Nokea
Which age group is most vulnerable to protein-energy malnutrition (PEM)?
- A. Infants below 6 months
- B. Children aged 1-4 years
- C. Adolescents
- D. Elderly
Correct Answer: B
Rationale: The correct answer is B: Children aged 1-4 years. This age group is most vulnerable to PEM due to their rapid growth and development, high energy requirements, and dependency on caregivers for nutrition. Infants below 6 months are typically protected by breast milk, adolescents have lower risk due to fewer growth demands, and elderly are more at risk for other types of malnutrition. Therefore, children aged 1-4 years are the most vulnerable to PEM.
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What is the primary method of transmission for tuberculosis?
- A. Vector-borne
- B. Airborne
- C. Waterborne
- D. Fecal-oral
Correct Answer: B
Rationale: The correct answer is B: Airborne. Tuberculosis is primarily transmitted through the air via droplets released when an infected person coughs or sneezes. These droplets contain the bacteria that cause TB, which can then be inhaled by others and infect their lungs. This mode of transmission is supported by scientific evidence and is the most common way TB spreads.
Choice A: Vector-borne is incorrect because tuberculosis is not transmitted by insects or animals.
Choice C: Waterborne is incorrect as TB is not typically spread through contaminated water.
Choice D: Fecal-oral is incorrect since TB bacteria are not typically found in feces and transmitted through oral ingestion.
Which of the following is a key component of the IMCI strategy?
- A. Promoting hospital-based care
- B. Providing routine immunizations
- C. Enhancing maternal nutrition
- D. Integrated case management of childhood illnesses
Correct Answer: D
Rationale: The correct answer is D: Integrated case management of childhood illnesses. This is a key component of the IMCI (Integrated Management of Childhood Illness) strategy, which focuses on a holistic approach to managing common childhood illnesses at the primary healthcare level. IMCI includes assessing and classifying sick children, providing appropriate treatments, counseling caregivers, and ensuring follow-up care. This strategy aims to reduce childhood morbidity and mortality by improving the quality of care provided to children.
Choices A, B, and C are incorrect as they do not directly align with the key component of the IMCI strategy. Promoting hospital-based care (A) may not be feasible or sustainable in resource-limited settings where primary healthcare is crucial. Providing routine immunizations (B) is important but is not the primary focus of the IMCI strategy. Enhancing maternal nutrition (C) is essential for maternal and child health but is not a key component of the IMCI strategy, which specifically targets childhood illnesses.
Which of the following is a common sign of dehydration in infants?
- A. Frequent urination
- B. Sunken fontanelle
- C. Excessive drooling
- D. Increased appetite
Correct Answer: B
Rationale: The correct answer is B: Sunken fontanelle. Dehydration in infants can cause the fontanelle, the soft spot on the baby's head, to appear sunken. This is due to decreased fluid levels in the body. Sunken fontanelle is a common and easily identifiable sign of dehydration in infants. The other choices are incorrect because frequent urination is not typically associated with dehydration in infants, excessive drooling can be a normal part of teething, and increased appetite is not a specific sign of dehydration in infants.
What is the recommended duration of exclusive breastfeeding?
- A. 3 months
- B. 6 months
- C. 9 months
- D. 12 months
Correct Answer: B
Rationale: The recommended duration of exclusive breastfeeding is 6 months. This is because breast milk provides all the necessary nutrients for an infant's growth and development in the first 6 months of life. Introducing solid foods too early can increase the risk of infections and allergies. Choice A (3 months) is not ideal as it may not provide sufficient nutrients for the baby's growth. Choices C (9 months) and D (12 months) exceed the recommended duration and may not be necessary for exclusive breastfeeding, as other foods can be introduced after 6 months.
What is the goal of the Safe Motherhood Initiative?
- A. To reduce child mortality
- B. To improve maternal health
- C. To provide free medical services
- D. To promote exclusive breastfeeding
Correct Answer: B
Rationale: The goal of the Safe Motherhood Initiative is to improve maternal health. This includes reducing maternal mortality rates and ensuring safe childbirth practices. Providing free medical services (choice C) and promoting exclusive breastfeeding (choice D) are important aspects, but not the primary goal. Choice A is focused on child mortality, not maternal health. Thus, the correct answer is B as it directly aligns with the main objective of the initiative.