DCH 3rd year IMNCI

A 2-month-old infant presents with high fever, lethargy, and severe respiratory distress. What is the most critical management step?

• Oral antibiotics if child can swallow

• Refer urgently with first dose of appropriate antibiotics

• Administration of paracetamol and refer

• Home care with fluids and manage hypoglycemia

A 4-year-old child comes to the PHC with diarrhea and fever for 3 days. On examination, the child appears lethargic with cold extremities and unable to drink. What is the classification of this child’s condition?

• No dehydration

• Some dehydration

• Severe dehydration

• Mild dehydration

A child is diagnosed with very severe febrile disease and exhibits signs of meningeal irritation. What should be the immediate next step in management?

• Administer antipyretics and cold sponging

• Start intravenous antibiotics and refer

• Provide oral rehydration salts and antibiotics

• Give analgesics and prevent low blood sugar

A 3-year-old child presents with a productive cough and wheezing. What is the first-line treatment for pneumonia.

• Cough syrup

• Tablet cetrizine

• Cap/tab amoxycillin

• Salbutamol

A 2 years child presents with a cough for 4 days and difficulty breathing. You suspect pneumonia. What key sign would confirm your suspicion?

• A) Mild fever with breath 37 breath /m

• Stridor with 39 breath/m

• chest-indrawing with 46 breath/m

• Clear lungs on auscultation

A parent reports that his child has a persistent cough but no fever. What is the most appropriate advice?

• Start antibiotics

• Observe and provide symptomatic treatment

• Refer immediately

• Administer antihistamines

A 3-year-old child weighing 13kg has diarrhea and signs of some dehydration. What is the recommended management?

• ORS at 975ml over 4 hours

• ORS at 875ml over 6 hours

• ORS at 1000ml over 5 hours

• ORS at 775ml over 3 hours

In a child with severe dehydration, which sign would indicate a need for immediate IV fluid therapy?

• Increased thirst and lethargic

• Sunken eyes and lethargic

• Dry mouth and irritable

• skin pinch goes back slowly and restless

Which antibiotic is commonly recommended for treating dysentery in children?

• Amoxicillin

• Ciprofloxacin

• Co-trimoxazole

• Doxycycline

A child presents with high fever and signs of malaria. What is the first-line treatment for uncomplicated malaria?

• Quinine

• Artesunate

• Chloroquine

• Coartem