BURNS PEDIATRIC PRIMARY CARE
EXAMINATION TEST 2026 FULL TEST BANK
WITH VERIFIED SOLUTIONS AND
DETAILED RATIONALES
⩥ What should the Physical exam include? Answer: The
musculoskeletal Examination
General Head to toe (generalized focus on Cardiac and Neuro)
⩥ What is the 90-second musculoskeletal exam? Answer: +Standing
Posture & shoulder - acromioclavicular alignment
+ Cervical ROM
+ Shoulder Shrug/strength
+ Elbow ROM/strength
+ supination/pronation ROM & Hand clench test
+ Stand & bend at knee to chest
+ Squat test
+ Lumbar ROM/Scoliosis
+ Tip/Toe Calf Symmetry
⩥ What cardiovascular examinations should be done for sports physical?
(4) Answer: Auscultate for heart murmur (sitting/lying/standing)
,Femoral Pulses
Marfan's Sx's
Bilateral blood pressure
⩥ How is Exercise induced Asthma typically manifested? Answer:
occurs during or minutes after vigorous activity, Reaches peak 5-10min
after activity
⩥ How is Exercise Induced Asthma managed? Answer: perform warm-
up drills and cool downs
+ short acting beta-2 agonists 15 to 30 min before sports activity
(*Duration lasts up to 6 hours*)
⩥ Why would a squat to stand Cardiac auscultation show a murmur?
Answer: Increases venous return to the heart, thus increasing left
ventricular size and stroke volume.
⩥ What would be indicated if patient has Softer murmur with squatting
and *Louder with Standing and Valsalva Maneuver*? Answer:
Hypertrophic cardiomyopathy or mitral valve prolapse must be ruled out
⩥ What occurs with people WITHOUT diabetes when they exercise?
Answer: exercise leads to decreased plasma insulin levels and increased
glucagon that triggers hepatic glucose production.
,⩥ What happens with Type 1 diabetics when they exercise? Pathophys?
Answer: diabetic individuals who have too little insulin in their system
exercise can trigger release of high levels of glucose and Keytone
bodies, leading to hyperglycemia and eventually DKA
⩥ What is the most concerning clinical issue with infectious
mononucleosis? Answer: Splenomegaly
⩥ How long should nothing stay out for sports if they are diagnosed
with infectious mononucleosis? Answer: Three weeks
⩥ About 15% of children with down syndrome can have what? Answer:
Atlantoaxial or anlanto-occipital instability
*anomaly of the Cervical vertebrae at the space between C-1 and C-2
⩥ How are asymptomatic cases of Atlantoaxial Instability screen?
Answer: by obtaining lateral radiographic views of the C-spine
⩥ What does the female athlete triad consist of? Answer: 1. Disordered
eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
⩥ Why is co-sleeping discouraged? Answer: Risk of SIDS
, ⩥ What is the best sleeping position for infants? Answer: Supine
⩥ At 6 months, infants are able to go how long with out eating over the
night? Answer: 6 to 12 hours
⩥ at Ages 2 to 4 months, what should parents try doing with night time
sleeping? Answer: Try to delay and then discontinue middle-of-the-night
feedings.
Encourage self-soothing
⩥ How should parents manage Sleep-onset association disorders?
Answer: Extinction and Graduated extinction.
When the child awakens and cries in the night, *the parent should go to
them briefly comfort and reassure them, but DO NOT hold, rock, or feed
them*
⩥ How should sleep refusal be managed? Answer: Positive routines.
Set limits on the child's demands for attention.
⩥ What are the 3 recommendations for sleep-cycle problems? Answer:
1. keep nighttime routine, but awaken child earlier in 15 minute
increments
EXAMINATION TEST 2026 FULL TEST BANK
WITH VERIFIED SOLUTIONS AND
DETAILED RATIONALES
⩥ What should the Physical exam include? Answer: The
musculoskeletal Examination
General Head to toe (generalized focus on Cardiac and Neuro)
⩥ What is the 90-second musculoskeletal exam? Answer: +Standing
Posture & shoulder - acromioclavicular alignment
+ Cervical ROM
+ Shoulder Shrug/strength
+ Elbow ROM/strength
+ supination/pronation ROM & Hand clench test
+ Stand & bend at knee to chest
+ Squat test
+ Lumbar ROM/Scoliosis
+ Tip/Toe Calf Symmetry
⩥ What cardiovascular examinations should be done for sports physical?
(4) Answer: Auscultate for heart murmur (sitting/lying/standing)
,Femoral Pulses
Marfan's Sx's
Bilateral blood pressure
⩥ How is Exercise induced Asthma typically manifested? Answer:
occurs during or minutes after vigorous activity, Reaches peak 5-10min
after activity
⩥ How is Exercise Induced Asthma managed? Answer: perform warm-
up drills and cool downs
+ short acting beta-2 agonists 15 to 30 min before sports activity
(*Duration lasts up to 6 hours*)
⩥ Why would a squat to stand Cardiac auscultation show a murmur?
Answer: Increases venous return to the heart, thus increasing left
ventricular size and stroke volume.
⩥ What would be indicated if patient has Softer murmur with squatting
and *Louder with Standing and Valsalva Maneuver*? Answer:
Hypertrophic cardiomyopathy or mitral valve prolapse must be ruled out
⩥ What occurs with people WITHOUT diabetes when they exercise?
Answer: exercise leads to decreased plasma insulin levels and increased
glucagon that triggers hepatic glucose production.
,⩥ What happens with Type 1 diabetics when they exercise? Pathophys?
Answer: diabetic individuals who have too little insulin in their system
exercise can trigger release of high levels of glucose and Keytone
bodies, leading to hyperglycemia and eventually DKA
⩥ What is the most concerning clinical issue with infectious
mononucleosis? Answer: Splenomegaly
⩥ How long should nothing stay out for sports if they are diagnosed
with infectious mononucleosis? Answer: Three weeks
⩥ About 15% of children with down syndrome can have what? Answer:
Atlantoaxial or anlanto-occipital instability
*anomaly of the Cervical vertebrae at the space between C-1 and C-2
⩥ How are asymptomatic cases of Atlantoaxial Instability screen?
Answer: by obtaining lateral radiographic views of the C-spine
⩥ What does the female athlete triad consist of? Answer: 1. Disordered
eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
⩥ Why is co-sleeping discouraged? Answer: Risk of SIDS
, ⩥ What is the best sleeping position for infants? Answer: Supine
⩥ At 6 months, infants are able to go how long with out eating over the
night? Answer: 6 to 12 hours
⩥ at Ages 2 to 4 months, what should parents try doing with night time
sleeping? Answer: Try to delay and then discontinue middle-of-the-night
feedings.
Encourage self-soothing
⩥ How should parents manage Sleep-onset association disorders?
Answer: Extinction and Graduated extinction.
When the child awakens and cries in the night, *the parent should go to
them briefly comfort and reassure them, but DO NOT hold, rock, or feed
them*
⩥ How should sleep refusal be managed? Answer: Positive routines.
Set limits on the child's demands for attention.
⩥ What are the 3 recommendations for sleep-cycle problems? Answer:
1. keep nighttime routine, but awaken child earlier in 15 minute
increments
