Paediatric infections: SAANS pneumonia campaign: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Paediatric infections: SAANS pneumonia campaign

Sample item

During a SAANS campaign visit, a 1-year-old has cough and fast breathing with an SpO2 of 88 percent on pulse oximetry. What is the appropriate action?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Refer or admit for oxygen and injectable antibiotics as severe pneumonia

SAANS (Social Awareness and Action to Neutralise Pneumonia Successfully) uses pulse oximetry and classifies SpO2 below 90 percent as severe pneumonia needing referral for oxygen. Non-severe pneumonia is managed with oral amoxicillin and home care.

Option by option

  • A. Oral amoxicillin at home for 5 days

    Oral amoxicillin at home is for non-severe pneumonia with normal saturation.

  • B. Reassure and give a cough syrup

    Cough syrups are not recommended and would miss hypoxia.

  • C. Refer or admit for oxygen and injectable antibiotics as severe pneumonia (correct)

    Correct. Hypoxia makes it severe pneumonia needing facility care.

  • D. Give nebulised salbutamol only

    Bronchodilators do not treat hypoxic pneumonia.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is C, Refer or admit for oxygen and injectable antibiotics as severe pneumonia. SAANS (Social Awareness and Action to Neutralise Pneumonia Successfully) uses pulse oximetry and classifies SpO2 below 90 percent as severe pneumonia needing referral for oxygen.

Why is "Oral amoxicillin at home for 5 days" not the answer?

Oral amoxicillin at home is for non-severe pneumonia with normal saturation.

Why is "Reassure and give a cough syrup" not the answer?

Cough syrups are not recommended and would miss hypoxia.

Why is "Give nebulised salbutamol only" not the answer?

Bronchodilators do not treat hypoxic pneumonia.

What concept does this question test?

It tests Paediatric infections: SAANS pneumonia campaign in Pediatrics. Non-severe pneumonia is managed with oral amoxicillin and home care.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric infections: SAANS pneumonia campaign?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.