1. A child aged 11 months complaining of cough and ear ache three days ago.

The mother said that he has ear discharge for 2 days. On examination, his respiratory rate was 47 breath/minute. His temperature was 38.2 C. There is neither tender swelling behind the ear nor pus draining from the ear. No any other abnormality. According to IMCI: a) He is classified as having no pneumonia: cough or cold. b) He has the classification of acute ear infection. c) His fever is classified as fever possible bacterial infection. d) He should return for follow up only after 5 days, not before. 2. A child aged 18 months complaining of being very ill with cough, high fever (39.7 C) and sore throat since 2 days. On examination, we observed that the child is very quite, with his eyes opened but no eye contact (lethargy). On examination of throat, it was red and congested with enlarged non tender lymph nodes in front of the neck and his respiratory rate was 45 breath/minute. No other abnormality. According to IMCI: a) He is classified as having pneumonia. b) He has the classification of streptococcal sore throat. c) His fever is classified as fever possible bacterial infection. d) He needs urgent referral to hospital. 3. A mother brings her 13 months old baby, telling you that her child is not able to breast fed. He is coughing and having high fever (38.7 C). On examination, you found that his respiratory rate was 40 breath/minute with congested throat and you can give him only two spoons of water, not more. No other abnormality. According to IMCI: a) He has fast breathing. b) He is classified as having severe pneumonia or very severe disease. c) His fever is classified as very severe febrile disease. d) He has the classification of streptococcal sore throat. 4. A male child aged 15 months, complaining of bloody diarrhea, fever (38 C) and vomiting. On examination, his eyes are normal, he is irritable, skin pinch goes back very slowly and he is very thirsty. No other abnormality. According to IMCI: a) His fever is classified as fever possible bacterial infection. b) He has the classification of some dehydration. c) He should return back for follow up after 2 days, only if his fever does not disappear. d) He need plan C to manage his dehydration.

5. A child with bloody diarrhea, the diarrhea started 12 days ago, he is irritable, thirsty, having sunken eyes and slow skin pinch. According to IMCI: a) He is classified as having some dehydration b) He is calssified as having severe persistent diarrhea

According to IMCI: a) she is classified as having malnutrition b) she is classified as having anemia c) his weight is within normal limit for her age d) she can be treated at home 9. A girl aged 12 months. A 3 years old child complaining of fever 39 C in the last 2 days associated with severe sore throat which makes him unable to drink anything . he has sunken eyes and his skin pinch goes back immediately. A child aged 2 years suffered from high fever yesterday. his throat was red and severely congested. On examination.c) Antibiotics are contraindicated in such case of diarrhea d) He should be treated with plan C 6. A child aged 12 months suffering from attack of acute diarrhea in the last 2 days. On examination.8 kg. he develop attack of convulsions followed by deterioration of level of consciousness. no any other abnormality during examination. we found that the child is unconscious. her lips are somewhat pale. According to IMCI: a) He is classified as some dehydration b) The patient can be sent home after instructing the mother to increase fluid intake c) The patient should receive oral anti diarrheal drugs at home d) Encourage early feeding to prevent malnutrition 8. No any other abnormality. According to IMCI a) his fever is classified as very severe febrile disease b) CT scan should be done immediately to confirm cerebral infarction c) CSF analysis is important to confirm your diagnosis d) Presence of bulging fontanel can confirm CNS infection 10. some cervical lymph nodes are enlarged and tender. today. she has no visible severe wasting. he doesn t want to drink. he is playing. 14 month child complaining of fever 38 C in the last 2 days associated wild mild ear ache and ear discharge as the mother said. On examination. pus is seen coming out of the ear but no tender swelling behind the ear. her weight is 8. According to IMCI a) there is no indication to refer him to hospital b) home treatment with antipyretic after initial long acting penicillin in outpatient clinic is the only needed therapy c) he is classified as having fever possible bacterial infection d) he is classified as having very severe disease 7. on examination. There is no blood in stool. According to IMCI: a) Antibiotic therapy for 10 days is mandatory . she has unilateral edema of the right foot. on examination. Exudates is seen on the throat. with neck stiffness and high fever 39 C.

his respiratory rate was 51/minute and he has chest indrawing. difficult breathing and high fever 39 C. his mother bring him to the hospital complaining of cough. true false false false .b) Tell the patient. A male child aged 11 month. she is thirsty. if not improving b) This child is having fast breathing c) He needs urgent referral to the hospital d) His fever is classified as very severe febrile disease 13. According to IMCI: a) He is classified as having severe dehydration b) Give him a date for follow up after 5 days if diarrhea is not stopped c) He is classified as severe persistent diarrhea d) Antidiarrheal drugs are mandatory. otherwise diarrhea will not stop 1. According to IMCI: a) Antibiotic therapy for 10 days is mandatory b) Drying ear by wicking is essential part of therapy c) He is classified as having no ear infection d) He is classified as having fever possible bacterial infection 12. if still have pus coming out of the ear. very slow skin pinch. No any other abnormality. there was neither pus is seen coming out of the ear nor tender swelling behind the ear. According to IMCI: a) she is classified as having severe dehydration b) antibiotic therapy is contraindicated for her c) she is classified as having bacterial infection unlikely d) she needs plan b as part of her management 14. A female aged 15 months. On examination. her mother bring her because she has bloody diarrhea for 3 days with fever. On examination. he is irritable. According to IMCI: a) He is having a date for follow up after 5 days. thirsty with sunken eyes and his skin pinch goes back slowly. No any other abnormality. she is alert with normal eyes. he can come for follow up after 5 days c) He is classified as having no ear infection d) He is classified as having fever possible bacterial infection 11. 14 month child complaining of fever 38 C in the last 2 days associated with mild ear ache and ear discharge as the mother said. 12 months old child with diarrhea for 11 days.

false false false true 3. true false false false 6. true false true false 10. false true true true 9. true false false false 4. false false false true 7. true true false false 5. false true false true 8. a) true b) false (patient must come after 5 days for follow up) .2.

a) false b) true c) false d) false Case management skills of health care staff Health systems Family and community health practices Danger signs Convulsions Unable to breastfeed Vomits everything Abnormally sleepy/lethargy . a) false b) false (no pus) c) true d) false 12.c) false d) true 11. a) false b) false c) false d) true 14. a) false b) true c) true d) false 13.

Major symptoms Cough/DOB Diarrhea Fever Ear Problem .

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