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IMCI Answer
IMCI Answer
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Which of the following treatments is 17) What is the second-line antibiotic
appropriate? for local bacterial infection in the
a. Give Vitamin A young infant?
b. If the young infant has a. Amoxicillin
dehydration and has a Possible Serious b. Cotrimoxazole
Bacterial Infection, treat the c. Gentamicin
dehydration before referral to a d. Benzylpenicillin
hospital. 18) Which appropriate oral antibiotic
c. Refer the infant to a hospital for local infection should not be given
d. None of the above to infants < than 1 month of age who
10) Where will the community health are premature or jaundiced?
nurse pinch the skin, to look and feel a. Amoxicillin
for dehydration? b. Cotrimoxazole
a. Sternal area c. Gentamicin
b. Arm d. Benzylpenicillin
c. Elbow 19) Which appropriate oral antibiotic
d. Abdomen for local infection is given only twice
11) What signs should necessarily be daily for 5 days?
present to classify the infant’s feeding a. Amoxicillin
problem as “Possible Serious Bacterial b. Cotrimoxazole
Infection?” c. Gentamicin
a. Ulcers or white patches in the d. Benzylpenicillin
mouth 20) Which appropriate oral antibiotic
b. No attachment at all for local infection is given three times
c. Not suckling effectively daily for 5 days?
d. Breastfeeds less than 8 times in a. Amoxicillin
24 hours b. Cotrimoxazole
12) What treatment consists an c. Gentamicin
inappropriate nursing action for a d. Benzylpenicillin
young infant who has Possible Serious 21) Referral is the best option for a
Bacterial Infection? young infant classified as having a
a. Give the infant the first dose POSSIBLE SERIOUS BACTERIAL
of intravascular antibiotics. INFECTION. If referral is not possible,
b. Treat the infant to prevent the though, we give intramuscular
lowering of his or her blood sugar antibiotics for at least 5 days. How
level. often do we give benzylpenicillin?
c. Advise the mother regarding how a. q 4 hours
to keep the infant warm on the way to b. q 5 hours
the hospital. c. q 6 hours
d. Refer the infant urgently to a d. q 8 hours
hospital. 22) Referral is the best option for a
13), 14), 15) Complete the young infant classified as having a
Immunization Schedule POSSIBLE SERIOUS BACTERIAL
AGE VACCINE INFECTION. If referral is not possible,
Birth 13) _BCG_ though, we give intramuscular
6 weeks DPT-1,14) _OPV- antibiotics for at least 5 days. What is
1_, 15) _Hep-B the correct frequency in giving
1__ gentamicin?
16) What is the first-line antibiotic for a. QID
local bacterial infection in the young b. OD
infant? c. TID
a. Amoxicillin d. BID
b. Cotrimoxazole 23) & 24) Identify the right dose of
c. Gentamicin Gentamicin corresponding to the
d. Benzylpenicillin weight of the young infant
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WT GENTAMICIN her (the mother’s) finger and
Dose: 5 mg/kg dipped in tap water.
c. Paint the infant’s mouth with
half-strength Gentian Violet.
d. Wash her hands again.
1 kg 0.5 ml To answer # 30) – 38), write a. for 2
days; b. 14 days; c. 5 days; and d. 30
2 kg 1.0 ml days; e. return immediately
3 kg 1.5 ml If the child has: Return for follow-
4 kg 23) _2 ml_ up in:
5 kg 24) _2.5 ml_ LOCAL BACTERIAL 30) _a_
25) & 26) Identify the right dose of INFECTION
Benzylpenicillin corresponding to the
weight of the young infant
WT BENZYLPENICILLIN LOW WEIGHT FOR 31) _b_
AGE
ANY FEEDING 32) _a_
PROBLEM
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b. Give the child an appropriate coughing be present to entail that the
antibiotic for 5 days. child be referred to a hospital for
c. Soothe the throat and relieve the assessment?
cough with a safe remedy. a. more than 20 days
d. Advise the mother regarding b. more than 30 days
when to return immediately to the c. more than 40 days
health center. d. more than 45 days
42) The sick young child’s ear problem 50) A child who has diarrhea also is
is assessed to possess the following abnormally sleepy, has sunken eyes,
signs: pus is seen draining from the and is drinking poorly. If the child has
ear, and there has been discharge for no other severe classification, the
14 days or more. Which of the community health nurse will give food
following treatments represent an and fluid according to:
incorrect nursing action? a. Plan A
a. Dry the ear by wicking b. Plan B
b. Do not give an antibiotic for 5 c. Plan C
days d. Plan D
c. Do not give paracetamol for pain 51) A child who has diarrhea also is
d. Follow up in 7 days. restless, irritable, and has sunken
43), 44), 45) Complete the Child’s eyes. If the child has no other severe
Immunization Schedule classification, the community health
AGE VACCINE nurse will give food and fluid according
Birth BCG to:
6 wks. DPT-1, OPV-1, 43) _Hepa-B a. Plan A
1_ b. Plan B
44) DPT-2, OPV-2, 45) _Hepa-B 2 c. Plan C
_10 _ d. Plan D
wks_ 52) A child who has diarrhea is
46) The community health nurse classified to have Severe Dehydration.
knows that the first dose of Vitamin A The community nurse is aware that
supplementation is scheduled at: there is cholera in the child’s area.
a. 4 months or above What is the minimum age of the child
b. 5 months or above that will qualify him for an antibiotic
c. 6 months or above for cholera?
d. 8 months or above a. 2 years
47) The community health nurse b. 1 year
knows that the subsequent doses of c. 1 ½ years
Vitamin A supplementation is d. 3 years
scheduled to be given every: 53) A child who has diarrhea for 14
a. 6 months days or more has dehydration. Which
b. 4 months of the following treatments consists of
c. 5 months an appropriate nursing action?
d. 9 months a. Advise the mother regarding the
48) A sick young child is seen in the feeding of a child who has Persistent
clinic with chest indrawing. What will Diarrhea
be the correct classification of his b. Do not give Vitamin A
condition? c. Follow up in 5 days
a. No pneumonia d. Treat the dehydration before
b. Cough or cold referral to a hospital unless the
c. Very Severe Disease child has another severe
d. Pneumonia classification.
49) A child has no signs of pneumonia 54) - 56)
or a very severe disease, thus, AGE VACCINE
classified under “No pneumonia: cough 14 wks 54) _DPT-3_, 55) _OPV-3_,
or cold.” For how long should the Hep B-3
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56) _9 Measles d. Treat the child to prevent the
mos_ lowering of his or her blood sugar
57) A child who has fever who has level.
malaria risk is seen with stiff neck. 61) A child who has fever and had
What will be the appropriate measles within the last 3 months, is
classification for this child? seen with clouding of the cornea. How
a. Malaria will the community nurse classify the
b. Very Severe Febrile Disease child’s case?
c. Very Severe Febrile a. Measles
Disease/Malaria b. Measles with Eye or Mouth
d. Fever: Malaria Unlikely Complications
58) If a blood smear test was not done c. Severe Complicated Measles
in a child with fever who has malaria d. Very Severe Febrile Disease
risk. He has no runny nose, no 62) If a child who has fever and
measles, and no other causes of fever. measles at the present has clouding of
What appropriate treatment will the the cornea or pus draining from the
nurse give to the child? eye, what eye ointment will the
a. Refer the child urgently to a community health nurse apply to the
hospital. child’s eye?
b. Give the first dose of an a. Tetracycline
appropriate antibiotic. b. Gentian Violet
c. Treat the child with an oral c. Cotrimoxazole
antimalarial d. Sulfadoxine
d. Give one dose of paracetamol in
the health center for high fever 63) The community health nurse
(37.5°C axillary temperature) examines a child who has fever and a
59) A child who has fever, no malaria dengue risk. If none of the ASK, LOOK
risk and no signs of a very severe and FEEL signs is present, you will
febrile disease would be referred to a conduct a tourniquet test if fever has
hospital for assessment only if: been present for more than:
a. Fever has been present a. 3 days
every day for more than 7 days. b. 2 days
b. Fever has been in on-and-off for c. 1 day
more than 7 days. d. 4 days
c. Fever has been present every
day for 7 days. 64) What positive signs of Severe
d. Fever has been present every Dengue Hemorrhagic Fever will require
day for 10 days. fluid replacement by giving ORS only?
a. Bleeding from nose or gums
60) A child who has fever and no b. Bleeding in the stool or vomitus
malaria risk, is seen with a general c. Black stool or vomitus
danger sign and stiff neck. Which of d. Abdominal pain and skin
the following treatments would be petechiae
appropriately carried out by the 65) A child has been brought to the
community nurse? health center with tender swelling
a. Advise the mother regarding behind the ear. What action of the
when to return immediately to the nurse is appropriate?
health center. a. Give the first dose of
b. Follow up in two days if fever paracetamol for pain.
persists. b. Dry the ear by wicking.
c. Give 2 doses of paracetamol in c. Follow up in 5 days
the health center for high fever (38.5 d. Give an antibiotic for 5 days
°C axillary temp.) 66) Which treatment for an ear
problem should not be done to a child
with chronic ear infection?
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a. Dry the ear by wicking c. Nalidixic Acid
b. Follow up in 5 days d. Tetracycline
c. Give an antibiotic for 5 days. 73) What is the second-line oral
d. Do not give paracetamol for pain antibiotic for Pneumonia, Acute Ear
67) Upon assessment of a child, the Infection, Very Severe Disease and
community health nurse found these Mastoiditis to be given at home?
signs in the child: pus is seen draining a. Cotrimoxazole
from the ear, and there has been b.Amoxycilin
discharge for less than 14 days; ear c. Nalidixic Acid
pain. What will be an appropriate d. Tetracycline
treatment for the child? 74) What is the second-line oral
a. Give the first dose of an antibiotic for Cholera to be given at
appropriate antibiotic. home?
b. Do not give paracetamol. a. Cotrimoxazole
c. Refer the child urgently to a b.Amoxycilin
hospital. c. Nalidixic Acid
d. Dry the ear by wicking. d. Tetracycline
68) What shall the community health 75) What is the second-line oral
nurse look and feel in a child to check antibiotic for Dysentery to be given at
for malnutrition and anemia? home?
a. Look for edema on both feet a. Cotrimoxazole
b. Feel for cold and clammy b.Amoxycilin
extremities c. Nalidixic Acid
c. Look for restlessness and d. Tetracycline
irritability 76) What is the first-line oral
d. Look for palmar erythema antimalarial to be given at home?
69) A child who has malnutrition is a. Chloroquine and Primaquine
seen with edema on both feet and b. Chloroquine and Pyrimethamine
severe palmar pallor. What will be the c. Sulfadoxine and Pyrimethamine
nurse’s appropriate action? d. Sulfadoxine and Primaquine
a. Give Vitamin A. 77) What is the second-line oral
b. If the weight for age is very low, antimalarial to be given at home?
give Vit A. a. Chloroquine and Primaquine
c. Give albendazole. b. Chloroquine and Pyrimethamine
d. Assess the child’s feeding and c. Sulfadoxine and
counsel the mother regarding the Pyrimethamine
child’s feeding. d. Sulfadoxine and Primaquine
70) What is the first-line oral antibiotic 78) – 91) Advise the mother to come
for Pneumonia, Acute Ear Infection, to the health center for follow-up at
Very Severe Disease and Mastoiditis to the earliest time indicated for the
be given at home? child’s problems. Answers: a. 2 days,
a. Cotrimoxazole b. 5 days, c. 30 days, d. return
b.Amoxycilin immediately
c. Nalidixic Acid Pneumonia 78)
d. Tetracycline _a__
71) What is the first-line oral antibiotic Dysentery 79) _ a
for Cholera to be given at home? __
a. Cotrimoxazole Malaria, if the fever persists 80) _ a
b.Amoxycilin __
c. Nalidixic Acid Fever: Malaria Unlikely, if the 81) _ a
d. Tetracycline fever persists __
72) What is the first-line oral antibiotic Fever: No Malaria, if the 82) _ a
for Shigella to be given at home? fever persists __
a. Cotrimoxazole Measles with Eye or Mouth 83) _ a
b.Amoxycilin Complications __
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Dengue Hemorrhagic Fever 84) _ a there is chest indrawing or a general
Unlikely, if the fever persists _ danger sign, what will be the
Persistent Diarrhea 85) appropriate action of the community
_b__ health nurse?
Acute Ear Infection 86) _ b a. Consume the 5-day dosage of
__ the antibiotic
Chronic Ear Infection 87) _ b b. Change to second-line antibiotic
__ and advise the mother to return in 2
Feeding Problems 88) _ b days
__ c. Give a dose of the second-
Many Other Illnesses, if the 89) _ b line antibiotic or intramuscular
child’s condition is not __ chloramphenicol
improving d. Change to the second-line
Anemia 90) _ b antibiotic recommended for shigella in
__ your area.
Very Low Weight for Age 91) 99) After 2 days, a child less than 12
_c__ months old, with dysentery was
Any sick child, who is not 92) evaluated with the following findings:
able to drink or breastfeed, _d__ number of loose stool evacuations, the
becomes sicker, and amount of blood in the stool, fever,
develops a fever abdominal pain, or eating are the
same. What will be the correct action
A child who has No 93) _ d
of the nurse?
Pneumonia: Cough or Cold, __
a. Treat the dehydration
who has fast breathing or
b. Change to the second-line
difficulty in breathing
antibiotic recommended for shigella in
A child who has Diarrhea: 94) _ d
your area. Give it for 5 days.
has blood in the stool, and is __
c. Refer the child to a hospital
drinking poorly
d. Continue giving the same
A child who has Fever: 95) _ d
antibiotic until the 5-day dosage has
Dengue Hemorrhagic Fever __
been consumed
Unlikely, who has any sign of
100) After 5 days, a child with
bleeding, persistent
persistent diarrhea is brought to the
abdominal pain, and
health center for follow-up care. The
persistent vomiting
diarrhea has not stopped. What will be
96) According to “Plan B: Treat Some
the correct action of the nurse?
Dehydration with ORS,” how long will
a. Change to the second-line
the community health nurse give the
antibiotic recommended for shigella in
recommended amount of ORS in the
your area. Give it for 5 days.
health center?
b. Conduct a full assessment of
a. over a period of 4 hours
the child. Give him or her any
b. over a period of 3 hours
treatment he or she needs. Then,
c. over a period of 6 hours
refer the child to a hospital.
d. over a period of 5 hours
c. Continue giving the same
97) In implementing “Plan B” in giving
antibiotic until the 5-day dosage has
extra fluid for diarrhea and continue
been consumed
feeding, the approximate amount of
d. Give second-line antibiotic or
ORS required (in mL) can also be
intramuscular chloramphenicol
calculated by multiplying the child’s
weight by:
a. 50
b. 75
c. 80
d. 90
98) After 2 days, follow-up care is
given to a child with pneumonia. If
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