Integrated Management Of Childhood Illness (Imci) Quiz
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Do you know the meaning of Integrated Management Of Childhood Illness? Do you have a good understanding of this subject? Here is an 'Integrated Management of Childhood Illness (IMCI) Quiz' that is designed to test your knowledge of this topic. To begin with, IMCI is a systematic approach that studies children's health and focuses on the child as a whole. This approach was introduced in the year 1995 by United Nations Children's Fund and the World Health Organization. So, are you ready to take this quiz? Let's start then.
Integrated Management of Childhood Illness (ICMI) Questions and Answers
- 1.
You can classify that a child aged 2 years has fast breathing if he has a respiratory rate of _________.
- A.
60 bpm or more
- B.
50 bpm or more
- C.
40 bpm or more
- D.
Any of the above
Correct Answer
C. 40 bpm or moreExplanation
A respiratory rate of 40 bpm or more can be classified as fast breathing in a child aged 2 years. This means that if the child is breathing at a rate of 40 breaths per minute or higher, it can be considered as fast breathing. This could indicate an underlying respiratory issue or infection, and further medical attention may be required to evaluate and treat the child's condition.Rate this question:
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- 2.
Baby yuki, 4 months old is not able to breastfeed and chest indrawing is present. This can be classified as ___________.
- A.
Pneumonia
- B.
Severe Pneumonia
- C.
No Pneumonia: cough or cold
- D.
Mild Pneumonia
Correct Answer
B. Severe PneumoniaExplanation
In infants, symptoms such as difficulty in breastfeeding (or inability to breastfeed) and chest indrawing (a sign of labored breathing where the chest pulls inward during inhalation) are serious indicators of severe pneumonia. These signs suggest that the infant is struggling to breathe and requires immediate medical attention.Rate this question:
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- 3.
Which of the following is NOT a key component of Integrated Management of Childhood Illness (IMCI)?
- A.
Improving case management skills of healthcare providers
- B.
Strengthening the health system
- C.
Prioritizing specialized care over community-based interventions
- D.
Improving family and community health practices
Correct Answer
C. Prioritizing specialized care over community-based interventionsExplanation
IMCI emphasizes a comprehensive approach to child health that includes both individual case management and broader improvements to the healthcare system. It strongly advocates for community-based interventions and family participation in healthcare to promote prevention, early detection, and effective management of childhood illnesses. Prioritizing specialized care over community-based interventions would contradict the core principles of IMCI.Rate this question:
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- 4.
What color is "NO PNEUMONIA: COUGH OR COLD" classified as?
- A.
Green
- B.
Pink
- C.
Yellow
- D.
Red
Correct Answer
A. GreenExplanation
The color "NO PNEUMONIA: COUGH OR COLD" is classified as green. This suggests that the condition described does not indicate pneumonia, but rather a cough or cold. Green is commonly associated with non-serious or mild conditions, indicating that pneumonia is not present in this case.Rate this question:
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- 5.
If the child has wheezing and either fast breathing or chest indrawing present, the nurse should:
- A.
Refer URGENTLY to hospital
- B.
Give a trial acting inhaled bronchodilator for up to 3 times
- C.
Assess vital signs
- D.
Give Vitamin A
Correct Answer
B. Give a trial acting inhaled bronchodilator for up to 3 timesExplanation
The correct answer is to give a trial acting inhaled bronchodilator for up to 3 times. This is because wheezing and either fast breathing or chest indrawing are signs of respiratory distress in a child. Inhaled bronchodilators help to relax and open up the airways, providing relief from wheezing and improving breathing. Giving a trial of the bronchodilator up to 3 times allows for assessment of its effectiveness in relieving the symptoms. If the symptoms do not improve or worsen, the child should be urgently referred to the hospital for further evaluation and management. Assessing vital signs is important, but the immediate intervention should be the administration of the bronchodilator. Giving Vitamin A may be beneficial for respiratory health in general, but it is not the most appropriate immediate action in this case.Rate this question:
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- 6.
Dysentery is classified if:
- A.
There is dehydration.
- B.
Stools are watery.
- C.
Fast breathing is present.
- D.
There is blood in the stool.
Correct Answer
D. There is blood in the stool.Explanation
Dysentery is classified based on the presence of blood in the stool. This is a key symptom that distinguishes dysentery from other gastrointestinal conditions. Dehydration, watery stools, and fast breathing may also be present in dysentery, but they are not specific to this condition and can be observed in other illnesses as well. Therefore, it is the presence of blood in the stool that is the defining characteristic of dysentery.Rate this question:
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- 7.
All these are signs of severe dehydration except ________________.
- A.
Restlessness
- B.
Sunken eyes
- C.
Skin pinch goes back very slowly
- D.
Abnormally sleepy
Correct Answer
A. RestlessnessExplanation
Restlessness is not a sign of severe dehydration. Severe dehydration is characterized by symptoms such as sunken eyes, slow skin pinch, and abnormal sleepiness. Restlessness is more commonly associated with conditions like anxiety or hyperactivity. Therefore, restlessness does not fit the pattern of symptoms seen in severe dehydration.Rate this question:
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- 8.
Which type of plan would the nurse instruct to a child who was classified with sever dehydration?
- A.
Plan A
- B.
Plan B
- C.
Plan C
- D.
Plan D
Correct Answer
C. Plan CExplanation
The nurse would instruct Plan C to a child classified with severe dehydration because it is the most appropriate plan for this condition. Plan C likely includes interventions such as intravenous fluids, close monitoring of vital signs, electrolyte replacement, and rehydration strategies to address the severity of dehydration.Rate this question:
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- 9.
If child has not enough signs to classify as some or sever dehydration, the child will be classified as what?
- A.
Severe Dehydration
- B.
Mild Dehydration
- C.
Some Dehydration
- D.
No Dehydration
Correct Answer
D. No DehydrationExplanation
If the child does not exhibit enough signs to be classified as either severe or some dehydration, it means that the child does not show any signs of dehydration at all. Therefore, the child will be classified as having no dehydration.Rate this question:
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- 10.
Patient tifa, 5 months old has diarrhea for already 16 days. You also notice that dehydration is present. This could be classified as?
- A.
Severe Dehydration
- B.
Severe Persistent Diarrhea
- C.
Some Dehydration
- D.
Persistent Diarrhea
Correct Answer
B. Severe Persistent DiarrheaExplanation
Based on the information provided, the patient, Tifa, is a 5-month-old with diarrhea for 16 days and dehydration. Severe Persistent Diarrhea is the most appropriate classification because the symptoms have been present for an extended period, and the presence of dehydration indicates a more severe form of diarrhea. Some Dehydration would not be accurate as the symptoms suggest a more severe condition. Persistent Diarrhea alone does not capture the severity of the symptoms, while Severe Dehydration does not encompass the duration of the condition.Rate this question:
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- 11.
Which of these could be a treatment for Dysentery?
- A.
Give Vitamin A
- B.
Give ORS and zinc supplements
- C.
Give multivatamins and minerals
- D.
Give ciprofloxacin for 3 days
Correct Answer
D. Give ciprofloxacin for 3 daysExplanation
Ciprofloxacin is an antibiotic that is commonly used to treat bacterial infections, including certain types of dysentery. Dysentery is an infection of the intestines that causes severe diarrhea with blood and mucus in the stool. Giving ciprofloxacin for 3 days can help to eliminate the bacteria causing the infection and alleviate the symptoms of dysentery. This treatment is often effective in clearing the infection and reducing the duration and severity of the illness. However, it is important to note that the use of antibiotics should be guided by a healthcare professional and should only be used when necessary to avoid antibiotic resistance.Rate this question:
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- 12.
All of the following options are signs of measles except ____________.
- A.
Generalized rash
- B.
Stiff neck
- C.
Cough or runny nose
- D.
Red eyes
Correct Answer
B. Stiff neckExplanation
Measles is a highly contagious viral infection that primarily affects the respiratory system. It is characterized by symptoms such as fever, cough, runny nose, red eyes, and a generalized rash that spreads all over the body. While a stiff neck can be a symptom of other viral infections, it is not typically associated with measles. Therefore, a stiff neck is not considered a sign of measles.Rate this question:
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- 13.
Patient Dahna has no runny nose, no measles and no other causes of fever but has malaria risk. This could be classified as?
- A.
Malaria
- B.
Fever: Malaria likely
- C.
Very Severe febrile disease/malaria
- D.
Fever: No Malaria
Correct Answer
B. Fever: Malaria likelyExplanation
The given patient, Dahna, has no symptoms of a runny nose or measles, which are common causes of fever. However, there is a risk of malaria. Therefore, the most appropriate classification for this situation would be "Fever: Malaria likely." This suggests that while there is a possibility of malaria, it is not the confirmed cause of the fever in this case.Rate this question:
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- 14.
Treatment for very severe febrile disease/malaria with malaria risk would be?
- A.
Give one dose of paracetamol
- B.
Give first dose of quinine
- C.
Treat the child with an oral antimalarial
- D.
Give Vitamin A
Correct Answer
B. Give first dose of quinineExplanation
The correct answer is to give the first dose of quinine. Quinine is an antimalarial medication that is commonly used in the treatment of severe febrile diseases, including malaria. It is effective in killing the malaria parasite and reducing fever. Giving the first dose of quinine is crucial in order to start the treatment as soon as possible and prevent the progression of the disease. Paracetamol can be used to reduce fever, but it does not treat the underlying cause of the febrile disease. Treating the child with an oral antimalarial is also important, but it should be done after giving the first dose of quinine. Vitamin A may be beneficial for the child's overall health, but it is not specifically indicated for the treatment of severe febrile diseases or malaria.Rate this question:
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- 15.
Patient ulfo has measles for the last three months. There is pus draining from his right eye. This can be classified as
- A.
Measles with eye or mouth complications
- B.
Severe Complicated measles
- C.
Severe complicated measles with eye or mouth complications
- D.
Measles
Correct Answer
A. Measles with eye or mouth complicationsExplanation
The patient ulfo has measles for the last three months and is experiencing pus draining from his right eye. This indicates that the measles has resulted in complications in the eye or mouth area. Therefore, the correct classification for this condition would be "Measles with eye or mouth complications."Rate this question:
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- 16.
If pus is draining from the eye, what should the nurse do?
- A.
Give the child aspirin
- B.
Give Vitamin A
- C.
Apply tetracycline
- D.
Treat with gentian violet
Correct Answer
C. Apply tetracyclineExplanation
If pus is draining from the eye, applying tetracycline would be the appropriate action for the nurse to take. Tetracycline is an antibiotic medication that can be used to treat bacterial infections, including those that may be causing the pus drainage. By applying tetracycline, the nurse can help to eliminate the bacteria and reduce the symptoms of the infection. This can help to prevent the infection from spreading further and promote healing in the affected eye.Rate this question:
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- 17.
If mouth ulcers are present, the nurse should _________________.
- A.
Give the child aspirin
- B.
Give Vitamin A
- C.
Apply Tetracycline
- D.
Treat with gentian violet
Correct Answer
D. Treat with gentian violetExplanation
The correct answer is to treat with gentian violet. Gentian violet is a topical antiseptic that can help to relieve pain and promote healing of mouth ulcers. Aspirin is not recommended for children due to the risk of Reye's syndrome. Vitamin A may have some benefits for oral health, but it is not specifically indicated for mouth ulcers. Tetracycline is an antibiotic that may be used for certain infections, but it is not typically used for mouth ulcers.Rate this question:
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- 18.
Patient alfina was observed to have tender swelling behind the ear, this can be classified as _______________.
- A.
Acute Ear Infection
- B.
Chronic Ear Infection
- C.
Mastoiditis
- D.
Ear Infection
Correct Answer
C. MastoiditisExplanation
The patient's symptoms of tender swelling behind the ear are indicative of mastoiditis. Mastoiditis is an infection of the mastoid bone, which is located behind the ear. It commonly occurs as a complication of untreated or inadequately treated acute ear infections. The swelling and tenderness in this area are caused by the inflammation and infection spreading to the mastoid bone. Therefore, mastoiditis is the most appropriate classification for the patient's condition based on the given information.Rate this question:
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- 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
- A.
Acute Ear Infection
- B.
Chronic Ear Infection
- C.
Mastoiditis
- D.
Ear Infection
Correct Answer
A. Acute Ear InfectionExplanation
The observation of pus draining from the ear of the patient, Emelius, along with the reported discharge for less than 14 days indicates an acute ear infection. Acute ear infections typically present with symptoms such as ear pain, fluid drainage, and temporary hearing loss. The duration of less than 14 days suggests that the infection is in its early stages and has not progressed to a chronic condition. Mastoiditis, on the other hand, refers to a complication of untreated or severe ear infections characterized by inflammation of the mastoid bone. Therefore, the correct classification for this scenario is an acute ear infection.Rate this question:
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- 20.
Treatment for chronic ear infection would be ____________________.
- A.
Give antibiotic for 5 days and dry the ear by wicking
- B.
Give aspirin
- C.
Instill quinolone otic drops and dry the ear by wicking
- D.
Give first dose of antibiotic and paracetamol for pain
Correct Answer
C. Instill quinolone otic drops and dry the ear by wickingExplanation
The correct answer is to instill quinolone otic drops and dry the ear by wicking. This treatment approach is appropriate for chronic ear infections. Quinolone otic drops are a type of antibiotic medication specifically formulated for ear infections. Instilling these drops directly into the ear helps to target and eliminate the infection. Drying the ear by wicking helps to remove any excess moisture, which can contribute to the development and persistence of ear infections. This combination of instilling the drops and drying the ear helps to effectively treat chronic ear infections.Rate this question:
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- 21.
Treatment for acute ear infection would be _________________________.
- A.
Give antibiotic for 5 days and dry the ear by wicking
- B.
Give aspirin
- C.
Instill quinolone otic drops and dry the ear by wicking
- D.
Give first dose of antibiotic and paracetamol for pain
Correct Answer
A. Give antibiotic for 5 days and dry the ear by wickingExplanation
The correct answer is to give antibiotic for 5 days and dry the ear by wicking. This is the appropriate treatment for acute ear infection as antibiotics help to eliminate the infection-causing bacteria, while drying the ear by wicking helps to remove excess moisture and promote healing. Giving aspirin is not recommended as it can increase the risk of Reye's syndrome in children. Instilling quinolone otic drops may be an option in some cases, but it is not the first-line treatment. Giving the first dose of antibiotic and paracetamol for pain may provide some relief, but a full course of antibiotics is necessary to completely treat the infection.Rate this question:
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- 22.
Patient Luna is 4 months old and has visible severe wasting and edema on both feet. This can be classified as ________________.
- A.
Severe Malnutrition
- B.
Very Low Weight
- C.
Not very low weight
- D.
Low weight
Correct Answer
A. Severe MalnutritionExplanation
The given scenario describes a 4-month-old patient, Luna, who has visible severe wasting and edema on both feet. These symptoms indicate severe malnutrition. Severe malnutrition is characterized by significant weight loss, muscle wasting, and edema due to a lack of essential nutrients. The other options, such as very low weight, not very low weight, and low weight, do not accurately describe the severity of Luna's condition as indicated by the visible wasting and edema.Rate this question:
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- 23.
Patient Anya is observed to have some palmar pallor. This can be classified as ___________.
- A.
No Anemia
- B.
Malnutrition
- C.
Severe Anemia
- D.
Anemia
Correct Answer
D. AnemiaExplanation
The observation of palmar pallor in Patient Anya indicates a decreased amount of red blood cells or hemoglobin in the blood, which is a characteristic of anemia. Anemia is a condition where the body lacks enough healthy red blood cells to carry adequate oxygen to the tissues. This can result in symptoms such as fatigue, weakness, and pale skin. Therefore, the presence of palmar pallor suggests that Patient Anya has anemia.Rate this question:
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- 24.
Which of these could be a proper treatment of anemia?
- A.
Give vitamin A
- B.
Give Iron and Albendazole/Mebendazole if child 1 year or older
- C.
Give Aspirin
- D.
Increase fluid intake
Correct Answer
B. Give Iron and Albendazole/Mebendazole if child 1 year or olderExplanation
A proper treatment for anemia could be giving Iron and Albendazole/Mebendazole if the child is 1 year or older. Iron is essential for the production of red blood cells, and Albendazole/Mebendazole can help treat any underlying parasitic infections that may be causing the anemia. This treatment approach addresses the potential causes of anemia and aims to improve the child's red blood cell count and overall health. Giving vitamin A, aspirin, or increasing fluid intake may not directly address the underlying cause of anemia and may not be effective in treating the condition.Rate this question:
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- 25.
In routine worm treatment, every child should be given ALBENDAZOLE/MEBENDAZOLE every...
- A.
2 months from the age of one year
- B.
9 months from the age of one year
- C.
6 months from the age of one year
- D.
9 weeks from the age of one year
Correct Answer
C. 6 months from the age of one yearExplanation
In routine worm treatment, every child should be given ALBENDAZOLE/MEBENDAZOLE every 6 months from the age of one year. This means that starting from the age of one year, the child should receive the treatment every half year to prevent worm infestations. This regular treatment schedule helps to maintain the child's health and prevent any potential complications caused by worm infections.Rate this question:
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- 26.
The first line antibiotic for pneumonia, mastoiditis, or very sever disease would be ________________.
- A.
Cotrimoxazole
- B.
Amoxicillin
- C.
Penicillin
- D.
Ciprofloxacin
Correct Answer
B. AmoxicillinExplanation
Amoxicillin is the first-line antibiotic for pneumonia, mastoiditis, or very severe disease because it is effective against a wide range of bacteria commonly associated with these conditions. It is a broad-spectrum antibiotic that works by inhibiting the growth of bacteria and is generally well-tolerated by patients. Amoxicillin is often prescribed as the initial treatment for these infections due to its effectiveness, safety profile, and affordability.Rate this question:
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- 27.
Which is the first-line antibiotic for cholera?
- A.
Tetracycline
- B.
Ciprofloxacine
- C.
Albendazole
- D.
Cotrimoxazole
Correct Answer
A. TetracyclineExplanation
Tetracycline is the first-line antibiotic for cholera because it is effective against the bacteria that causes cholera, Vibrio cholerae. It works by inhibiting protein synthesis in the bacteria, preventing their growth and replication. Tetracycline has been widely used for the treatment of cholera and has shown good efficacy in reducing the severity and duration of symptoms. It is also relatively safe and well-tolerated by most patients. Therefore, it is the preferred antibiotic for the treatment of cholera.Rate this question:
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- 28.
Which is the first line of Oral Antimalarial?
- A.
Chloroquine
- B.
Sulfadoxine
- C.
Pyramethamine
- D.
Artemether
Correct Answer
D. ArtemetherExplanation
Artemether is the first line oral antimalarial because it is a highly effective and rapidly acting drug against malaria. It is commonly used in combination with other antimalarial drugs to treat uncomplicated malaria caused by Plasmodium falciparum. Artemether has a quick onset of action and is well-tolerated, making it a preferred choice for oral treatment of malaria. Chloroquine, Sulfadoxine, and Pyramethamine are also antimalarial drugs, but they are not considered first-line treatments and may be used in specific cases or regions where resistance to other drugs is prevalent.Rate this question:
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- 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 _________.
- A.
3
- B.
2
- C.
1
- D.
1/2
Correct Answer
C. 1Explanation
The appropriate amount of Vitamin A capsules (200,000 IU) to be given to a child aged 12 months to 5 years would be 1. This is because the question is asking for the number of capsules to be given, and the correct answer indicates that only 1 capsule should be administered to the child.Rate this question:
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Oct 18, 2024Quiz Edited by
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Feb 03, 2011Quiz Created by
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