IMCI

Question 0

Classification of fast breathing in a child 2 months upto 12 months

Answer 0

> = 50 BPM

Question 1

Patient comes in with difficulty of breathing, you ask for? look, listen feel for?

Answer 1

• Duration of symptoms
• Breaths per minute
• Chest indrawing
• Listen for stridor

Question 2

Classification of fast breathing in child 12 months upto 5 years of age

Answer 2

> = 40 BPM

Question 3

To classify a child with severe pneumonia or very severe disease you will look for the following signs:

Answer 3

• Any general danger signs
• Chest indrawing
• Stridor in a calm child

Question 4

What is the treatment to be given in a child with severe pneumonia

Answer 4

• Give first dose of antibiotics

- Refer urgently to hospitals

Question 5

The clinical sign of pneumonia

Answer 5

Fast breathing

Question 6

Treatment to be given in a child with pneumonia

Answer 6

• Give appropriate oral antibiotic for the first 5 days
• Soothe throat and relieve cough with a safe remedy
• Advise mother when to return immediately
• Follow up within 2 days

Question 7

If you are not entertaining pneumonia what is your basis?

Answer 7

No signs of pneumonia or severe disease

Question 8

Treatment classified in patient with no pneumonia, only cough and cold

Answer 8

• If coughing is more than 30 days refer for assesment
• Soothe the throat and relieve cough with a safe remedy
• Advise mother when to return immediately
• Follow up in 5 days if not improving

Question 9

How many days does it need to refer a cough for assessment?

Answer 9

30 days

Question 10

What are the signs that you have to look out for the determination of severe dehydration in a child?

Answer 10

• Lethargic or unconscious
• Sunken eyes
• Not able to drink or drinks poorly
• Skin pinch goes back very slowly

Question 11

Treatment to be given in patients who suffers severe dehydration but has no other severe classification:

Answer 11

Give fluid for severe dehydration

Question 12

If the child has another severe classification that goes with severe dehydration what will be given:

Answer 12

• Refer URGENTLY to hospital with mother giving frequent sips of ORS
• Advise the mother to breast feed

Question 13

If the severe dehydration si due to cholera, what will be your management:

Answer 13

Antibiotic to cholera

Question 14

Some dehydration signs are the following:

Answer 14

• Restless, Irritable
• Sunken eyes
• Drinks eagerly, thirsty
• skin pinch goes back slowly

Question 15

Treatment plan for patient classified as some dehydration:

Answer 15

Give some fluid and food

Question 16

Patient is classified as some dehydration + associated severe classification, what is your treatment:

Answer 16

• Refer urgently to hospital with mother giving frequent sips of ORS on the way
• Advise mother to continue to breastfeed
• Advise mother when to return immediately
• Follow up in 5 days if not improving

Question 17

Patient was classified as not having diarrhea, what is your treatment plan:

Answer 17

• Give fluid and food to treat diarrhea AT HOME
• Advise mother when to return immediately
• Follow up in 5 days of not yet improving

Question 18

For children with persistent diarrhea what is your sign to consider?

Answer 18

The presence and absence of DEHYDRATION

Question 19

Treatment given in patients with severe persistent diarrhea?

Answer 19

• Treat dehydration before referral unless the child have another severe classification
• Referral to hospitals

Question 20

Treatment given to patients with persistent diarrhea:

Answer 20

• Advise the mother on FEEDING a child who has persistent diarrhea
• Follow up in 5 days

Question 21

Signs with presence of blood in the stool indicates __

Answer 21

Dysentery

Question 22

Treatment in patients with dyesentery

Answer 22

• Treat for 5 days with an oral antibiotics recommended for shigella in the area
• Follow up in 2 days

Question 23

Patient is classified as with very severe febrile disease what are the signs associated with it?

Answer 23

• Any general danger signs

- STIFF NECK

Question 24

Treatment to be given in a very severe febrile disease

Answer 24

- Give first dose of an appropriate ANTIBIOTIC - Treat child to PREVENT LOW BLOOD GLUCOSE - Give one dose of PARACETAMOL in clinic FOR HIGH FEVER (38.5 or above) - Refer urgently to hospital

Question 25

Treatment to be given in patients with unlikely fever due to malaria:

Answer 25

- Give one dose of PARACETAMOL for high fever - Advise mother when to return immediately - Follow up in 2 days if fever persists - If fever is persistent every day for more than 7 days refer for assessment

Question 26

The signs of a severe complicated measles case:

Answer 26

- Any general danger signs - Clouding of the cornea - Deep or Extensive mouth ulcers

Question 27

Treatment to be given in a severe complicated measles case:

Answer 27

- Give VITAMIN A - Give first dose of appropriate antibiotic - If clouding of cornea or pus draining from the eye, APPLY TETRACYCLINE eye ointment - Refer urgently to hospital

Question 28

What are the signs of a measles complication:

Answer 28

- Pus draining from the eye | - Mouth ulcers

Question 29

Treatment for complication of measles

Answer 29

- Give vitamin A - If pus is draining from the eye give Tetracycline eye ointment - For mouth ulcers treat with GENTIAN VIOLET - Follow up in 2 days

Question 30

If measles is now or within the last 3 months what will you give to patient:

Answer 30

Give VITAMIN A

Question 31

Signs to determine the presence of Mastoiditis in patient:

Answer 31

Tender swelling behind the ear

Question 32

Treatment for mastoiditis:

Answer 32

- Give first dose of antibiotic - Give first dose paracetamol - Refer urgently to hospital

Question 33

The sign in patient with acute ear infection:

Answer 33

- Pus is seen draining from the ear and discharge is reported for LESS THAN 14 days - Ear pain

Question 34

Treatment in patients with acute ear infection:

Answer 34

- Give oral antibiotic for 5 days - Give paracetamol for pain - Dry the ear by wicking - Follow up to 5 days

Question 35

Signs in patient with a chronic ear infection:

Answer 35

Pus is seen draining from ear and discharge is reported for 14 days or MORE

Question 36

Treatment for chronic ear infection:

Answer 36

- Dry the ear by wicking | - Follow up in 5 days

Question 37

Signs of a patient with severe malnutrition or anemia:

Answer 37

- Visible severe wasting - Severe palmar pallor - Edema on both feet

Question 38

Treatment given to patients with severe malnutrition or anemia

Answer 38

- VITAMIN A | - Refer to hospital

Question 39

Signs of patient suffering from anemia or very low weight:

Answer 39

- Some palmar pallor | - Very low weight for age

Question 40

Treatment to be given in patients with anemia or very low weight:

Answer 40

- ASSESS FEEDING according to the FOOD BOX on the COUNSEL THE MOTHER chart - Give iron - Give antimalarial in high risk - Give mebendazole in children 2 yo and older if not had a dose in previous 6 months - Advise mother when to return immediately

Question 41

In patients with anemia and low weight give the dates of return follow up: Feeding problem Pallor Very low weight for age

Answer 41

5 days 14 days 30 days

Question 42

What age group will you assess the feeding and counsel, if the patient has no anemia and not very low weight:

Answer 42

LESS THAN 2 yo

Question 43

Treatment of a possible serious bacterial infection

Answer 43

- Give first dose of IM antibiotics - Treat to prevent low blood glucose - Advise mother to keep the infant warm on the way to hospital - Refer urgently to hospital

Question 44

Treatment for local bacterial infection:

Answer 44

- Give appropriate oral antibiotics - Teach mother to treat local infections at home - Advise mother to give home car for the young infant - Follow up in 2 days

Question 45

Signs of a local bacterial infection:

Answer 45

Red umbilicus Draining pus Skin pustule