IMCI

Question 1

for jaundice in infants;

Convulsions; apnea; bulging fontanelle; fever; severe skin putules

Answer 1

possible serious bacterial infection (Red)

Question 2

for jaundice in infants;

Sticky discharge of the eyes

Answer 2

Local bacterial infection (yellow)

Question 3

strategy for reducing mortality and morbidity associated with major causes of childhood illness

Answer 3

Integrated Management of Childhood Illness

Question 4

top 5 priority disease of IMCI DAMMM

Answer 4

Diarrhea
Acute respiratory infection
Malaria
Measles
Malnutrition

Question 5

general danger signs for sick children

Answer 5

Unable to drink or breastfeed
Vomits everything
Convulsions?
Lethargic?

Question 6

classify dehydration:
 Lethargic or unconscious.
• Sunken eyes.
• Skin pinch goes back very slowly.
• Young infant less than one month
of age.

Answer 6

Severe Dehydration (red)

Question 7

classify dehydration:
Restless, irritable.
• Sunken eyes.
• Skin pinch goes back slowly

Answer 7

Some dehydration (yellow)

Question 8

management of severe dehydration for infants

Answer 8

Start intravenous infusion (Plan C, p. 43)
• Give first dose of ceftriaxone IM (p. 12)
• Breastfeed or give frequent sips of ORS if possible

Question 9

Diarrhoea lasting 14 days or more

Answer 9

severe persistent diarrhea

Question 10

Blood in the stool.

Answer 10

serious abdominal problem

Question 11

Classify pneumonia:
Chest indrawing
OR
• Stridor in calm child
OR
• Oxygen saturation less than 90% in room air

Answer 11

Severe pneumonia (red)

Question 12

Classify pneumonia:

Fast breathing

Answer 12

Pneumonia (yellow)

Question 13

management of severe pneumonia:

Answer 13

Give first dose of ceftriaxone IM (p. 35)

• Give first dose cotrimoxazole

Question 14

medical treatment for malaria <15kg

Answer 14

Day 1: 1 tablet q8hrs

Day 2: twice daily

Question 15

If child have fever: classify

bulging fontanelle

Answer 15

Suspected meningitis or malaria

Question 16

classify if having fever and rasj and runny nose
• PNEUMONIA
OR
• Symptomatic HIV infection
OR
• Clouding of cornea.
OR
• Deep or extensive mouth ulce

Answer 16

suspected complicated measles

Question 17

classify ear problem:

Tender swelling behind the ear

Answer 17

mastoiditis

Question 18

classify ear problem:
Pus seen draining from the ear and discharge is
reported for less than 14 days.
OR
• Ear pain which wakes the child at night

Answer 18

acute ear infection

Question 19

sore throat with:
No runny nose
• No cough
• No rash
• No conjunctivitis

Answer 19

possible streptococcal infection (yellow)