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SITUATIONS:Sinie the 1970s,the estimatedannual number of deaths among children less than 5 years old
has decreasedby almost a third. Providingquality care to sick children in these conditions is a
serious challenge.ln responseto this challenge,WHO and UNICEFdevelopeda strategy known
as IntegratedManagementof Childhood lllness (lMCl).
5 This measuresthe proportionof those withoutthe diseasewho are correctlycalledfree of the diseaseby
usingthe llvlcl sign guidelines.
A. Specificity C. True positives
B. Sensitivity D. Falsepositives
A. t, , lll c. r, , lv
B . i r , l ,t v D . l , , r ,r v
8. FORALLSICKCHILDFIEN
age I weekupto 5 yearswhoarebrought
to theclinic,whatisthefirstinformation
that you needto ask?
A. Ask why the childwas broughtto the clinic C. Ask the child'sage
B. Ask for specificsignsand symptoms D. Ask for dangersigns
16. ln l.MClprotocol,you can best see if the childis improvingon the drugor othertreatment
thatwas prescribed
throughthis activity:
A. Homevisit C. Clinicvisit
B. Follow-upvisit D. RHUvisit
17' What sectionof the chartin lMcl describesthe stepsfor conductingeachtypeof visitto follow-up
the child,s
condition?
A. Give follow-upcare section C. Assessandclassifysection
B. l\4other's counselingsection D. Treatthechildsection
.lS
Accordingto thischart,you shouldask the motheraboutthe child'sproblemand check
the chjldfor general
d a n g e rs i g n s .
A. Assessand classifythe sick childchart
B. Case recordingform
C. Assessmentchart
D. Classifyand treatthe childchart
26' Mrs Tamia broughther two-year-oldson to the clinic.You noticedthat the child'sweightand ternperature
have not been measuredand r'corded.what wourdbe the nextbestacflonto take?
A. Weighthe childand take the temoerature
B. Ask the BHW to take the child'swejghtand temperature
C. Assessand classifythe child'smainsymptoms.
D. Ask the mother'sparticjpationin weighingthe child
27' You ask Mrs.Tamiawhatthe child'sproblemsare. The mainreasonfor askinga motherthe chitd,sproblem
at the start of the visit is:
A. To open good communication withthe mother.
B. To come up withstandardbaselinedata
C. To havean overviewof the child'sstatus
D. To be able to classifythe child'scondition
28. t\4oving
downthe leftsideof the ASSESSAND CLASSIFychart,you finda boxti ed CHECKFORGENERAL
DANGERSIGNS.Ask the questionsand look for the clinicalsigns describedjn thjs box, which
one is not
includsd?
A. ts the childabteto drinkor breastfeed?
B. Doesthe chlldvomiteverything?
C. Has the childhad convulsions?
D. ls the childableto breathwithease?
29. Mrs' Tamiatellsyou that the childfallsasleepoften latelyand seldomdrinksfrom a cup when offeredwith
fluids.The nextnursingactionis to:
A. Ask moreaboutdiarrhea,leverand possible.ear problems
B. Completethe assessmentand any pre-referral keatmentimmediately
C. Checkfor malnutrition and anemia
D. Give the childfluidsand antibiotics
t 30. A childwho is breastfedmay havedilficultysuckingwhen his noseis blocked.lf the childcan breastfeedafter
the nos€ is cleared:
A. The child does not have the danger sjgn C. Fleassessthe child's sucking on the next feeding
B. The child still has a danger sign D. Offer fluids f rom a cup
32. The motheralsomentionedthat the lasttimethe childsulferedfromsejzurewas one and halfyearsago This
informationcan be classifiedas:
A. A dangersjgn C. A majorsymptom
8.. Not a dangersign withthe currentproblem D. A minorsymptom
33. l t t h e c h i l di s s l e e p i n g
a n d h a s c o u g ho r d i f l i c u lbt r e a t h i n g
A. countthe numberof breathsfirstbeforeyou try to wakethe chjld
B. countthe numberof breathsafterwakingthe child
C. Referthe childimmsdiatelyto the districthospital
D. lmmediately wake or shakethe child
34. NurseAnitaclappedhis hands.She askedthe motherto shakethe child.Bonnyopenedhis eyes,but did not
lookaround She talkedto Bonny,but he did notwatchher face.He staredblanklyand appearednotto notice
what was goingon aroundhim. NurseAnitais awarethat:
A. Bonnyneedsjmmediatereferral
' 8. Bonnyneedsmore rest
C, Bonnyis demonstraling a normalbehaviorof his age
D. Bonnycan be treatedwithinthe healthcenter
SITUATION: Gori, 3 years old is brought to the clinic due to fever, cough and difficulty of breathing. you
sugpect that this is a case pneumonia
42. A childwho has had coughor dillicultbreathingfor more than 30 days has a chroniccough.This could be
indicativeot: '{-'
r
A. Pneumonia C . lnfluenza
B . S e v e r ep n e u m o n i a D. Asthmaor bronchitis
43. ol 37.7oC,resplratory
Mikha,12 monthsold, 12lbs,withTemperature rateof 40 breathsper minute,withcough
is presenting
with
A. Simplecoughand fever C. Feverand normalbreathing
B. Fastbreathing D. Nopneumonia
SITUATION: There are three possible classificationsfor a child with cough or difficutt breathing;
Severepneumoniaor very severedisease,pneumonia,and no pneumonia:coughor cotd
47. Marikar,7 weeksold, was broughtby her motherto the healthcenterbecauseof highfever,cough,frequent
vomitingand one episodeof convulsion.
The nurseputsher chartor case recordunder:
A. Pinkor top row C. Greenor bottomrow
B. Yellowor secondrow D. Moreassessmentdataneeded
48. Consideringlvlarikar's
signsand symptomsand age, she is classjfiedunder:
A. No pneumoniacategory C. Severepneumoniacategory
B. Pneumoniacategory D. Very severedisease