Situation: Integrated Management of Childhood Illness is one strategy to reduce child death and promote
growth and development.
1. The age group that bears the highest burden of deaths from common childhood illnesses, which the
IMCI guidelines are targeted is:
A. less than 1 year old C. more than 1 year old
B. less than 5 years D. more than 5 years old
old
2. Which of the following correctly states a principle by which IMCI guidelines are patterned?
A. All age group is the focus of the strategy
B. Only a limited number of carefully-selected clinical signs are used, based on evidence of
their sensitivity and specificity to detect disease
C. A combination of signs will lead to a diagnosis rather than a classification
D. An essential component of IMCI is risk takers counseling.
3. A combination of individual signs leads to a child’s classification(s) rather than a diagnosis.
Classification(s) indicate the severity of condition(s). The “Green” coded classification in IMCI
suggests:
A. Management at the health clinic
B. urgent hospital referral
C. no treatment needed
D. home treatment
4. The assessment procedure for these age groups includes a number of important steps that must be
taken by the health care provider. It includes the following EXCEPT:
A. history taking and communicating with the caretaker about the child’s problem
B. checking for general danger signs
C. checking main symptoms
D. checking nutritional status of caretaker
5. The child has had convulsions during the present illness. All children who have had convulsions
during the present illness should be considered:
A. needs no attention C. seriously ill
B. fairly ill D. acutely
undifferentiated
6. Anna a 13-month-old infant was rushed to the RHU for the complaint of diarrhea with signs and
symptoms of sunken eyes, lethargy and slow skin turgor, the nurse classify the child as:
A. No dehydration
B. Some dehydration
C. Severe dehydration
D. Persistent diarrhea
7. After checking for general danger signs, the health care provider must check for main symptoms. The
generic IMCI clinical guidelines suggest the following:
A. cough or difficult breathing
B. diarrhea
C. fever and ear problems
D. all of the above
8. A child 2 months up to 12 months old is considered to manifest fast breathing if respiratory rate is:
A. 20 breaths per minute and above
B. 30 breaths per minute and above
C. 40 breaths per minute and above
D. 50 breaths per minute and above
9. The cut off rate for fast breathing in a child age 12 months up to 5 years is
A. 60 breaths per minute and above
B. 50 breaths per minute and above
C. 40 breaths per minute and above
D. 30 breaths per minute and above
10. Chest indrawing should only be considered present if it is consistently present in a:
A. calm child
B. agitated child
C. child with blocked nose
D. child who is breastfeeding