Situation: Mrs.

Oncomelania brought Elena her 3 year old daughter to the

center due to cough for 1 week, unusual irritability and episodes of vomiting.

1. On assessment, you noted coryza, reddish posterior palate, temperature of

37.6, nagging cough and respiratory rate of 47 breaths per minute. Using the
assess the sick child chart, Elena can be classified under:

A. Very severe disease

B. Severe Pneumonia
C. Pneumonia
D. No Pneumonia
C. Pneumonia

Fast breathing:
0 to 12 months - 60 breaths per minute
12 months to 2 years - 50 breaths per minute
2 years to 5 years - 40 breaths per minute
 Based on Elena's classification, you plan to take which of the following
actions?

A. Refer Elena to the nearest hospital

B. Give the first dose of Cotrimoxazole
C. Give the first dose of procaine penicillin
D. Soothe the throat with safe remedies
B. Give the first dose of Cotrimoxazole

For Pneumonia:
Give oral antibiotic --> Amoxicillin (first line) 2x a day for 3 days
Cotrimoxazole (second line) 2x a day for 5 days

Give antibiotic first before soothing the throat with:

- breast milk for exclusively breastfed infant
- tamarind
- calamansi
- ginger

Give bronchodilator if wheezing is present

- 2 puffs of Salbutamol metered dose (100ug/puff) q 15 minutes 3x
- continue Salbutamol for 5 days even in the absence of wheezing sound

Refer for assessment of asthma/TB if cough = >3 weeks and with recurrent wheezing
 She may present with fast breathing if her respiration is

A. 40 bpm and above

B. 50 bpm and above
C. 60 bpm and above
D. 70 bpm and above
A. 40 bpm and above
 If you are to provide antibiotics, which one is appropriate for Elena?

A. Procaine penicillin 800,000 IU

B. Procaine penicillin 400,000 IU
C. Cotrimoxazole BID
D. Cotrimoxazole TID
C. Cotrimoxazole BID

Give oral antibiotic --> Amoxicillin (first line) 2x a day for 3 days
Cotrimoxazole (second line) 2x a day for 5 days

Procaine Penicillin:
- 2 months to 12 months - 200,000 IU
- 12 months to 5 years old - 400,000 IU
 Your instructions to Mrs. Oncomelania include:

I. Soothe the throat with safe remedies

II. Provide sugar water or milk to prevent low blood sugar level
III. Bring her back to the center after 2 days
IV. Bring her immediately to the center if her condition worsens

A. I, II, III, IV
B. I, III, IV
C. I, II, III
D. II, III, IV
B. I, III, IV
 Situation: The WHO is concerned of the unnecessary deaths of children
below 5 years old in the developing countries. IMCI is trying to fight these
unnecessary deaths.

According to WHO, the most common cause of death among these under 5
children is:

A. Diarrhea
B. Malaria
C. Pneumonia
D. Malnutrition
C. Pneumonia
 If the child has only one of the danger sign implicitly stated in the IMCI
guideline, this child will be classified under what color?

A. Pink
B. Blue
C. Yellow
D. Green
A. Pink

1 Pink + 1 Yellow = Pink

 Which vital sign is important in classifying a child with pneumonia from
those who do not have?

A. Temperature
B. RR
C. Stridor
D. Chest indrawing
D. Chest indrawing