A child aged 2 years has a respiratory rate Which management plan would you

of 60 breaths per minute. How would you follow for a child classified with severe A. Paracetamol
classify the breathing? dehydration? B. First dose of artesunate
C. Vitamin A
A. Normal breathing A. Plan A D. Amoxicillin
B. Fast breathing B. Plan B
C. Severe breathing problem C. Plan C A 12-month-old child has a respiratory
D. No need for concern D. Plan D rate of 55 breaths per minute. How would
you classify this?
A 4-month-old infant is not able to A child with sunken eyes and a skin pinch
breastfeed and has stridor on inhalation. that goes back slowly would be classified A. Severe pneumonia
How would you classify this? as having: B. Pneumonia
A. Severe dehydration C. No pneumonia
A. No pneumonia: cough or cold B. Some dehydration D. Fast breathing
B. Pneumonia C. No dehydration
C. Severe pneumonia D. Mild dehydration Which color classification indicates that a
D. Mild pneumonia child needs urgent referral to a higher-
If a child has no runny nose, no measles, level facility?
Which of the following is NOT a treatment and no obvious cause of fever but has a
for severe pneumonia? malaria risk, the child is classified under: A. Yellow
B. Green
A. Give the first dose of an appropriate A. Uncomplicated malaria C. Red
antibiotic B. Fever: Malaria unlikely D. Pink
B. Soothe the throat and relieve the cough C. Severe febrile illness
with a safe remedy D. Fever: No malaria A mother reports her child has had
C. Give Vitamin A diarrhea for 3 days. The child is lethargic
D. Treat to prevent low blood sugar What is the recommended treatment for a and has sunken eyes. How would you
child with very severe febrile disease or classify the dehydration?
malaria risk?
A. No dehydration A 10-month-old child has diarrhea with A. 50 breaths per minute or more
B. Some dehydration sunken eyes and drinks eagerly when B. 40 breaths per minute or more
C. Severe dehydration offered fluids. What is the classification? C. 60 breaths per minute or more
D. No classification needed D. 70 breaths per minute or more
A. Severe dehydration
What is the first step in assessing a child B. Some dehydration A child with fever has pus draining from
under IMCI guidelines? C. No dehydration the eyes. What is the classification?
D. Moderate dehydration
A. Ask about immunization status A. Severe measles complications
B. Assess for danger signs What is the recommended first-line B. Measles with eye complications
C. Check for nutritional deficiencies treatment for pneumonia in a child? C. Eye infection
D. Assess for diarrhea D. Suspected measles
A. Ciprofloxacin
Which of the following is a danger sign in B. Amoxicillin What is the first-line antibiotic for treating
a child under 5 years? C. Doxycycline acute ear infection in children?
D. Erythromycin
A. Cough for 3 days A. Ciprofloxacin
B. Sunken eyes Which of the following is NOT a symptom B. Amoxicillin
C. Inability to drink or breastfeed to assess when classifying a child with C. Erythromycin
D. Ear pain diarrhea? D. Doxycycline

A child presents with fast breathing and A. Vomiting Which of the following is an indication of
chest indrawing. What is the likely B. Presence of blood in the stool severe malnutrition?
classification? C. Duration of diarrhea
D. Cough A. MUAC less than 11.5 cm
A. No pneumonia: cough or cold B. MUAC greater than 12.5 cm
B. Severe pneumonia How is fast breathing classified in a child C. Skin pinch goes back quickly
C. Pneumonia aged 6 months? D. No palmar pallor
D. Mild pneumonia
What is the management plan for a child B. Yellow
with some dehydration? A. Amoxicillin and paracetamol C. Green
B. Ciprofloxacin and Vitamin A D. Orange
A. Plan A C. Artemether-lumefantrine and
B. Plan B paracetamol What is the first-line treatment for
C. Plan C D. Doxycycline and zinc dysentery in a child?
D. No treatment required
How long should a child with severe A. Ciprofloxacin
A child has a respiratory rate of 45 dehydration be followed up after starting B. Amoxicillin
breaths per minute and chest indrawing. treatment? C. Erythromycin
What classification does this indicate? D. Doxycycline
A. 1 day
A. No pneumonia: cough or cold B. 2 days How would you classify a child with
B. Severe pneumonia C. 5 days convulsions and fever but no malaria?
C. Pneumonia D. 7 days
D. Fast breathing A. Severe malaria
A child presents with sunken eyes, a B. Very severe febrile disease
Which danger sign requires immediate history of diarrhea for 5 days, and C. Uncomplicated malaria
pre-referral treatment before transferring lethargy. What is the classification? D. Fever: No malaria
a child to a hospital?
A. No dehydration Which of the following signs is indicative
A. Ear pain B. Some dehydration of a bacterial infection in a young infant?
B. Fast breathing C. Severe dehydration
C. Lethargy or unconsciousness D. Moderate dehydration A. Fast breathing
D. Fever B. Yellow eyes and skin
Which color-coded classification requires C. Grunting
What is the recommended management hospital admission? D. Skin pustules
for a child with fever and a positive
malaria test? A. Pink
For a child presenting with severe and chest indrawing. What is the
malnutrition and complications, what is appropriate classification? A. Severe pneumonia or very severe
the first step in management? disease
A. Severe pneumonia or very severe B. Pneumonia
A. Refer urgently to the hospital disease C. No pneumonia: cough or cold
B. Start oral rehydration therapy B. No pneumonia: cough or cold D. Asthma
C. Give albendazole C. Moderate pneumonia
D. Provide nutritional counseling D. Fast breathing Which of the following is a correct
classification for a child with jaundice and
What is the management of a child with a A child with no danger signs and no yellow eyes in a pre-term baby?
suspected ear infection that has lasted less dehydration has a cough and cold. What is
than 14 days? the appropriate classification? A. Severe jaundice
B. Moderate jaundice
A. Give ciprofloxacin A. Severe pneumonia C. Mild jaundice
B. Provide paracetamol and antibiotics B. No pneumonia: cough or cold D. No jaundice
C. Dry the ear by wicking and refer C. Pneumonia
D. Give no treatment D. Moderate pneumonia A 3-year-old child presents with no signs
of severe pneumonia but fast breathing.
A child has very severe febrile disease. Which of the following children requires What is the correct classification?
Which of the following is the appropriate Plan C for treatment of dehydration?
pre-referral management? A. Severe pneumonia
A. A child with some dehydration B. Pneumonia
A. Start antibiotic therapy B. A child with no dehydration C. No pneumonia
B. Give paracetamol C. A child with severe dehydration D. Asthma
C. Give one dose of Artesunate D. A child with no danger signs
D. Apply topical cream What is the appropriate treatment for a
How would you classify a child with fast child with suspected cholera?
A 2-month-old infant has a respiratory breathing, chest indrawing, and oxygen
rate of 70 breaths per minute, grunting, saturation less than 90%? A. Amoxicillin
B. Ciprofloxacin How is severe anemia classified in a child
C. Erythromycin with palmar pallor and hemoglobin below A. No dehydration
D. Tetracycline 5 g/dL? B. Severe dehydration
C. Some dehydration
Which color classification indicates that a A. Mild anemia D. Diarrhea without dehydration
child requires home care with simple B. Moderate anemia
advice? C. Severe anemia What is the first-line treatment for severe
D. No anemia pneumonia in a child?
A. Green
B. Yellow What is the first treatment step for a child A. Benzylpenicillin and gentamicin
C. Pink with severe dehydration and shock? B. Amoxicillin
D. Orange C. Paracetamol
A. Oral rehydration solution D. Ciprofloxacin
A child with diarrhea and some B. IV fluids (Ringer's lactate)
dehydration should be treated using: C. Antibiotics A child with fever and a stiff neck should
D. Vitamin A be classified as:
A. Plan A
B. Plan B A child presents with a cough and stridor. A. Malaria
C. Plan C Which of the following is the correct B. Measles
D. No treatment classification? C. Severe febrile disease
D. Uncomplicated fever
Which danger sign would immediately A. Pneumonia
warrant a referral to a higher-level health B. Severe pneumonia Which condition would require immediate
facility? C. No pneumonia treatment with IV fluids?
D. Upper respiratory tract infection
A. Ear pain A. Fever without dehydration
B. High fever Which of the following conditions B. Severe dehydration with shock
C. Convulsions warrants the use of Plan C in treating C. No dehydration
D. Runny nose dehydration? D. Diarrhea without shock
What is the appropriate treatment for a A. Initiate ART and give cotrimoxazole What is the management plan for a child
child with measles and eye complications? prophylaxis with some dehydration?
B. Give zinc and Vitamin A
A. Vitamin A and oral antibiotics C. Start albendazole A. Oral rehydration solution (ORS) under
B. Ciprofloxacin and Vitamin A D. Refer for further testing Plan B
C. Tetracycline eye ointment and Vitamin B. Oral rehydration solution (ORS) under
A A child presenting with lethargy and Plan C
D. Paracetamol and Vitamin A sunken eyes requires which classification? C. Intravenous fluids under Plan A
D. No treatment needed
Which condition warrants a referral for a A. Severe dehydration
child with jaundice in the first 24 hours of B. Some dehydration Which treatment is indicated for a child
life? C. Moderate dehydration with severe acute malnutrition and
D. No dehydration complications?
A. Mild jaundice
B. Severe jaundice Which condition would require urgent A. Amoxicillin and RUTF
C. Moderate jaundice admission and intravenous antibiotics? B. Benzylpenicillin and gentamicin
D. No jaundice C. Oral rehydration solution (ORS) and
A. Pneumonia zinc
A child with fast breathing and no chest B. Severe pneumonia D. No antibiotics needed
indrawing should be classified as: C. Mild respiratory infection
D. No pneumonia: cough or cold A 5-year-old child presents with diarrhea
A. Severe pneumonia for 14 days. How would you classify this
B. No pneumonia: cough or cold A child with sunken eyes, slow skin pinch, condition?
C. Pneumonia and weak pulse is classified as:
D. Asthma A. Acute diarrhea
A. Severe dehydration with shock B. Persistent diarrhea
What is the correct management for a B. Moderate dehydration C. Severe diarrhea
child with confirmed HIV infection? C. Some dehydration D. Chronic diarrhea
D. No dehydration
What is the appropriate treatment for a Which child requires immediate referral A. Some dehydration
child classified with severe dehydration? for treatment? B. Severe dehydration
C. No dehydration
A. Plan A: Give ORS and zinc A. A child with some dehydration D. Mild dehydration
B. Plan B: Give ORS and monitor for 4 B. A child with fast breathing
hours C. A child with lethargy and severe What is the appropriate treatment for a
C. Plan C: IV fluids and close monitoring dehydration child with severe acute malnutrition and
D. No treatment required D. A child with no danger signs complications?

A child with a positive malaria test, high What is the appropriate management for a A. Oral rehydration solution (ORS)
fever, and no danger signs should be child with some dehydration? B. Intravenous fluids and antibiotics
treated with: C. Albendazole and Vitamin A
A. ORS and zinc at home D. Amoxicillin and zinc
A. Ciprofloxacin and paracetamol B. IV fluids at the hospital
B. Amoxicillin and zinc C. No treatment needed A 1-year-old child with a respiratory rate
C. Artemether-lumefantrine and D. Antibiotics and ORS of 55 breaths per minute and chest
paracetamol indrawing would be classified as having:
D. Doxycycline and Vitamin A Which of the following is a clinical sign of
severe dehydration? A. Severe pneumonia
How would you classify a 6-month-old B. Fast breathing
child with a respiratory rate of 55 breaths A. Drinking eagerly C. Pneumonia
per minute and chest indrawing? B. Sunken eyes D. Asthma
C. Restless and irritable
A. No pneumonia D. Slow skin pinch Which of the following is a treatment for a
B. Severe pneumonia child with severe dehydration and shock?
C. Pneumonia A child with a history of diarrhea and
D. Fast breathing sunken eyes who is lethargic and not A. Vitamin A supplementation
drinking well is classified as having: B. Immediate referral to a higher-level
facility
C. ORS at home A child with cough for more than 30 days A child with a positive HIV test and low
D. Intravenous fluids and close monitoring and positive TB contact would be weight-for-height z-score should receive
classified as: which treatment?
What is the recommended treatment for a
child with persistent diarrhea? A. Pneumonia A. Vitamin A and cotrimoxazole
B. Suspected tuberculosis B. Initiate ART and provide nutritional
A. Ciprofloxacin and ORS C. Severe pneumonia support
B. Amoxicillin and ORS D. Upper respiratory tract infection C. Amoxicillin and multivitamins
C. ORS, zinc, and multivitamins D. No treatment needed
D. No treatment required Which of the following children requires
Plan B for dehydration treatment? Which of the following is NOT a danger
A child with fever, stiff neck, and a positive sign in the IMCI guidelines?
malaria test should be classified as: A. A child with no dehydration
B. A child with some dehydration A. Vomiting everything
A. Uncomplicated malaria C. A child with severe dehydration B. Chest indrawing
B. Very severe febrile disease D. A child with diarrhea but no C. Inability to drink or breastfeed
C. Severe pneumonia dehydration D. Ear pain
D. Meningitis
What is the correct classification for a A child presenting with fever, cough, and
What is the treatment for a child with child with edema in both feet and MUAC no respiratory distress but positive
suspected measles and eye discharge? less than 11.5 cm? malaria test should be classified as:

A. Vitamin A and topical antibiotics A. Moderate acute malnutrition A. Uncomplicated malaria

B. Ciprofloxacin and oral rehydration B. Severe acute malnutrition with B. Severe malaria
solution complications C. Very severe febrile illness
C. Tetracycline eye ointment and Vitamin C. Some dehydration D. Fever with no malaria
A D. Severe dehydration
D. Paracetamol and ORS
Which of the following is the appropriate C. Vitamin A
treatment for a child with no dehydration A. Multivitamins and follow-up D. Paracetamol
but ongoing diarrhea? B. Antibiotics and ORS
C. ORS and zinc What is the recommended first-line
A. ORS and zinc supplementation at home D. No treatment required treatment for a child with mastoiditis?
B. IV fluids
C. Antibiotics What is the classification for a child with a A. Ciprofloxacin
D. No treatment history of convulsions during illness? B. Amoxicillin
C. Benzylpenicillin and gentamicin
A child with very severe febrile disease A. Severe malaria D. Paracetamol and zinc
should be treated immediately with: B. Very severe disease
C. Uncomplicated malaria A child with HIV exposure and severe
A. Paracetamol and Vitamin A D. Severe dehydration malnutrition should receive:
B. First dose of Artesunate and refer
C. Ciprofloxacin and multivitamins A child with a respiratory rate of 60 A. Vitamin A and ART
D. ORS and zinc breaths per minute and no chest B. ORS and zinc
indrawing would be classified as: C. RUTF and nutritional counseling
A child with no dehydration and no D. Cotrimoxazole and ART
danger signs but a history of cough should A. Severe pneumonia
be classified as: B. Pneumonia Which of the following is a danger sign
C. No pneumonia: cough or cold that warrants immediate referral?
A. Severe pneumonia D. Moderate pneumonia
B. No pneumonia: cough or cold A. Fever for 2 days
C. Pneumonia Which of the following treatments is B. Drinking eagerly
D. Moderate pneumonia required for a child with severe C. Convulsions
dehydration and sunken eyes? D. Cough for 5 days
A child with persistent diarrhea and no
dehydration should receive which A. ORS and zinc
treatment? B. IV fluids (Ringer's lactate)
A child presenting with sunken eyes, slow What is the correct treatment for a child
skin pinch, and lethargy should be with very severe febrile disease and no A. Oral rehydration solution (ORS) and
classified as: malaria? zinc
B. IV fluids (Ringer's lactate) and
A. Severe dehydration A. First dose of Artesunate and Vitamin A erythromycin
B. Some dehydration B. First dose of Ceftriaxone and Vitamin A C. Ciprofloxacin and zinc
C. No dehydration C. Paracetamol and zinc D. Paracetamol and zinc
D. Moderate dehydration D. Multivitamins and paracetamol
A child presenting with high fever,
What is the management plan for a child Which of the following requires urgent lethargy, and positive malaria test would
with a fever and a positive malaria test? hospital admission? be classified as:

A. Artemether-lumefantrine and A. A child with severe dehydration A. Severe malaria

paracetamol B. A child with fast breathing B. Very severe febrile disease
B. Ciprofloxacin and zinc C. A child with no dehydration C. Malaria with no danger signs
C. ORS and Vitamin A D. A child with mild dehydration D. Fever with no malaria
D. Tetracycline and ORS
A child with HIV infection and recurrent What is the classification for a child with a
A child presenting with chest indrawing, infections should receive: stiff neck, fever, and no positive malaria
fever, and a history of cough for 10 days test?
should be classified as: A. Amoxicillin and cotrimoxazole
B. ART and cotrimoxazole prophylaxis A. Severe malaria
A. Severe pneumonia C. Ciprofloxacin and paracetamol B. Very severe febrile disease
B. Pneumonia D. Multivitamins and nutritional C. Pneumonia
C. No pneumonia: cough or cold counseling D. Meningitis
D. Moderate pneumonia
What is the appropriate treatment for a
child with suspected cholera and severe
dehydration?
A child presenting with fast breathing but
no chest indrawing should be classified as:

A. Severe pneumonia
B. Pneumonia
C. No pneumonia: cough or cold
D. Moderate pneumonia

What is the treatment plan for a child with

no dehydration but persistent diarrhea? -
A. ORS and zinc
B. ORS, zinc, and multivitamins
C. Ciprofloxacin and zinc
D. D. No treatment required