MCQ – 74756

An 18 months child weighing 11.5 kg comes to the PHC with fever and respiratory difficulty. On examination, the child is lethargic, with a respiratory rate of 46 bpm and no chest retractions. What is the most appropriate management of this child:

A.	Prescribe oral antibiotics, warn of danger signs and send home
B.	Intravenous fluids alone
C.	Intravenous antibiotics and observation
D.	Give intravenous antibiotics and refer to a higher center

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Correct Answer � A Explanation

Answer- A. Prescribe oral antibiotics, warn of danger signs and send home

This child is having fast breathing (respiratory rate >46/minute) without danger signs like lower chest wall indrawing or stridor.

Hence, the child will be classified to have pneumonia (non-severe). So, the child should be prescribed an appropriate antibiotic and advise the mother about supportive measures and when to return for follow-up.