Malaysian Triage Scale- Paediatric
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10 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
9 month old girl is brought to you at primary triage by one of the parents with complaint of choking. There is no audible sound, she is in respiratory distress
Level I - Resuscitation
Level II- Emergency
Level III- Urgent
Level IV- Early care
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 6 year old boy arrives in ED with complaint of seizure. Clinically patient is conscious, no
cyanosis, not in distress. Bp 100/60 HR 125 T 38 RR 25 breath spo2 98% on RA.
Level I- Resuscitation
Level II- Emergency
Level III- Urgent
Level IV- Early care
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 3 year old boy is brought into triage with complaint of difficulty breathing. His father says he
has been unwell and coughing for three days. His BP 90/50 HR 150 T 38 RR 55 sp02 94%.
Level I- Resuscitation
Level II- Emergency
Level III- Urgent
Level IV- Early care
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 1 year old girl has a 2 days history of diarrhoea and vomiting. Her airway and breathing are
normal. Her hands are warm. Good pulse volume, Skin pinch lasts ≤2 seconds. Her eyes are not
sunken. BP 90/60 HR 120 T 37 Spo2 98%. She is on bottle feeding during assessment.
Level III- Urgent
Level IV- Early care
Level V- Routine
Triage away
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
10 years old boy, presented with fever x 3 days associated with cough, RN. No covid contact.
Tolerated orally. No abdominal pain, vomiting and diarrhoea. No rashes. BP 110/70 HR 110 T
37.5 spo2 100% RR 15
Level III- Urgent
Level IV- Early Care
Level V- Routine
Triage away
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
6 month old baby girl, brought in by parent with complaint of persistent vomiting and diarrhoea for
4 days. She had reduced oral intake for 1 days. Clinically she looks lethargic with weak cry. No tear
seen during crying. Both eyes look sunken, CRT about 3 sec. BP 80/55 HR 160 T 36.7 Spo2 98%.
Level I- Resuscitation
Level II- Emergency
Level III- Urgent
Level IV- Early care
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
8 years old girl presented with epigastric pain and persistent vomiting for 1 days. Further history
he had fever x 5 days associated with headache and myalgia. He has no rashes or bleeding
tendency. He had taken Paracetamol prior to ED visit. BP 110/70 HR 110 T 37 Spo2 98% RR 18.
Level I- Resuscitation
Level II- Emergency
Level III- Early care
Level IV- Urgent
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