BURNS' PEDIATRIC PRIMARY CARE EXAM
SCRIPT 2026 QUESTIONS WITH ANSWERS
GRADED A+
● Periumbilical pain can be caused by issues in which areas/organs:
Answer:distal end of the small intestine, cecum, appendix, and
ascending colon
● Colonic pain is caused by issues in which area Answer:Lower
abdomin
● Suprapubic pain is caused by issues in which organs/area?
Answer:distal intestine, urinary tract, pelvic organs,
● Common Diagnositc studies for abdominal pain/issues Answer:UA &
culture, CBC w/diff, CMP,BMP, ESR,CRP, Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal
cultures
● Common diagnostic studies for GI issues Answer:XR, US, CT, MRI,
nuclear medicine
,● Specialized tests that can be ordered Answer:Duodenal Aspirate,
Esophageal pH probe, Capsule endoscopy, breath hydrogen test, and
sweat chloride test
● Indications for Duodenal Aspirate Answer:diarrhea from things like
giardia, unintentional weight loss, dyspepsia(reflux/GERD), and
abdominal pain
● A hydrogen breath test can help diagnose: Answer:IBS, Intestinal
Methanogen overgrowth, rapid small bowel transit time, and possibly
esophageal and gastric cancer in early stages.
● Sweat chloride test is used to diagnose: Answer:Cystic Fibrosis. This
is usually done when a patient is having digestive problems, & FTT
along with history of respiratory issues.
● Most common reasons for the use of Probiotics Answer:IBS,
Infectious diarrhea, antibiotic associated diarrhea, and colic
● What is Colic? Answer:Crying for no apparent reason that lasts > 3
hrs/day and occurs > 3 days/wk in otherwise healthy infant <3months
, ● Potential causes of vomiting in Newborn or young infants
Answer:infectious process, congenital GI anomaly, CNS abnormality, or
newborn errors of metabolism
● Potential causes of vomiting in Infants or young children
Answer:Gastroenteritis, GERD, milk/soy protien allergies, pyloric
stenosis or obstructive lesion, inborn errors of metabolism,
intussusception, child abuse, &intracranial mass
● Potential causes of vomiting in older children and adolescents
Answer:Gastroenteritis, systemic illness, CNS (cyclic vomiting
syndrome, abdominal migraine, meningitis, brain tumor),
intussusception, rumination, superior mesenteric artery syndrome,
pregnancy
● _________ is one of the most common symptoms in childhood.
Answer:vomiting
● Non-bilious vomiting is generally caused by: Answer:infection,
inflammation, and metabolic, neurologic, or psychological problems.
● An ------- -------- generally causes causes bilious vomiting.
Answer:obstructive lesion
● Bloody vomit comes from: Answer:active bleeding in the upper GI
tract (gastritis, peptic ulcer disease)
SCRIPT 2026 QUESTIONS WITH ANSWERS
GRADED A+
● Periumbilical pain can be caused by issues in which areas/organs:
Answer:distal end of the small intestine, cecum, appendix, and
ascending colon
● Colonic pain is caused by issues in which area Answer:Lower
abdomin
● Suprapubic pain is caused by issues in which organs/area?
Answer:distal intestine, urinary tract, pelvic organs,
● Common Diagnositc studies for abdominal pain/issues Answer:UA &
culture, CBC w/diff, CMP,BMP, ESR,CRP, Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal
cultures
● Common diagnostic studies for GI issues Answer:XR, US, CT, MRI,
nuclear medicine
,● Specialized tests that can be ordered Answer:Duodenal Aspirate,
Esophageal pH probe, Capsule endoscopy, breath hydrogen test, and
sweat chloride test
● Indications for Duodenal Aspirate Answer:diarrhea from things like
giardia, unintentional weight loss, dyspepsia(reflux/GERD), and
abdominal pain
● A hydrogen breath test can help diagnose: Answer:IBS, Intestinal
Methanogen overgrowth, rapid small bowel transit time, and possibly
esophageal and gastric cancer in early stages.
● Sweat chloride test is used to diagnose: Answer:Cystic Fibrosis. This
is usually done when a patient is having digestive problems, & FTT
along with history of respiratory issues.
● Most common reasons for the use of Probiotics Answer:IBS,
Infectious diarrhea, antibiotic associated diarrhea, and colic
● What is Colic? Answer:Crying for no apparent reason that lasts > 3
hrs/day and occurs > 3 days/wk in otherwise healthy infant <3months
, ● Potential causes of vomiting in Newborn or young infants
Answer:infectious process, congenital GI anomaly, CNS abnormality, or
newborn errors of metabolism
● Potential causes of vomiting in Infants or young children
Answer:Gastroenteritis, GERD, milk/soy protien allergies, pyloric
stenosis or obstructive lesion, inborn errors of metabolism,
intussusception, child abuse, &intracranial mass
● Potential causes of vomiting in older children and adolescents
Answer:Gastroenteritis, systemic illness, CNS (cyclic vomiting
syndrome, abdominal migraine, meningitis, brain tumor),
intussusception, rumination, superior mesenteric artery syndrome,
pregnancy
● _________ is one of the most common symptoms in childhood.
Answer:vomiting
● Non-bilious vomiting is generally caused by: Answer:infection,
inflammation, and metabolic, neurologic, or psychological problems.
● An ------- -------- generally causes causes bilious vomiting.
Answer:obstructive lesion
● Bloody vomit comes from: Answer:active bleeding in the upper GI
tract (gastritis, peptic ulcer disease)
