Integrated Management Of Childhood Illness (IMCI) Trivia

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| By Grandwing
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Grandwing
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Quizzes Created: 1 | Total Attempts: 71,782
Questions: 20 | Viewed: 71,912

1.

You can classify that a child aged 2 years has fast breathing if he has a respiratory rate of _________. 

Answer: 40 bpm or more
Explanation:
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.
2.

Baby yuki, 4 months old is not able to breastfeed and chest indrawing is present. This can be classified as ___________. 

Answer: Severe Pneumonia
Explanation:
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.
3.

What color is "NO PNEUMONIA: COUGH OR COLD" classified as?

Answer: Green
Explanation:
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.
4.

If the child has wheezing and either fast breathing or chest indrawing present, the nurse should:

Answer: Give a trial acting inhaled bronchodilator for up to 3 times
Explanation:
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.
5.

Dysentery is classified if:

Answer: 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.
6.

Which type of plan would the nurse instruct to a child who was classified with sever dehydration?

Answer: Plan C
Explanation:
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.
7.

If child has not enough signs to classify as some or sever dehydration, the child will be classified as what?

Answer: No Dehydration
Explanation:
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.
8.

Patient tifa, 5 months old has diarrhea for already 16 days. You also notice that dehydration is present. This could be classified as?

Answer: Severe Persistent Diarrhea
Explanation:
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.
9.

Patient Dahna has no runny nose, no measles and no other causes of fever but has malaria risk. This could be classified as?

Answer: Fever: Malaria likely
Explanation:
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.
10.

Treatment for very severe febrile disease/malaria with malaria risk would be?

Answer: Give first dose of quinine
Explanation:
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.
11.

Patient ulfo has measles for the last three months. There is pus draining from his right eye. This can be classified as

Answer: Measles with eye or mouth complications
Explanation:
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."
12.

If pus is draining from the eye, what should the nurse do?

Answer: Apply tetracycline
Explanation:
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.
13.

If mouth ulcers are present, the nurse should _________________. 

Answer: Treat with gentian violet
Explanation:
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.
14.

Patient alfina was observed to have tender swelling behind the ear, this can be classified as _______________. 

Answer: Mastoiditis
Explanation:
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.
15.

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

Answer: Acute Ear Infection
Explanation:
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.
16.

Treatment for chronic ear infection would be ____________________. 

Answer: Instill quinolone otic drops and dry the ear by wicking
Explanation:
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.
17.

Treatment for acute ear infection would be _________________________. 

Answer: Give antibiotic for 5 days and dry the ear by wicking
Explanation:
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.
18.

Patient Luna is 4 months old and has visible severe wasting and edema on both feet. This can be classified as ________________. 

Answer: Severe Malnutrition
Explanation:
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.
19.

Patient Anya is observed to have some palmar pallor. This can be classified as ___________. 

Answer: Anemia
Explanation:
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.
20.

In routine worm treatment, every child should be given ALBENDAZOLE/MEBENDAZOLE every...

Answer: 6 months from the age of one year
Explanation:
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.
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