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IMCI

Total questions: 40

Worksheet time: 1hrs 20mins

Name
Class
Date
1.

You can classify that a child aged 2 years has fast breathing if he has a respiratory rate of _________. 

a)

60 bpm or more

b)

50 bpm or more

c)

40 bpm or more

d)

Any of the above

2.

Baby yuki, 4 months old is not able to breastfeed and chest indrawing is present. This can be classified as ___________. 

a)

Pneumonia

b)

Severe Pneumonia

c)

No Pneumonia: cough or cold

d)

Mild Pneumonia

3.

These are all possible treatments for severe pneumonia except:

a)

Give first dose of an appropriate antibiotic

b)

Soothe the throat and relieve the cough with a safe remedy

c)

Give vitamin A

d)

Treat the child to prevent low blood sugar

4.

What color is "NO PNEUMONIA: COUGH OR COLD" classified as?

a)

Green

b)

Pink

c)

Yellow

d)

Red

5.

If the child has wheezing and either fast breathing or chest indrawing present, the nurse should:

a)

Refer URGENTLY to hospital

b)

Assess vital signs

c)

Give a trial acting inhaled bronchodilator for up to 3 times

d)

Give Vitamin A

6.

Dysentery is classified if:

a)

There is Dehydration

b)

Stools are watery

c)

Fast breathing is present

d)

There is blood in the stool

7.

All these are signs of severe dehydration except ________________. 

a)

Restlessness

b)

Sunken eyes

c)

Skin pinch goes back very slowly

d)

Abnormally sleepy

8.

Which type of plan would the nurse instruct to a child who was classified with sever dehydration?

a)

Plan A

b)

Plan B

c)

Plan C

d)

Plan D

9.

If child has not enough signs to classify as some or sever dehydration, the child will be classified as what?

a)

Severe Dehydration

b)

Mild Dehydration

c)

Some Dehydration

d)

No Dehydration

10.

Patient tifa, 5 months old has diarrhea for already 16 days. You also notice that dehydration is present. This could be classified as?

a)

Severe Dehydration

b)

Severe Persistent Diarrhea

c)

Some Dehydration

d)

Persistent Diarrhea

11.

Which of these could be a treatment for Dysentery?

a)

Give Vitamin A

b)

Give ORS and zinc supplements

c)

Give multivatamins and minerals

d)

Give ciprofloxacin for 3 days

12.

All of the following options are signs of measles except ____________.

a)

Generalized rash

b)

Stiff neck

c)

Cough or runny nose

d)

Red eyes

13.

Patient ang poki ko hindi makahinga kinakapos sa hangin has no runny nose, no measles and no other causes of fever but has malaria risk. This could be classified as?

a)

Malaria

b)

Fever: Malaria Unlikely

c)

Very Severe febrile disease/malaria

d)

Fever: No Malaria

14.

Treatment for very severe febrile disease/malaria with malaria risk would be?

a)

Give one dose of paracetamol

b)

Give first dose of quinine

c)

Treat the child with an oral antimalarial

d)

Give Vitamin A

15.

Patient Rotrot has measles for the last three months. There is pus draining from his right eye. This can be classified as

a)

Measles with eye or mouth complications

b)

Severe Complicated measles

c)

Severe complicated measles with eye or mouth complications

d)

Measles

16.

If pus is draining from the eye, what should the nurse do?

a)

Give the child aspirin

b)

Give Vitamin A

c)

Apply tetracycline

d)

Treat with gentian violet

17.

If mouth ulcers are present, the nurse should _________________. 

a)

Give the child aspirin

b)

Give Vitamin A

c)

Apply Tetracycline

d)

Treat with gentian violet

18.

Patient Bebang was observed to have tender swelling behind the ear, this can be classified as _______________. 

a)

Acute Ear Infection

b)

Chronic Ear Infection

c)

Mastoiditis

d)

Ear Infection

19.

You have observed pus draining from the ear of patient emelius and discharge is reported for less than 14 days. This can be classified as

a)

Acute Ear Infection

b)

Chronic Ear Infection

c)

Mastoiditis

d)

Ear Infection

20.

Treatment for chronic ear infection would be ____________________. 

a)

Give antibiotic for 5 days and dry the ear by wicking

b)

Give aspirin

c)

Instill quinolone otic drops and dry the ear by wicking

d)

Give first dose of antibiotic and paracetamol for pain

21.

Treatment for acute ear infection would be _________________________. 

a)

Give antibiotic for 5 days and dry the ear by wicking

b)

Give aspirin

c)

Instill quinolone otic drops and dry the ear by wicking

d)

Give first dose of antibiotic and paracetamol for pain

22.

Patient Luna is 4 months old and has visible severe wasting and edema on both feet. This can be classified as ________________. 

a)

Severe Malnutrition

b)

Very Low Weight

c)

Not very low weight

d)

Low weight

23.

Patient Sabrina Smith is observed to have some palmar pallor. This can be classified as ___________. 

a)

No Anemia

b)

Malnutrition

c)

Severe Anemia

d)

Anemia

24.

Which of these could be a proper treatment of anemia?

a)

Give vitamin A

b)

Give Iron and Albendazole/Mebendazole if child 1 year or older

c)

Give Aspirin

d)

Increase fluid intake

25.

In routine worm treatment, every child should be given ALBENDAZOLE/MEBENDAZOLE every...

a)

2 months from the age of one year

b)

9 months from the age of one year

c)

6 months from the age of one year

d)

9 weeks from the age of one year

26.

The first line antibiotic for pneumonia, mastoiditis, or very sever disease would be ________________. 

a)

Cotrimoxazole

b)

Amoxicillin

c)

Penicillin

d)

Ciprofloxacin

27.

Which is the first-line antibiotic for cholera?

a)

Tetracycline

b)

Ciprofloxacine

c)

Albendazole

d)

Cotrimoxazole

28.

Which is the first line Oral Antimalarial?

a)

Chloroquine

b)

Sulfadoxine

c)

Pyramethamine

d)

Artemether

29.

The appropriate amount of Vitamin A capsules (200,000 IU) to be given to a child aged 12 months to 5 years would be _________. 

a)

3

b)

2

c)

1

d)

1/2

30.

What is IMCI? Select all that apply.

a)

Is an integrated approach to child health

that focuses on the well-being of the whole

child

b)

Strengthening the health care system for

effective management of childhood

illnesses

c)

Strategy is the main intervention proposed

to achieve a significant reduction in the

number of deaths from communicable

diseases in children under five

d)

Improving the family and community

health practices related to childhood and

nutrition

31.

What is malaria?

a)

is one of the most serious diseases to affect people in developing countries with tropical and subtropical climates.

b)

is a harsh noise made

when the child inhales

(breathes in)

c)

is heard when the child

exhales (breathes out).

d)

inward movement of the

bony structure of the

chest wall with

inspiration, is a useful

indicator of severe

pneumonia.

32.

What is stridor?

a)

is one of the most serious diseases to affect people in developing countries with tropical and subtropical climates.

b)

is a harsh noise made

when the child inhales

(breathes in)

c)

is heard when the child

exhales (breathes out).

d)

inward movement of the

bony structure of the

chest wall with

inspiration, is a useful

indicator of severe

pneumonia.

33.

what is wheezing?

a)

is one of the most serious diseases to affect people in developing countries with tropical and subtropical climates.

b)

is a harsh noise made

when the child inhales

(breathes in)

c)

is heard when the child

exhales (breathes out).

d)

inward movement of the

bony structure of the

chest wall with

inspiration, is a useful

indicator of severe

pneumonia.

34.

What mosquito causes malaria?

a)

Brugia malayi

b)

Wuchereria bancrofti

c)

Anopheles mosquito

d)

Aedes aegypti mosquito

35.

what is pneumonia?

a)

An infectious disease characterized by inflammation of the intestine, abdominal pain, and diarrhea with stools that often contain blood and mucus.

b)

A highly contagious viral disease. It is transmitted via droplets from the nose, mouth or throat of infected persons. Initial symptoms, which usually appear 10-12 days after infection, include high fever, a runny nose, bloodshot eyes, and tiny white spots on the inside of the mouth.

c)

A form of acute respiratory infection that affects the lungs. The lungs are made up of small sacs called alveoli, which fill with air when a healthy person breathes. When an individual has pneumonia, the alveoli are filled with pus and fluid, which makes breathing painful and limits oxygen intake.

d)

An acute mosquito-borne viral illness of sudden onset with headache, fever, prostration, severe joint and muscle pain, swollen glands (lymphadenopathy), and rash.

36.

key clinical signs are used to assess a sick child with cough or difficult breathing. Select all that apply

a)

RR

b)

Lower chest wall

indrawing

c)

Stridor

d)

Wheezing

37.

danger signs. select all that apply

a)

Inability to drink or

breastfeed

b)

Convulsions

c)

Lethargy or

unconsciousness

d)

all of the above

38.

Specific medical treatment and advice

a)

pink

b)

yellow

c)

green

39.

Simple advice on home

management

a)

pink

b)

yellow

c)

green

40.

Urgent pre-referral treatment and referral

a)

pink

b)

yellow

c)

green