app/src/main/res/layout/activity_main.xml
index cb6bc67..d8b9c61 100644
--- a/app/src/main/res/layout/activity_main.xml
+++ b/app/src/main/res/layout/activity_main.xml
@@ -13,15 +13,15 @@
             style="@style/title1"
             android:layout_width="wrap_content"
             android:layout_height="wrap_content"
-            android:layout_margin="16dp"
+            android:layout_margin="24dp"
             android:text="@string/select_the_test"
             app:layout_constraintStart_toStartOf="parent"
             app:layout_constraintTop_toTopOf="parent" />
 
         <com.google.android.material.card.MaterialCardView
             android:id="@+id/cv_item1"
-            android:layout_width="112dp"
-            android:layout_height="112dp"
+            android:layout_width="128dp"
+            android:layout_height="128dp"
             android:layout_marginStart="16dp"
             android:layout_marginTop="32dp"
             app:cardElevation="8dp"
@@ -46,10 +46,10 @@
 
                 <TextView
                     android:id="@+id/tv_title_item1"
-                    style="@style/title2"
+                    style="@style/title2_5"
                     android:layout_width="match_parent"
                     android:layout_height="wrap_content"
-                    android:text="Test Right"
+                    android:text="@string/sicklecell_nconfirmatory"
                     android:textAlignment="center"
                     app:layout_constraintBottom_toBottomOf="parent"
                     app:layout_constraintEnd_toEndOf="parent"
@@ -62,15 +62,132 @@
 
         <com.google.android.material.card.MaterialCardView
             android:id="@+id/cv_item2"
-            android:layout_width="112dp"
-            android:layout_height="112dp"
+            android:layout_width="128dp"
+            android:layout_height="128dp"
             android:layout_marginStart="16dp"
             android:layout_marginEnd="16dp"
             app:cardElevation="8dp"
             app:layout_constraintBottom_toBottomOf="@+id/cv_item1"
             app:layout_constraintEnd_toEndOf="parent"
             app:layout_constraintStart_toEndOf="@id/cv_item1"
-            app:layout_constraintTop_toTopOf="@+id/cv_item1" />
+            app:layout_constraintTop_toTopOf="@+id/cv_item1" >
+
+        <androidx.constraintlayout.widget.ConstraintLayout
+            android:layout_width="match_parent"
+            android:layout_height="match_parent">
+
+            <ImageView
+                android:id="@+id/iv_image_item2"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:scaleType="centerInside"
+                android:src="@drawable/ic_baseline_blur_on_24"
+                app:layout_constraintBottom_toTopOf="@id/tv_title_item2"
+                app:layout_constraintEnd_toEndOf="parent"
+                app:layout_constraintStart_toStartOf="parent"
+                app:layout_constraintTop_toTopOf="parent" />
+
+            <TextView
+                android:id="@+id/tv_title_item2"
+                style="@style/title2_5"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:text="@string/sicklecell_screening"
+                android:textAlignment="center"
+                app:layout_constraintBottom_toBottomOf="parent"
+                app:layout_constraintEnd_toEndOf="parent"
+                app:layout_constraintStart_toStartOf="parent"
+                app:layout_constraintTop_toBottomOf="@id/iv_image_item2" />
+
+        </androidx.constraintlayout.widget.ConstraintLayout>
+
+        </com.google.android.material.card.MaterialCardView>
+
+        <com.google.android.material.card.MaterialCardView
+            android:id="@+id/cv_item3"
+            android:layout_width="128dp"
+            android:layout_height="128dp"
+            android:layout_marginTop="32dp"
+            android:layout_marginStart="16dp"
+            app:cardElevation="8dp"
+            app:layout_constraintEnd_toStartOf="@id/cv_item4"
+            app:layout_constraintTop_toBottomOf="@id/cv_item1"
+            app:layout_constraintStart_toStartOf="parent">
+
+            <androidx.constraintlayout.widget.ConstraintLayout
+                android:layout_width="match_parent"
+                android:layout_height="match_parent">
+
+                <ImageView
+                    android:id="@+id/iv_image_item3"
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:scaleType="centerInside"
+                    android:src="@drawable/ic_baseline_blur_on_24"
+                    app:layout_constraintBottom_toTopOf="@id/tv_title_item3"
+                    app:layout_constraintEnd_toEndOf="parent"
+                    app:layout_constraintStart_toStartOf="parent"
+                    app:layout_constraintTop_toTopOf="parent" />
+
+                <TextView
+                    android:id="@+id/tv_title_item3"
+                    style="@style/title2_5"
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:text="@string/hb"
+                    android:textAlignment="center"
+                    app:layout_constraintBottom_toBottomOf="parent"
+                    app:layout_constraintEnd_toEndOf="parent"
+                    app:layout_constraintStart_toStartOf="parent"
+                    app:layout_constraintTop_toBottomOf="@id/iv_image_item3" />
+
+            </androidx.constraintlayout.widget.ConstraintLayout>
+
+        </com.google.android.material.card.MaterialCardView>
+
+
+        <com.google.android.material.card.MaterialCardView
+            android:id="@+id/cv_item4"
+            android:layout_width="128dp"
+            android:layout_height="128dp"
+            android:layout_marginStart="16dp"
+            android:layout_marginEnd="16dp"
+            app:cardElevation="8dp"
+            app:layout_constraintTop_toTopOf="@id/cv_item3"
+            app:layout_constraintBottom_toBottomOf="@id/cv_item3"
+            app:layout_constraintStart_toEndOf="@id/cv_item3"
+            app:layout_constraintEnd_toEndOf="parent">
+
+            <androidx.constraintlayout.widget.ConstraintLayout
+                android:layout_width="match_parent"
+                android:layout_height="match_parent">
+
+                <ImageView
+                    android:id="@+id/iv_image_item4"
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:scaleType="centerInside"
+                    android:src="@drawable/ic_baseline_blur_on_24"
+                    app:layout_constraintBottom_toTopOf="@id/tv_title_item4"
+                    app:layout_constraintEnd_toEndOf="parent"
+                    app:layout_constraintStart_toStartOf="parent"
+                    app:layout_constraintTop_toTopOf="parent" />
+
+                <TextView
+                    android:id="@+id/tv_title_item4"
+                    style="@style/title2_5"
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:text="@string/thalassemia"
+                    android:textAlignment="center"
+                    app:layout_constraintBottom_toBottomOf="parent"
+                    app:layout_constraintEnd_toEndOf="parent"
+                    app:layout_constraintStart_toStartOf="parent"
+                    app:layout_constraintTop_toBottomOf="@id/iv_image_item4" />
+
+            </androidx.constraintlayout.widget.ConstraintLayout>
+
+        </com.google.android.material.card.MaterialCardView>
 
 
     </androidx.constraintlayout.widget.ConstraintLayout>