IMCI.docx - RoyalPENTAGONReview Specialists Inc. THE 2nd...

THE
Royal
PENTAGON Review Specialists Inc.
2
nd
Floor R.G.Casas Bldg. 886 España Blvd.
Cor. G. Tolentino St., Sampaloc Manila
Tel. No. [phone]
ANSWER KEY
Integrated Management of Childhood Illnesses
Situation 1: Elsa brought her 4 month old baby James to the health center for treatment of
coughs and colds.
1. In line with integrated care, the following principles must be ensured EXCEPT
A. All sick children must examined for general danger signs. To indicate need for immediate
referral
B. all sick children must be routinely assessed for major symptoms. 2-5yrs: cough/difficult
breathing, diarrhea, fever, ear problems; infants 1 week to 2 mos.: bacterial infection and
diarrhea
C. Only a limited number of carefully selected clinical signs are used, based on evidence of their
sensitivity and specificity to detect diseases.
D. A combination of individual signs leads to a child’s diagnosis rather than
classification of the condition
2. The following danger signs must be routinely checked in all children including James:
(DANGER signs)
1-convulsions
2-lethargic or unconscious
3-unable to drink or breastfeed
4-vomits everything
3. This particular main symptom is considered one of the main causes of childhood
disability among low and middle income countries
4. The cut off rate for James’s fast breathing is 5. James has lower chest wall in drawing. This means.
A. inward movement of bony structure of chest wall with inspiration (in a calm child)
B. movement of the soft tissues of the ribs without involvement of the bony structure of the chest
wall– inter-coastal indrawing
C. harsh sounds when the child inhales stridor
D. noise heard when the child exhales wheeze