You Can Classify That A Child Aged 2 Years Has Fast Breathing If He Has A Respiratory Rate of
You Can Classify That A Child Aged 2 Years Has Fast Breathing If He Has A Respiratory Rate of
You Can Classify That A Child Aged 2 Years Has Fast Breathing If He Has A Respiratory Rate of
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.
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.
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.
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.
o B.
o C.
Assess vital signs
o D.
Give Vitamin A
6.
Dysentery is classified if:
o A.
There is Dehydration
o B.
o C.
o D.
7.
All are signs of of severe dehydration except
o A.
Restlessness
o B.
Sunken eyes
o C.
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.
o C.
Some Dehydration
o D.
Persistent Diarrhea
11.
Treatment for Dysentery would be
o A.
Give Vitamin A
o B.
o C.
o D.
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.
o C.
o D.
Fever: No Malaria
14.
Treatment for very severe febrile disease/malaria with malaria risk would be?
o A.
o B.
o C.
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.
o B.
o C.
o D.
Measles
16.
If pus is draining from the eye, the nurse should
o A.
o B.
Give Vitamin A
o C.
Apply tetracycline
o D.
17.
If mouth ulcers are present, the nurse should
o A.
o B.
Give Vitamin A
o C.
Apply Tetracycline
o D.
18.
Patient alfina was observed to have tender swelling behind the ear, this can
be classified as
o A.
o B.
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.
o B.
o C.
Mastoiditis
o D.
Ear Infection
20.
Treatment for chronic ear infection would be
o A.
o B.
Give aspirin
o C.
o D.
21.
Treatment for acute ear infection would be
o A.
o B.
Give aspirin
o C.
o D.
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.
o C.
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 Aspirin
o D.
25.
In routine worm treatment, every child should be given
ALBENDAZOLE/MEBENDAZOLE every...
o A.
o B.
o C.
o D.
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.
o B.
o C.
o D.
a. Diarrhoeal diseases
b. Pneumonia
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
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
A5. Which of the following actions does a green-coded classification require? (circle only ONE answer)
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)
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
A8. Which of the following are effective preventive interventions in children under-5? PLEASE SELLECT
ALL THAT APPLY
b. Immunization
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
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
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
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)
B5. Which of the following signs are "general danger signs" in a sick child who is 11 months old? PLEASE
SELLECT ALL THAT APPLY
b. Lethargy
B6. Which of the following signs is a "general danger sign" in a sick child who is 3 months old? (circle
only ONE option)
d. Unable to breastfeed
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
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
B9. What is needed to count the respiratory rate correctly in a 3-month-old child with difficult
breathing? PLEASE SELLECT ALL THAT APPLY
B10. What is the cut-off rate for "fast breathing" in a child who is exactly 12 months old? (circle only
ONE answer)
B11. What is "fast breathing" in a 3-month-old child? (circle only ONE option)
B12. What is "fast breathing" in a 13-month-old child? (circle only ONE option)
B13. Which of the following respiratory rates are "fast breathing" if the child is 11 months old? PLEASE
SELLECT ALL THAT APPLY
B14. Which of the following respiratory rates are "fast breathing" if the child is 16 months old? PLEASE
SELLECT ALL THAT APPLY
B15. Which of the following movements of the lower chest describes chest indrawing? (circle only ONE
option)
B16. Which of the following statements best describes chest indrawing? (circle only ONE option)
B17. Which of the following statements best describes wheezing? PLEASE SELLECT ALL THAT APPLY
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
b. Chest indrawing
c. Audible wheeze
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
b. Chest indrawing
c. Restlessness
d. Respiratory rate of 42 breaths per minute
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
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
c. Difficult breathing
d. Vomiting everything
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
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
d. Chest indrawing
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
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
b. PNEUMONIA
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
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
c. Unable to drink
d. Restless, irritable
B37. A "skin pinch goes back very slowly" if it returns: (circle only ONE option)
a. Immediately
b. In less than 1 seconds
d. In 2 seconds or more
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
B39. What is the recommended procedure to take a skin pinch? PLEASE SELLECT ALL THAT APPLY
c. Holding the skin firmly between the thumb and the side of the 1st finger
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
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
B42. Which of the following children with diarrhoea are classified as having SEVERE DEHYDRATION?
PLEASE SELLECT ALL THAT APPLY
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
c. SOME DEHYDRATION
e. NO DEHYDRATION
46. Which of the following children with diarrhoea are classified as having SOME DEHYDRATION? PLEASE
SELLECT ALL THAT APPLY
47. Which of the following children with diarrhoea are classified as having SOME DEHYDRATION? PLEASE
SELLECT ALL THAT APPLY
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)
b. SEVERE 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)
b. SEVERE DEHYDRATION
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)
b. SEVERE DEHYDRATION
d. SOME DEHYDRATION
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
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
B58. Which of the following is consistent with a classification of PERSISTENT DIARRHOEA? (circle only
ONE option)
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)
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
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
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
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
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
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)
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
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)
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
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
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
c. Stiff neck
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)
b. MALARIA
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)
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)
b. MALARIA
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)
b. MALARIA
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
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
c. Stiff neck
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)
b. MALARIA
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)
b. MALARIA
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)
b. MALARIA
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
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
c. Stiff neck
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)
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)
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. Lethargy
b. History of fever
c. Stiff neck
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)
b. CEREBRAL MALARIA
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
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)
b. MALARIA
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
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)
b. MALARIA, MEASLES
B97. Which of the following signs must a child have to be classified as having MASTOIDITIS? (circle only
ONE option)
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
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
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
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
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
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
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
d. NO EAR INFECTION
B105. Which children brought to an outpatient clinic should be checked for malnutrition and anaemia?
(circle only ONE option)
B106. Which of the following signs are used to check for malnutrition? (circle all the correct options)
b. Mouth ulcers
d. Skin pigmentation
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
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
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
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
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)
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
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)
b. MARASMUS, 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)
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)
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)
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
d. Thirsty
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
c. Thirsty
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)
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)
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)
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)