You Can Classify That A Child Aged 2 Years Has Fast Breathing If He Has A Respiratory Rate of

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 1.

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

o A.

60 bpm or more

o B.

50 bpm or more

o C.

40 bpm or more

o 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

o A.

Pneumonia

o B.

Severe Pneumonia

o C.

No Pneumonia: cough or cold

o D.

Mild Pneumonia

 3.
These are all possible treatments for severe pneumonia except:
Discuss

o A.
Giver first dose of an appropriate antibiotic

o B.

Soothe the throat and relieve the cough with a safe remedy

o C.

Give vitamin A

o D.

Treat the child to prevent low blood sugar

 4.
What color is "NO PNEUMONIA: COUGH OR COLD" classified as?

o A.

Green

o B.

Pink

o C.

Yellow

o D.

Red

 5.
If the child has wheezing and either fast breathing or chest indrawing present,
the nurse should:

o A.

Refer URGENTLY to hospital

o B.

Give a trial acting inhaled bronchodilator for up to 3 times

o C.
Assess vital signs

o D.

Give Vitamin A

 6.
Dysentery is classified if:

o A.

There is Dehydration

o B.

Stools are watery

o C.

Fast breathing is present

o D.

There is blood in the stool

 7.
All are signs of of severe dehydration except

o A.

Restlessness

o B.

Sunken eyes

o C.

Skin pinch goes back very slowly

o D.

Abnormally sleepy

 8.
Which type of plan would the nurse instruct to a child who was classified with
sever dehydration?

o A.

Plan A

o B.

Plan B

o C.

Plan C

o D.

Plan D

 9.
If child has not enough signs to classify as some or sever dehydration, the
child will be classified as what?

o A.

Severe Dehydration

o B.

Mild Dehydration

o C.

Some Dehydration

o 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?
Discuss

o A.
Severe Dehydration

o B.

Severe Persistent Diarrhea

o C.

Some Dehydration

o D.

Persistent Diarrhea

 11.
Treatment for Dysentery would be

o A.

Give Vitamin A

o B.

Give ORS and zinc supplements

o C.

Give multivatamins and minerals

o D.

Give ciprofloxacin for 3 days

 12.
All are signs of measles except

o A.

Generalized rash

o B.

Stiff neck

o C.
Cough or runny nose

o D.

Red eyes

 13.
Patient dahna has no runny nose, no measles and no other causes of fever
but has malaria risk. This could be classified as?

o A.

Malaria

o B.

Fever: Malaria Unlikely

o C.

Very Severe febrile disease/malaria

o D.

Fever: No Malaria

 14.
Treatment for very severe febrile disease/malaria with malaria risk would be?

o A.

Give one dose of paracetamol

o B.

Give first dose of quinine

o C.

Treat the child with an oral antimalarial

o D.

Give Vitamin A

 15.
Patient ulfo has measles for the last three months. There is pus draining from
his right eye. This can be classified as

o A.

Measles with eye or mouth complications

o B.

Severe Complicated measles

o C.

Severe complicated measles with eye or mouth complications

o D.

Measles

 16.
If pus is draining from the eye, the nurse should

o A.

Give the child aspirin

o B.

Give Vitamin A

o C.

Apply tetracycline

o D.

Treat with gentian violet

 17.
If mouth ulcers are present, the nurse should

o A.

Give the child aspirin

o B.
Give Vitamin A

o C.

Apply Tetracycline

o D.

Treat with gentian violet

 18.
Patient alfina was observed to have tender swelling behind the ear, this can
be classified as

o A.

Acute Ear Infection

o B.

Chronic Ear Infection

o C.

Mastoiditis

o 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

o A.

Acute Ear Infection

o B.

Chronic Ear Infection

o C.

Mastoiditis
o D.

Ear Infection

 20.
Treatment for chronic ear infection would be

o A.

Give antibiotic for 5 days and dry the ear by wicking

o B.

Give aspirin

o C.

Instill quinolone otic drops and dry the ear by wicking

o D.

Give first dose of antibiotic and paracetamol for pain

 21.
Treatment for acute ear infection would be

o A.

Give antibiotic for 5 days and dry the ear by wicking

o B.

Give aspirin

o C.

Instill quinolone otic drops and dry the ear by wicking

o 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
o A.

Severe Malnutrition

o B.

Very Low Weight

o C.

Not very low weight

o D.

Low weight

 23.
Patient anya is observed to have some palmar pallor. This can be classified as

o A.

Severe Anemia

o B.

Anemia

o C.

No Anemia

o D.

Malnutrition

 24.
Proper treatment of anemia would be

o A.

Give vitamin A

o B.

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


o C.

Give Aspirin

o D.

Increase fluid intake

 25.
In routine worm treatment, every child should be given
ALBENDAZOLE/MEBENDAZOLE every...

o A.

2 months from the age of one year

o B.

9 months from the age of one year

o C.

6 months from the age of one year

o D.

9 weeks from the age of one year

 26.
The first line antibiotic for pneumonia, mastoiditis, or very sever disease would
be

o A.

Cotrimoxazole

o B.

Amoxicillin

o C.

Penicillin

o D.
Ciprofloxacin

 27.
First line antibiotic for cholera would be

o A.

Tetracycline

o B.

Ciprofloxacine

o C.

Albendazole

o D.

Cotrimoxazole

 28.
The first line Oral Antimalarial would be

o A.

Chloroquine

o B.

Sulfadoxine

o C.

Pyramethamine

o 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

o A.
3

o B.

o C.

o D.

1/2

 30.
In soothing the throat and relieving cough with a safe remedy, all are
discouraged but one
Discuss

o A.

Giving cough syrups

o B.

Giving oral decongestant

o C.

Giving nasal decongestant

o D.

Giving calamansi juice


A1. Which of the following are among the 5 main causes of mortality in under-five children in the
country? PLEASE SELLECT ALL THAT APPLY

a. Diarrhoeal diseases

b. Pneumonia

c. Road traffic injuries

d. Malnutrition e. AIDS

A2. For which of the following settings are the IMCI guidelines suitable for use? PLEASE SELLECT ALL
THAT APPLY
a. Inpatient ward of a district hospital

b. Outpatient department of a hospital

c. First-level health facilities

d. Inpatient ward of a specialized hospital

A3. Which of the following age groups do the IMCI clinical guidelines address? (circle only ONE answer)

a. Birth up to 5 years

b. 2 months up to 2 years

c. 1 week up to 5 years

d. 2 months up to 6 years

A4. Which of the following actions does a pink-coded classification require? PLEASE SELLECT ALL THAT
APPLY

a. Give pre-referral treatment

b. Give medicines for home care

c. Advise mother when to return immediately

d. Refer urgently to hospital

A5. Which of the following actions does a green-coded classification require? (circle only ONE answer)

a. Give pre-referral treatment

b. Advise mother on home care

c. Advise mother on antibiotic treatment

d. Refer urgently to hospital

A6. Which of the following colour-coded classification rows for fever of the IMCI chart booklet would
apply to a 5-month-old child with fever and stiff neck? (circle only ONE option)

a. Pink colour-coded row

b. Yellow colour-coded row

c. Green colour-coded row

A7. Which of the following colour-coded rows of the IMCI chart booklet applies to a 42-month-old child
with diarrhoea who has sunken eyes, is thirsty and has no other problems? (circle only ONE option)
a. Pink colour-coded row

b. Yellow colour-coded row

c. Green colour-coded row

A8. Which of the following are effective preventive interventions in children under-5? PLEASE SELLECT
ALL THAT APPLY

a. Antibiotics for pneumonia

b. Immunization

c. Prompt treatment of malaria

d. Exclusive breastfeeding

e. Treatment of tuberculosis

According to the IMCI guidelines, which of the following main symptoms should always be assessed in
every sick child age 2 months up to 5 years? PLEASE SELLECT ALL THAT APPLY

a. Cough b. Abdominal pain

c. Fever

d. Skin infection

e. Diarrhoea

B2. Which of the following signs are "general danger signs" that you should always check for in every
sick child age 2 months up to 5 years, according to the IMCI guidelines? PLEASE SELLECT ALL THAT APPLY

a. Child is lethargic or unconscious

b. Child is restless or irritable

c. Child is not able to drink or breastfeed

d. Child vomits frequently

e. Child has cyanosis

B3. Which of the following questions should you ask to check for "general danger signs" in a 3-month-
old child with fever? PLEASE SELLECT ALL THAT APPLY

a. How many times has s/he vomited in the past 24 hours?


b. Has s/he been having fever for more then five days?

c. Did s/he have convulsions since birth?

d. Is s/he able to drink or breastfeed?

e. Does s/he vomit everything?

B4. Which of the following questions should you ask to check for "general danger signs" in a 4-month-
old child with fever for 3 days? (circle only ONE option)

a. Is s/he able to drink or breastfeed?

b. Has s/he been very irritable since illness started?

c. How many times has s/he vomited in the past 24 hours?

d. Did s/he have convulsions in the past month?

B5. Which of the following signs are "general danger signs" in a sick child who is 11 months old? PLEASE
SELLECT ALL THAT APPLY

a. Axillary temperature ≥ 39.0°C

b. Lethargy

c. History of convulsions related to this illness

d. Blood in the stool

e. Axillary temperature ≥ 37.5°C for more than 7 days

B6. Which of the following signs is a "general danger sign" in a sick child who is 3 months old? (circle
only ONE option)

a. Blood in the stool for 4 days

b. Pus with blood draining from the ear

c. Convulsions since birth

d. Unable to breastfeed

e. Axillary temperature ≥ 39.0°C

B7. Which of the following signs are "general danger signs" to be checked in any child 2 months up to 5
years brought to the health facility? PLEASE SELLECT ALL THAT APPLY

a. Irritability
b. Axillary temperature ≥ 39.0°C

c. Severe wheezing

d. Not able to drink or breastfeed

e. Unconsciousness

B8. What is needed to count the respiratory rate correctly in an 11-month-old child with cough? PLEASE
SELLECT ALL THAT APPLY

a. Child should be calm

b. Child should be alert

c. A special timer is indispensable

d. The count should always be repeated

e. The count should be for a full minute

B9. What is needed to count the respiratory rate correctly in a 3-month-old child with difficult
breathing? PLEASE SELLECT ALL THAT APPLY

a. Child should be calm

b. Child should be afebrile

c. A special timer is indispensable

d. The count should always be repeated

e. The count should be for a full minute

B10. What is the cut-off rate for "fast breathing" in a child who is exactly 12 months old? (circle only
ONE answer)

a. 60 breaths per minute

b. 50 breaths per minute

c. 40 breaths per minute

d. 30 breaths per minute

B11. What is "fast breathing" in a 3-month-old child? (circle only ONE option)

a. 20 breaths per minute or more


b. 30 breaths per minute or more

c. 40 breaths per minute or more

d. 50 breaths per minute or more

e. 60 breaths per minute or more

B12. What is "fast breathing" in a 13-month-old child? (circle only ONE option)

a. 20 breaths per minute or more

b. 30 breaths per minute or more

c. 40 breaths per minute or more

d. 50 breaths per minute or more

e. 60 breaths per minute or more

B13. Which of the following respiratory rates are "fast breathing" if the child is 11 months old? PLEASE
SELLECT ALL THAT APPLY

a. 22 breaths per minute

b. 36 breaths per minute

c. 41 breaths per minute

d. 54 breaths per minute

e. 60 breaths per minute

B14. Which of the following respiratory rates are "fast breathing" if the child is 16 months old? PLEASE
SELLECT ALL THAT APPLY

a. 21 breaths per minute

b. 32 breaths per minute

c. 41 breaths per minute

d. 53 breaths per minute

e. 60 breaths per minute

B15. Which of the following movements of the lower chest describes chest indrawing? (circle only ONE
option)

a. Inward movement during inspiration


b. Inward movement during expiration

c. Outward movement during inspiration

d. Outward movement during expiration

B16. Which of the following statements best describes chest indrawing? (circle only ONE option)

a. Inward movement of the lower chest during inspiration

b. Inward movement of the lower chest during expiration

c. Any intercostal retractions during inspiration

d. Upper intercostal retractions during expiration

B17. Which of the following statements best describes wheezing? PLEASE SELLECT ALL THAT APPLY

a. It is a harsh sound during inspiration

b. It is a soft musical sound during expiration

c. It is accompanied by prolonged expiration

d. It is a soft musical sound during inspiration

e. If heard leaning close to the child's mouth, it should be confirmed by auscultation

B18. Which of the following signs would make you classify a 9-month-old child with difficult breathing as
SEVERE PNEUMONIA OR VERY SEVERE DISEASE? PLEASE SELLECT ALL THAT APPLY

a. Not able to drink or breastfeed

b. Chest indrawing

c. Audible wheeze

d. Respiratory rate of 55 breaths per minute

e. Stridor when calm

B19. Which of the following signs would make you classify a 4-month-old child with difficult breathing as
SEVERE PNEUMONIA OR VERY SEVERE DISEASE? PLEASE SELLECT ALL THAT APPLY

a. Stridor when calm

b. Chest indrawing

c. Restlessness
d. Respiratory rate of 42 breaths per minute

e. Breastfeeding less than usual

B20. Which of the following signs would make you classify a 5-month-old child with difficult breathing as
SEVERE PNEUMONIA OR VERY SEVERE DISEASE? (circle only ONE option)

a. Vomiting

b. Irritability

c. Stridor when calm

d. Respiratory rate of 52 breaths per minute

e. Restlessness

B21. Which of the following signs would make you classify any child age 2 months up to 5 years
presenting with cough as SEVERE PNEUMONIA OR VERY SEVERE DISEASE? PLEASE SELLECT ALL THAT
APPLY

a. Stridor when agitated

b. Respiratory rate of 65 breaths per minute

c. Difficult breathing

d. Vomiting everything

e. Stridor when calm B22.

Which of the following signs would make you classify any child age 2 months up to 5 years presenting
with cough as SEVERE PNEUMONIA OR VERY SEVERE DISEASE? PLEASE SELLECT ALL THAT APPLY

a. Stridor when agitated

b. Stridor when calm

c. Difficult breathing when agitated

d. Difficult breathing when calm

e. Chest indrawing

B23. Which of the following signs in a 5-month-old child with cough are an indication for urgent referral?
PLEASE SELLECT ALL THAT APPLY

a. Respiratory rate of 60 breaths per minute


b. Unconsciousness

c. Stridor when agitated

d. Chest indrawing

e. Axillary temperature ≥ 39.0°C

B24. Which of the following signs in a 12-month-old child with cough are an indication for urgent
referral? PLEASE SELLECT ALL THAT APPLY

a. Severe palmar pallor b. Respiratory rate of 65 per minute

c. Axillary temperature ≥ 39.0°C

d. Visible severe wasting

e. Restlessness

B25. How do you classify a 3-year-old child with cough who has a respiratory rate of 55 breaths/ minute
and chest indrawing? (circle only ONE answer)

a. SEVERE PEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA c. COUGH OR COLD

B26. How do you classify a 1-year-old child who has been coughing for 2 days, has a respiratory rate of
60 breaths/ minute and whose mother says he had convulsions last night? (circle only ONE answer)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c. COUGH OR COLD

B27. How do you classify a 10-month-old child who has had cough for 4 days, has a respiratory rate of 52
breaths per minute, has chest indrawing and has no stridor? (circle only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c. COUGH OR COLD

B28. How do you classify a 5-month-old child who has had cough for 1 day, has a respiratory rate of 45
breaths per minute, has no stridor and has chest indrawing? (circle only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE


b. PNEUMONIA

c. COUGH OR COLD

B29. How do you classify a 5-month-old child who has had difficulty breathing since this morning, has a
respiratory rate of 35 breaths per minute, has stridor when calm and has no chest indrawing? (circle
only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c. COUGH OR COLD

B30. Which among the following situations classifies a child 2 months up to 5 years old as PNEUMONIA?
(circle only ONE option)

a. Fast breathing, one general danger sign, no chest indrawing, no stridor

b. Fast breathing, no general danger sign, chest indrawing, no stridor

c. Fast breathing, no general danger sign, no chest indrawing, stridor

d. Fast breathing, no general danger sign, no chest indrawing, no stridor

e. Fast breathing, one general danger sign, chest indrawing, no stridor

B31. How do you classify a 6-month-old child who has had cough for 2 days, has no general danger signs,
has a respiratory rate of 54 breaths per minute, has no stridor and has no chest indrawing? (circle only
ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c. COUGH OR COLD

B32. How do you classify a 13-month-old child who has had cough for 4 days, has no general danger
signs, has a respiratory rate of 48 breaths per minute, has no stridor and has no chest indrawing? (circle
only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c. COUGH OR COLD
B33. How do you classify an 18-month-old child who has had cough for 5 days, has no general danger
signs, has a respiratory rate of 30 breaths per minute, has no stridor and has no chest indrawing? (circle
only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c: COUGH OR COLD

B34. How do you classify a 36-month-old child who has had cough for 3 days, has no general danger
signs, has a respiratory rate of 29 breaths per minute, has no stridor and has no chest indrawing? (circle
only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE

b. PNEUMONIA

c. COUGH OR COLD DIARRHOEA B

35. According to the IMCI guidelines, which of the following key questions should be asked of the
mother of every child with diarrhoea? PLEASE SELLECT ALL THAT APPLY

a. For how long has the child had diarrhoea?

b. Does the child have mucous in the stools?

c. What did the child eat before the diarrhoea started?

d. Does the child have blood in the stools?

e. Does the child have pus in the stools?

B36. Which of the following signs should you LOOK and FEEL for in an 8-month-old child with diarrhoea
to classify his/her dehydration status? PLEASE SELLECT ALL THAT APPLY

a. Lethargic or unconscious

b. Skin turgor (skin pinch)

c. Unable to drink

d. Restless, irritable

e. More than 3 watery stools

B37. A "skin pinch goes back very slowly" if it returns: (circle only ONE option)

a. Immediately
b. In less than 1 seconds

c. In less than 2 seconds

d. In 2 seconds or more

e. In more than 2 seconds

B38. What is the recommended procedure to take a skin pinch? PLEASE SELLECT ALL THAT APPLY

a. Pinching the abdomen skin halfway between the umbilicus and the side of the abdomen

b. Holding the skin firmly between the thumb and the side of the 1st finger

c. Holding the skin firmly between the thumb and the tip of the 1st finger

d. Holding the skin across the child’s body

e. Holding the skin in line up and down the child’s body

B39. What is the recommended procedure to take a skin pinch? PLEASE SELLECT ALL THAT APPLY

a. Pinching all the layers of the skin

b. Holding the skin across the child’s body

c. Holding the skin firmly between the thumb and the side of the 1st finger

d. Holding the skin in line up and down the child’s body

e. Holding the skin firmly between the thumb and the next two fingers

B40. Which two among the following signs are required to classify a one-year-old child with diarrhoea as
SEVERE DEHYDRATION? PLEASE SELLECT ALL THAT APPLY

a. Skin pinch goes back slowly

b. Restless

c. Lethargic

d. Unable to drink

e. Vomiting

B41. Which of the following children with diarrhoea are classified as having SEVERE DEHYDRATION?
PLEASE SELLECT ALL THAT APPLY
a. Skin pinch goes back very slowly and drinks eagerly

b. Skin pinch goes back very slowly and lethargic

c. Skin pinch goes back slowly and sunken eyes

d. Skin pinch goes back very slowly and irritable

e. Skin pinch goes back very slowly and sunken eyes

B42. Which of the following children with diarrhoea are classified as having SEVERE DEHYDRATION?
PLEASE SELLECT ALL THAT APPLY

a. Sunken eyes and skin pinch goes back slowly

b. Sunken eyes and skin pinch goes back very slowly

c. Sunken eyes and lethargic

d. Sunken eyes and restless

e. Sunken eyes and not able to drink

B43. How do you classify a 12-month-old child who has been having diarrhoea for 4 days, has no general
danger signs, is irritable, has sunken eyes, drinks normally and in whom the skin pinch goes back in 3
seconds? (circle only ONE option)

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION MCQ

B44. How do you classify an 8-month-old child who has been having diarrhoea for 13 days, is lethargic,
has no sunken eyes, drinks poorly and in whom the skin pinch goes back slowly? (circle only ONE option)

a. SEVERE DEHYDRATION

b. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

c. SOME DEHYDRATION

d. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

e. NO DEHYDRATION

f. NO DEHYDRATION, PERSISTENT DIARRHOEA


B45. Which of the following children with diarrhoea are classified as having SOME DEHYDRATION?
PLEASE SELLECT ALL THAT APPLY

a. Drinks eagerly and skin pinch goes back slowly

b. Has had convulsions during this illness and drinks eagerly

c. Has blood in the stool and is irritable

d. Is restless and has sunken eyes

e. Has sunken eyes and drinks normally

46. Which of the following children with diarrhoea are classified as having SOME DEHYDRATION? PLEASE
SELLECT ALL THAT APPLY

a. Sunken eyes and skin pinch goes back very slowly

b. Sunken eyes and restless

c. Sunken eyes and lethargic

d. Sunken eyes and drinks eagerly

e. Sunken eyes and blood in the stool

47. Which of the following children with diarrhoea are classified as having SOME DEHYDRATION? PLEASE
SELLECT ALL THAT APPLY

a. Thirsty and sunken eyes

b. Thirsty and restless

c. Thirsty and lethargic

d. Thirsty and skin pinch goes back very slowly

e. Thirsty and blood in the stool

48. How do you classify a 6-month-old child who has been having diarrhoea for 9 days, has vomited this
morning, has sunken eyes and in whom the skin pinch goes back slowly? (circle only ONE option)

a. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

b. SEVERE DEHYDRATION

c. SOME DEHYDRATION, SEVERS PERSISTENT DIARRHOEA

d. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA


e. NO DEHYDRATION

B49. How do you classify a 22-month-old child who has been having diarrhoea for 12 days, is irritable,
has sunken eyes, drinks eagerly and in whom the skin pinch goes back immediately? (circle only ONE
option)

a. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

b. SEVERE DEHYDRATION

c. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

d. SOME DEHYDRATION e. NO DEHYDRATION, PERSISTENT DIARRHOEA

f. NO DEHYDRATION

B50. How do you classify a 4-month-old child who has been having diarrhoea for 3 days, has no general
danger signs, is alert, has no sunken eyes, is thirsty and in whom the skin pinch goes back slowly? (circle
only ONE option)

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

B51. How do you classify a 9-month-old child who has been having diarrhoea for 2 days, has no general
danger signs, is irritable, has no sunken eyes, drinks normally and in whom the skin pinch goes back
immediately? (circle only ONE option)

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

B52. How do you classify a 9-month-old child who has been having diarrhoea for 2 days, has no general
danger signs, is irritable, has no sunken eyes, drinks normally and in whom the skin pinch goes back
immediately? (circle only ONE option)

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION
B53. How do you classify a 7-month-old child who has been having diarrhoea for 4 days, has no general
danger signs, is alert, has vomited 2 times yesterday, has no sunken eyes, drinks eagerly and in whom
the skin pinch goes back immediately? (circle only ONE option)

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

B54. How do you classify a 5-month-old child who has been having diarrhoea for 15 days, has no general
danger signs, is irritable, has sunken eyes, drinks eagerly and in whom the skin pinch goes back
immediately? (circle only ONE option)

a. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

b. SEVERE DEHYDRATION

c. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

d. SOME DEHYDRATION

e. NO DEHYDRATION, PERSISTENT DIARRHOEA

f. NO DEHYDRATION

B55. How do you classify a 36-month-old child who has been having diarrhoea for 14 days, has no
general danger signs, no other signs and no other problems? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B56. How do you classify a 10-month-old child who has been having diarrhoea for 18 days, has no
general danger signs, is irritable, has no sunken eyes, drinks eagerly and in whom the skin pinch goes
back immediately? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION
d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B57. How do you classify an 8-month-old child who has been having diarrhoea for 21 days, has no
general danger signs, is quiet but alert, has no sunken eyes, drinks eagerly and in whom the skin pinch
goes back slowly? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA IMCI)

B58. Which of the following is consistent with a classification of PERSISTENT DIARRHOEA? (circle only
ONE option)

a. Diarrhoea lasting for 7 days or more

b. Diarrhoea lasting for more than 7 days

c. Diarrhoea lasting for more than 10 days

d. Diarrhoea lasting for 14 days or more

e. Diarrhoea lasting for more than 14 days

B59. What is required to classify the illness of a child age 2 months up to 5 years as PERSISTENT
DIARRHOEA? (circle only ONE option)

a. Blood in the stools for 14 days or more

b. Diarrhoea lasting for 14 days or more and fever

c. Diarrhoea lasting for 14 days or more

d. Diarrhoea lasting for more than 14 days

e. Blood in the stools for more than 14 days

B60. How do you classify a 14-month-old child who has had diarrhoea for 15 days, has sunken eyes and
has no other signs? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION
b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B61. How do you classify a 10-month-old child who has been having diarrhoea for 15 days, has no
general danger signs, is alert, has sunken eyes, drinks normally and in whom the skin pinch goes back
immediately? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B62. How do you classify a 4-month-old child who has been having diarrhoea for 16 days, is not breast-
fed, has no general danger signs, is alert, has no sunken eyes, drinks eagerly and in whom the skin pinch
goes back immediately? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B63. How do you classify a 23-month-old child who has been having diarrhoea for 20 days, has no
general danger signs, is alert, has no sunken eyes, drinks normally and in whom the skin pinch goes back
slowly? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA
B64. How do you classify a 23-month-old child who has been having diarrhoea for 20 days, has no
general danger signs, is alert, has sunken eyes, drinks eagerly and in whom the skin pinch goes back
immediately? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B65. How do you classify a 23-month-old child who has been having diarrhoea for 21 days, has no
general danger signs, is alert, has no sunken eyes, drinks normally and in whom the skin pinch goes back
slowly? (circle only ONE option)

a. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

b. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

c. NO DEHYDRATION, PERSISTENT DIARRHOEA

B66. How do you classify a 19-month-old child who has been having diarrhoea for 17 days, has no
general danger signs, is irritable, has no sunken eyes, drinks normally and in whom the skin pinch goes
back immediately? PLEASE SELLECT ALL THAT APPLY

a. SEVERE DEHYDRATION

b. SOME DEHYDRATION

c. NO DEHYDRATION

d. SEVERE PERSISTENT DIARRHOEA

e. PERSISTENT DIARRHOEA

B67. How do you classify a 19-month-old child who has been having diarrhoea for 17 days, has no
general danger signs, is irritable, has no sunken eyes, drinks normally and in whom the skin pinch goes
back immediately? (circle only ONE option)

a. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

b. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA

c. NO DEHYDRATION, PERSISTENT DIARRHOEA 35


B68. How do you classify a 7-month-old child who has been having diarrhoea for 5 days with blood in
the stools, has no general danger signs, is alert, has sunken eyes, drinks normally and in whom the skin
pinch goes back immediately? (circle only ONE option)

a. SEVERE DEHYDRATION, DYSENTERY

b. SOME DEHYDRATION, DYSENTERY

c. NO DEHYDRATION, DYSENTERY

B69. Which of the following classifications apply to a 5-month-old child who has been having diarrhoea
for 15 days with blood in the stools, has no general danger signs, has sunken eyes, drinks normally and
in whom the skin pinch goes back immediately? PLEASE SELLECT ALL THAT APPLY

a. SOME DEHYDRATION

b. NO DEHYDRATION

c. SEVERE PERSISTENT DIARRHOEA

d. PERSISTENT DIARRHOEA

e. DYSENTERY FEVER

70. A child should be assessed for the main symptom of fever if the child: PLEASE SELLECT ALL THAT
APPLY

a. Has a history of fever

b. Does not feel well

c. Feels hot to the touch

d. Has axillary temperature of 37.0°C or above

e. Has axillary temperature of 37.5°C or above

B71. Which of the following signs would make you classify as VERY SEVERE FEBRILE DISEASE a 2-year-old
child, living in a high malaria risk area, who has had fever for the last three days? PLEASE SELLECT ALL
THAT APPLY

a. Lethargy

b. Fine erythematous rash

c. Stiff neck

d. Convulsions last night


e. Blood in stool

B72. How do you classify a 7-month-old child living in a high malaria risk area who has an axillary
temperature of 38.0°C and is lethargic? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY

B73. How do you classify a 3-year-old child living in a high malaria risk area who has a history of fever
for 2 days, has an axillary temperature of 39.5°C and in whom there is resistance when you try to bend
his neck forward toward his chest? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA c. FEVER – MALARIA UNLIKELY

B74. How do you classify a 17-month-old child living in a high malaria risk area who has a history of fever
for 4 days, has an axillary temperature of 38.6°C and had an episode of convulsions last night? (circle
only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY

B75. How do you classify a 27-month-old child living in a high malaria risk area who has a history of fever
for 2 days, has an axillary temperature of 38.0°C and is lethargic? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY

B76. Which of the following signs should a 9-month-old child living in a low malaria risk area have to be
classified as having VERY SEVERE FEBRILE DISEASE? (circle all the correct options)

a. Child is lethargic

b. Child has a positive thick blood film

c. Child has an axillary temperature of 39.0°C

d. Child is unconscious
e. Child is vomiting frequently Integrated Management of Child Health (IMCI) 37

B77. Which of the following signs would make you classify as VERY SEVERE FEBRILE DISEASE a 2-year-old
child, living in a low malaria risk area, who has had fever for the last three days? (circle all the correct
options)

a. Vomiting everything

b. Fine erythematous rash

c. Stiff neck

d. Convulsions last night

e. Blood in stool

B78. How do you classify a 3-year-old child living in a low malaria risk area who has a history of fever for
2 days, has an axillary temperature of 39.5°C and in whom there is resistance when you try to bend his
neck forward toward his chest? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY

B79. How do you classify a 17-month-old child living in a low malaria risk area who has a history of fever
for 4 days, has an axillary temperature of 38.6°C and had an episode of convulsions last night? (circle
only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY

B80. How do you classify a 27-month-old child living in a low malaria risk area who has a history of fever
for 2 days, has an axillary temperature of 38.0°C and is lethargic? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY No malaria risk area

B81. How do you classify a 4-year-old child who has an axillary temperature of 38.8°C and in whom
there is resistance to bending when you try to bend his neck forward toward his chest? (circle only ONE
option)
a. VERY SEVERE FEBRILE DISEASE

b. FEVER-POSSIBLE BACTERIAL INFECTION

c. FEVER-BACTERIAL INFECTION UNLIKELY

B82. Which of the following signs would make you classify as VERY SEVERE FEBRILE DISEASE a 2-year-
old child, who arrived from a no malaria risk area five days ago and has had fever for the last three days
(he lives in a no malaria risk area)? (circle all the correct options)

a. Lethargy

b. Fine erythematous rash

c. Stiff neck

d. Convulsions last night

e. Blood in stool

B83. How do you classify a 3-year-old child living in a no malaria risk area who has a history of fever for 2
days, has an axillary temperature of 39.5°C and in whom there is resistance when you try to bend his
neck forward toward his chest? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. FEVER – POSSIBLE BACTERIAL INFECTION

c. FEVER – BACTERIAL INFECTION UNLIKELY

B84. How do you classify a 17-month-old child living in a no malaria risk area who has a history of fever
for 4 days, has an axillary temperature of 38.6°C and had an episode of convulsions last night? (circle
only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. FEVER – POSSIBLE BACTERIAL INFECTION

c. FEVER – BACTERIAL INFECTION UNLIKELY

B85. How do you classify a 27-month-old child living in a no malaria risk area who has a history of fever
for 2 days, has an axillary temperature of 38.0°C and is lethargic? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. FEVER – POSSIBLE BACTERIAL INFECTION

c. FEVER – BACTERIAL INFECTION UNLIKELY


B86. Which of the following signs would make you classify as MALARIA an 18-month-old child, living in a
high malaria risk area, who has had fever for the last three days? (circle all the correct options)

a. Lethargy

b. History of fever

c. Stiff neck

d. Convulsions last night

e. Axillary temperature of 37.5°C or more

B87. How would you classify children age 2 months up to 5 years who are taken to a health centre with
fever and no other signs in a high malaria risk area? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. CEREBRAL MALARIA

c. MALARIA d. FEVER – MALARIA UNLIKELY

B88. Which of the following signs or symptoms would make you classify as MALARIA a 9-month-old
child, living in a low malaria risk area, who has had fever for the last three days, no runny nose, no
measles and no other cause of fever? (circle only ONE option)

a. Lethargy

b. History of fever

c. Stiff neck

d. Convulsions last night

e. Vomiting

B89. How do you classify a 6-month-old child living in a low malaria risk area who has a history of fever
for 2 days, is hot to the touch, has no general danger signs, no stiff neck, no generalized rash, no cough,
no runny nose, no red eyes and no other cause of fever? (circle only ONE option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA

c. FEVER – MALARIA UNLIKELY

B90. How do you classify a 22-month-old child living in a no malaria risk area who has a history of fever
for 4 days, has an axillary temperature of 38.6°C, had an episode of convulsions three months ago and
has no other signs? (circle only ONE option)
a. VERY SEVERE FEBRILE DISEASE

b. FEVER – POSSIBLE BACTERIAL INFECTION

c. FEVER – BACTERIAL INFECTION UNLIKELY

B91. How do you classify a 10-month-old child living in a low malaria risk area who had a generalized
rash with fever and red eyes three weeks ago, now has an axillary temperature of 38.3°C, no general
danger signs, has pus draining from the eye, has no other signs nor causes of fever? (circle only ONE
option)

a. VERY SEVERE FEBRILE DISEASE

b. MALARIA, MEASLES

c. FEVER – MALARIA UNLIKELY, SEVERE COMPLICATED MEASLES

d. FEVER – MALARIA UNLIKELY, MEASLES WITH EYE OR MOUTH COMPLICATIONS

e. MEASLES THROAT PROBLEM

B97. Which of the following signs must a child have to be classified as having MASTOIDITIS? (circle only
ONE option)

a. Redness behind the ear

b. Swelling behind the ear

c. Pus draining from one of the ears

d. Pus draining from both ears

e. Tender swelling behind the ear

B98. How do you classify a 16-month-old child who has ear pain, no pus draining from the ear and has a
tender swelling behind the ear? (circle only ONE option)

a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B99. How do you classify a two-year-old child with an axillary temperature of 37.5°C, pus seen coming
from the ear and no tender swelling behind the ear whose mother says that pus has been coming for 5
days? (circle only ONE option)
a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B100. How do you classify a 20-month-old child whose mother reports that her child has been having
ear pain for 5 days with discharge for 3 days, and in whom you observe pus draining from the right ear
and find no tender swelling behind the ear? (circle only ONE option)

a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B101. How do you classify a 7-month-old child, who keeps crying and is irritable, whose mother reports
she is worried that her child might have been having ear pain for 2 days and in whom you find no tender
swelling behind the ear and no pus draining from either ear? (circle only ONE option)

a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B102. How do you classify a 4-year-old child whose mother reports that her child has been having ear
pain with discharge from the right ear for 13 days, and in whom you observe pus draining from the right
ear and find no tender swelling behind the ear? (circle only ONE option)

a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B103. How do you classify a 10-month-old child whose mother reports that pus has been coming out of
her child's left ear for 16 days, has an axillary temperature of 38.1°C, has no tender swelling behind the
ear, has yellow discharge from the left ear upon examination and no other signs? (circle only ONE
option)
a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B104. How do you classify an 8-month-old child whose mother reports that pus has been coming out of
her child's right ear for 14 days, has an axillary temperature of 37.7°C, has no tender swelling behind the
ear, has yellow discharge from the right ear upon examination and no other signs? (circle only ONE
option)

a. MASTOIDITIS

b. ACUTE EAR INFECTION

c. CHRONIC EAR INFECTION

d. NO EAR INFECTION

B105. Which children brought to an outpatient clinic should be checked for malnutrition and anaemia?
(circle only ONE option)

a. Children with feeding problem(s) only

b. Children who are less than 12 months of age only

c. All children from 2 months up to 5 years

d. Only children who are not breastfed

B106. Which of the following signs are used to check for malnutrition? (circle all the correct options)

a. Weight for age

b. Mouth ulcers

c. Edema of both feet

d. Skin pigmentation

e. Visible severe wasting

B107. How do you classify a 25-month-old child who has oedema of both feet and is not low weight for
age? (circle only ONE option)

a. SEVERE MALNUTRITION
b. LOW WEIGHT

c. NOT LOW WEIGHT

B108. How do you classify a 6-month-old boy who has edema of both feet and whose weight-for-age is
between < − 2 and > − 3 Z-score? (circle only ONE option)

a. SEVERE MALNUTRITION

b. LOW WEIGHT

c. NOT LOW WEIGHT

B109. How do you classify a 19-month-old child who has edema only of the left foot and who is low
weight for age? (circle only ONE option)

a. SEVERE MALNUTRITION

b. LOW WEIGHT

c. NOT LOW WEIGHT

B110. How do you classify a 10-month-old girl who weighs 6.5 kg and has some palmar pallor? (circle all
the correct options)

a. SEVERE MALNUTRITION

b. LOW WEIGHT

c. SEVERE ANAEMIA

d. NO ANAEMIA

e. ANAEMIA

f. NOT LOW WEIGHT

B111. How do you classify an 11-month-old boy whose weight is between < − 2 and > − 3 Z-score and
who has some palmar pallor? (circle only ONE option)

a. SEVERE MALNUTRITION, SEVERE ANAEMIA

b. LOW WEIGHT, SEVERE ANAEMIA

c. SEVERE MALNUTRITION, ANAEMIA

d. LOW WEIGHT, ANAEMIA e. NOT LOW WEIGHT, ANAEMIA

B112. How do you classify a 7-month-old girl whose weight is 5 kg? (circle only ONE option)
a. SEVERE MALNUTRITION

b. LOW WEIGHT

c. NOT LOW WEIGHT

B113. How do you classify a 7-month-old girl whose weight is between < − 2 and > − 3 Z-score and who
has some palmar pallor? (circle only ONE option)

a. SEVERE MALNUTRITION, SEVERE ANAEMIA

b. MARASMUS, ANAEMIA

c. LOW WEIGHT, ANAEMIA

d. NOT LOW WEIGHT, ANAEMIA

e. NOT LOW WEIGHT, NO ANAEMIA

B114. How do you classify a 9-month-old boy whose weight is between < − 2 and > − 3 Z-score and who
has no palmar pallor? (circle only ONE option)

a. SEVERE MALNUTRITION, NO ANAEMIA

b. LOW WEIGHT, NO ANAEMIA

c. LOW WEIGHT, ANAEMIA d. NOT LOW WEIGHT, ANAEMIA

e. NOT LOW WEIGHT, NO ANAEMIA

B115. How do you classify a 9-month-old boy weighing 5 kg who has severe palmar pallor and no other
signs? (circle only ONE option)

a. SEVERE MALNUTRITION, SEVERE ANEMIA

b. LOW WEIGHT, SEVERE ANEMIA

c. LOW WEIGHT, ANEMIA

d. NOT LOW WEIGHT, SEVERE ANEMIA

e. NOT LOW WEIGHT, ANAEMIA ANEMIA

B116. How do you classify a 12-month-old child who has severe palmar pallor? (circle only ONE option)

a. SEVERE ANAEMIA

b. ANAEMIA

c. NO ANAEMIA
B117. How do you classify a 4-month-old child who has some palmar pallor? (circle only ONE option)

a. SEVERE ANAEMIA

b. ANAEMIA

c. NO ANAEMIA

B118. How do you classify an 8-month-old male child who has some palmar pallor and weighs 7.2 kg? 12
(circle only ONE option)

a. SEVERE ANAEMIA, LOW WEIGHT

b. ANAEMIA, LOW WEIGHT

c. ANAEMIA, NOT LOW WEIGHT

d. NO ANAEMIA, LOW WEIGHT

e. NO ANAEMIA, NOT LOW WEIGHT

B119. In a 12-month-old child with cough and diarrhea, which of the following signs is an indication for
urgent referral? (circle only ONE answer)

a. Restless, irritable

b. Respiratory rate of 65 per minute

c. Axillary temperature ≥ 39.0°C

d. Thirsty

e. Child unable to breastfeed

B120. In a 20-month-old child with cough and diarrhoea, which of the following signs are an indication
for urgent referral? (circle all the correct options)

a. Vomiting everything

b. Respiratory rate of 55 per minute

c. Thirsty

d. Child unable to drink

e. Axillary temperature ≥ 39.0°C


B121. How do you classify a 2-year-old child with cough and diarrhoea who has a respiratory rate of 55
breaths/ minute, chest indrawing, sunken eyes, in whom the skin pinch goes back slowly, has no general
danger signs and no other signs or symptoms 13 ? (circle only ONE answer)

a. SEVERE PEUMONIA OR VERY SEVERE DISEASE, SEVERE DEHYDRATION

b. SEVERE PEUMONIA OR VERY SEVERE DISEASE, SOME DEHYDRATION

c. SEVERE PEUMONIA OR VERY SEVERE DISEASE, NO DEHYDRATION

d. PNEUMONIA, SEVERE DEHYDRATION

e. PNEUMONIA, SOME DEHYDRATION f. PNEUMONIA, NO DEHYDRATION

B122. How do you classify an 8-month-old child who has had diarrhea for 7 days and difficulty breathing
since this morning, has no general danger signs, has a respiratory rate of 39 breaths per minute, has
sunken eyes, in whom the skin pinch goes back very slowly and has no other signs or symptoms 14 ?
(circle only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE, SEVERE DEHYDRATION

b. SEVERE PNEUMONIA OR VERY SEVERE DISEASE, SOME DEHYDRATION

c. PNEUMONIA, SEVERE DEHYDRATION

d. PNEUMONIA, SOME DEHYDRATION

e. NO PNEUMONIA: COUGH OR COLD, SEVERE DEHYDRATION

f. NO PNEUMONIA: COUGH OR COLD, SOME DEHYDRATION

B123. How do you classify a 4-year-old child who has had cough, an ear problem and has often been
crying for 2 days, has no general danger signs, has a respiratory rate of 54 breaths per minute, has ear
pain and no other signs or symptoms 15 ? (circle only ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE, ACUTE EAR INFECTION

b. SEVERE PNEUMONIA OR VERY SEVERE DISEASE, NO EAR INFECTION

c. PNEUMONIA, ACUTE EAR INFECTION

d. PNEUMONIA, NO EAR INFECTION

e. NO PNEUMONIA: COUGH OR COLD, ACUTE EAR INFECTION

f. NO PNEUMONIA: COUGH OR COLD, NO EAR INFECTION

B124. How do you classify a 12-month-old child who has had cough and diarrhoea for 4 days, has no
general danger signs, is irritable, has a respiratory rate of 44 breaths per minute, has sunken eyes, drinks
eagerly, in whom the skin pinch goes back slowly and has no other signs or symptoms 16 ? (circle only
ONE option)

a. SEVERE PNEUMONIA OR VERY SEVERE DISEASE, SEVERE DEHYDRATION

b. SEVERE PNEUMONIA OR VERY SEVERE DISEASE, SOME DEHYDRATION

c. PNEUMONIA, SEVERE DEHYDRATION

d. PNEUMONIA, SOME DEHYDRATION

e. NO PNEUMONIA: COUGH OR COLD, SEVERE DEHYDRATION

f. NO PNEUMONIA: COUGH OR COLD, SOME DEHYDRATION

B125. How do you classify a 45-month-old child who has been having diarrhoea for 9 days, has no
general danger signs, has ear pain, has vomited once last night and eaten a small snack this morning, has
sunken eyes, in whom the skin pinch goes back slowly and has no other signs or symptoms 17 ? (circle
only ONE option)

a. SEVERE DEHYDRATION, SEVERE PERSISTENT DIARRHOEA, NO EAR INFECTION

b. SEVERE DEHYDRATION, NO EAR INFECTION

c. SEVERE DEHYDRATION, ACUTE EAR INFECTION

d. SOME DEHYDRATION, SEVERE PERSISTENT DIARRHOEA, NO EAR INFECTION

e. SOME DEHYDRATION, ACUTE EAR INFECTION

f. SOME DEHYDRATION, NO EAR INFECTION

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