IMCI EXAM

1. A 4 year old child was brought by her mother to the Rural Health Unit because of cough and colds. Following the IMCI assessment guide, which of the following is a general danger sign that indicates the need for urgent referral to a hospital? a. Inability to drink b. High grade fever c. Signs of severe dehydration d. Cough for more than 30 days

2. Upon checking for the General Danger Signs, the Midwife checks for the following EXCEPT: a. The child is unable to drink or feed b. The child vomits everything c. The child is abnormally sleepy or difficult to awaken d. The child has had cough

3. The following are the main symptoms in IMCI. 1. Cough or difficulty breathing 2. Diarrhea 3. Fever 4. Ear problems 5. Convulsion 6. Vomits everything a. 1,2,3 b. 1,2,3,4 c. 5,6 d. 1 only

4. In responding to the care concerns of children with severe disease, referral to the hospital is of essence especially if the child manifests which of the following general danger sign? a. Fever b. Chest indrawing c. Wheezing d. Abnormally sleepy or Difficult to awaken

5. Baby Boy Jose, using IMCI parameters, has fast breathing if he has? a. 35 breaths per minute b. 40 breaths per minute c. 45 breaths per minute d. 50 breaths per minute

6. When the midwife looks for chest indrawing, she assesses: a. If the lower chest wall goes in when the child breathes in b. If the intercostal space goes in when the child breathes in c. When there is a harsh noise made when the child breathes in d. When there is a harsh noise if the child breathes out

67. When the midwife looks and listens for stridor, she assesses? a. If the lower chest wall goes in when the child breathes in b. If the intercostal space goes in when the child breathes in c. When there is a harsh noise made when the child breathes in d. When there is a harsh noise if the child breathes out

8. Wheezing can be differentiated from stridor: a. If the lower chest wall goes in when the child breathes in b. If the intercostal space goes in when the child breathes in c. When there is a harsh noise made when the child breathes in d. When there is a harsh noise if the child breathes out

9. Using the IMCI approach, how would you classify baby boy Jose? a. Bronchopneumonia b. No pneumonia: cough or cold c. Pneumonia d. Severe Pneumonia or Very Severe Disease

10. A 4 year old boy is brought to the Rural Health Unit for cough and inability to breastfeed. Which classification of cough and cold is he suffering for? a. Bronchopneumonia b. No pneumonia: cough or cold c. Pneumonia d. Severe Pneumonia or Very Severe Disease

11. A 4-month old infant was brought to the health center of cough. Her respiratory rate is 52/minute. Using the IMCI guidelines of assessment, her breathing is considered; a. Fast b. Slow c. Normal d. Insignificant

12. James is 6 months old. He weighs 5.6 kg and has a temperature of 36.5. His father says he has had cough for 3 days but was able to breastfeed. His Respiratory rate is 55, with chest indrawing and stridor. The midwife will classify his case as: a. Severe Pneumonia b. Pneumonia c. No Pneumonia: Cough or Cold d. No signs and symptoms

13. Which of the following signs will indicate that a young child is suffering from severe pneumonia? A. Dyspnea B. Wheezing C. Fast breathing D. Chest indrawing

14. What is the classification of Arthur? a. Severe dehydration b. Some dehydration c. No dehydration d. Persistent Diarrhea

15. A diarrhea that lasts more than 14 days is called? a. Acute Diarrhea b. Persistent Diarrhea c. Dysentery d. Dehydration

76. A child is drinking eagerly, thirsty if? a. The child is not able to take fluid in its mouth and swallow it. b. The child is weak and cannot drink without help c. The child clearly wants to drink d. The child may not be able to suckle or swallow

17. Skin pinch goes back very slowly if: a. Goes back immediately b. Goes back less than 2 seconds c. Goes back more than 2 seconds d. Goes back normally

18. A child who has had diarrhea for 14 days but has no sign of dehydration is classified as: a. Severe persistent diarrhea b. Dysentery c. Acute diarrhea d. Persistent diarrhea

19. If the child has sunken eyes, drinks eagerly, thirsty and skin pinch goes back slowly, classification would be: a. No dehydration b. Some dehydration c. Severe dehydration d. Persistent diarrhea

20. A 5-month old infant was brought by his mother to the health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category? A. No signs of dehydration B. Some dehydration C. Severe dehydration D. The data is insufficient