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506
👑 A 2-year-old child is brought to PHC with cough, fever, and diarrhea for 2 days.
🔹The child is conscious, able to drink, does not vomit everything, and has no history of convulsions.
🔹On examination:
🔹Temperature = 38.2°C
🔹Respiratory rate = 46/min
🔹No chest indrawing
🔹No stridor
🔹Diarrhea for 2 days
🔹Not restless or irritable
🔹Eyes are not sunken
🔹Drinks normally
🔹Skin pinch goes back normally
🔹No blood in stool
🔹No palmar pallor
🔹What is the correct IMCI classification?
🔹A. Cough or cold, no dehydration, fever bacterial infection unlikely, no anemia
🔹B. Pneumonia, some dehydration, fever possible bacterial infection, no anemia
🔹C. Pneumonia, no dehydration, fever possible bacterial infection, no anemia
🔹D. Very severe disease, severe dehydration, very severe febrile disease, severe anemia
🔹E. Pneumonia, dysentery, fever bacterial infection unlikely, anemia
506
👑 A 4-year-old child is brought to PHC with fever, cough, red eyes, and rash.
🔹The mother says the rash started on the face and then spread downward.
🔹The child is conscious, able to drink, does not vomit everything, and has no convulsions.
🔹On examination:
🔹Temperature = 39°C
🔹Respiratory rate = 42/min
🔹No chest indrawing
🔹No stridor
🔹Generalized maculopapular rash
🔹Red eyes
🔹Bluish-white spots on buccal mucosa
🔹Mouth ulcers present but not deep or extensive
🔹No pus draining from the eyes
🔹No clouding of cornea
🔹No palmar pallor
🔹What is the correct IMCI classification?
🔹A. Cough or cold, possible measles, fever bacterial infection unlikely, no anemia
🔹B. Very severe disease, severe complicated measles, pneumonia, severe anemia
🔹C. Pneumonia, severe complicated measles, fever bacterial infection unlikely, anemia
🔹D. Pneumonia, measles with eye or mouth complications, fever possible bacterial infection, no anemia
🔹E. Cough or cold, non-streptococcal sore throat, fever possible bacterial infection, no anemia
506
👑 A 3-year-old child is brought to PHC with fever, cough, and sore throat for 2 days.
🔹The child is conscious, able to drink, does not vomit everything, and has no history of convulsions.
🔹On examination:
🔹Temperature = 38.7°C
🔹Respiratory rate = 34/min
🔹No chest indrawing
🔹No stridor
🔹Throat is congested
🔹No throat abscess
🔹No enlarged tender lymph nodes in front of the neck
🔹No tonsillar exudate
🔹No rash
🔹No mouth ulcers
🔹No palmar pallor
🔹What is the correct IMCI classification?
🔹A. Pneumonia, streptococcal sore throat, fever bacterial infection unlikely, no anemia
🔹B. Cough or cold, non-streptococcal sore throat, fever possible bacterial infection unlikely , no anemia
🔹C. Cough or cold, throat abscess, very severe febrile disease, severe anemia
🔹D. Pneumonia, non-streptococcal sore throat, fever bacterial infection unlikely, anemia
🔹E. Very severe disease, streptococcal sore throat, severe complicated measles, no anemia
506
👑 Q4 — IMCI exam-style combined classification
🔹A 3-year-old child is brought to PHC with fever for 2 days, sore throat, and cough.
🔹The child is conscious, drinks normally, has no convulsions, and is not lethargic.
On examination:
Temperature = 38.4°C
Throat is congested
There are enlarged tender lymph nodes in front of the neck
There is white exudate on the tonsils
No throat abscess
No fast breathing
No chest indrawing
No stridor
No palmar pallor
What is the correct IMCI classification?
🔹A. Throat abscess, very severe febrile disease, severe anemia
🔹B. Streptococcal sore throat, fever bacterial infection unlikely, cough or cold, no anemia
🔹C. Non-streptococcal sore throat, fever possible bacterial infection, pneumonia, no anemia
🔹D. Streptococcal sore throat, very severe disease, pneumonia, anemia
🔹E. No throat problem, fever bacterial infection unlikely, cough or cold, no anemia
م/ fever possible bacterial infection
