Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 2-week-old infant is brought for the first primary care
visit. The parent asks whether primary care and primary
prevention are the same. Which response best explains the
difference?
A. “Primary care is episodic treatment; primary prevention
is limited to immunizations only.”
B. “Primary care provides ongoing healthcare including
preventive services; primary prevention specifically aims to
prevent disease before it occurs.”
, C. “Primary prevention is the same as specialty care for
high-risk infants.”
D. “Primary care focuses only on sick visits while primary
prevention focuses on developmental surveillance.”
Correct Answer: B
Rationale: Primary care encompasses continuous,
comprehensive care including anticipatory guidance and
prevention. Primary prevention refers to interventions (e.g.,
immunizations, safety counseling) that prevent disease/injury
before it occurs. A is incorrect because primary care includes
preventive services beyond episodic treatment. C is incorrect—
primary prevention is not specialty care. D is incorrect because
primary care includes both well and sick visits and
developmental surveillance, while primary prevention is
broader prevention.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. A 4-month-old infant presents for well visit. Which action
best demonstrates the “two-generation” (dual patient)
approach in pediatric primary care?
A. Referring the parent to adult primary care and focusing
only on the infant’s vaccines.
B. Screening the infant for growth parameters and also
assessing the parent’s postpartum depression risk.
C. Ordering genetic testing for the infant and asking
, nothing about the family context.
D. Providing anticipatory guidance to the infant’s older
sibling only.
Correct Answer: B
Rationale: The two-generation approach recognizes child health
is linked to caregiver health — screening the parent (e.g.,
postpartum depression) while managing the infant exemplifies
this. A separates care rather than integrating it. C ignores
family/context. D misses caregiver factors and focuses on sibling
only.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. During a routine visit a parent reports household food
insecurity. What is the most appropriate immediate
primary-care response?
A. Document and wait to see if the family mentions it
again.
B. Provide judgmental advice about budgeting.
C. Screen further, offer supportive resources/referrals, and
incorporate nutrition guidance into the plan.
D. Tell the family food insecurity is outside the scope of
pediatric primary care.
Correct Answer: C
Rationale: Pediatric primary care should identify social
determinants (e.g., food insecurity), screen further, provide
, resources/referrals (WIC, food banks), and integrate nutrition
guidance. A is passive and unsafe. B is inappropriate. D ignores
the primary care role in addressing family social needs.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
4. A 15-year-old with complex congenital heart disease is
preparing to transition to adult care. Which plan best
supports effective transition?
A. Wait until the patient is 21 to start discussing adult
providers.
B. Begin transition education early, set progressive self-
management goals, and coordinate with adult specialty
care.
C. Transfer all responsibility immediately to the caregiver
at age 18.
D. Continue pediatric visits indefinitely without preparing
for adult care.
Correct Answer: B
Rationale: Transition should begin early with staged self-
management goals and coordinated handoff to adult providers.
A delays preparation. C inappropriately hands responsibility to
caregiver rather than empowering the adolescent. D fails to
prepare the patient for adult care.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 2-week-old infant is brought for the first primary care
visit. The parent asks whether primary care and primary
prevention are the same. Which response best explains the
difference?
A. “Primary care is episodic treatment; primary prevention
is limited to immunizations only.”
B. “Primary care provides ongoing healthcare including
preventive services; primary prevention specifically aims to
prevent disease before it occurs.”
, C. “Primary prevention is the same as specialty care for
high-risk infants.”
D. “Primary care focuses only on sick visits while primary
prevention focuses on developmental surveillance.”
Correct Answer: B
Rationale: Primary care encompasses continuous,
comprehensive care including anticipatory guidance and
prevention. Primary prevention refers to interventions (e.g.,
immunizations, safety counseling) that prevent disease/injury
before it occurs. A is incorrect because primary care includes
preventive services beyond episodic treatment. C is incorrect—
primary prevention is not specialty care. D is incorrect because
primary care includes both well and sick visits and
developmental surveillance, while primary prevention is
broader prevention.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. A 4-month-old infant presents for well visit. Which action
best demonstrates the “two-generation” (dual patient)
approach in pediatric primary care?
A. Referring the parent to adult primary care and focusing
only on the infant’s vaccines.
B. Screening the infant for growth parameters and also
assessing the parent’s postpartum depression risk.
C. Ordering genetic testing for the infant and asking
, nothing about the family context.
D. Providing anticipatory guidance to the infant’s older
sibling only.
Correct Answer: B
Rationale: The two-generation approach recognizes child health
is linked to caregiver health — screening the parent (e.g.,
postpartum depression) while managing the infant exemplifies
this. A separates care rather than integrating it. C ignores
family/context. D misses caregiver factors and focuses on sibling
only.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. During a routine visit a parent reports household food
insecurity. What is the most appropriate immediate
primary-care response?
A. Document and wait to see if the family mentions it
again.
B. Provide judgmental advice about budgeting.
C. Screen further, offer supportive resources/referrals, and
incorporate nutrition guidance into the plan.
D. Tell the family food insecurity is outside the scope of
pediatric primary care.
Correct Answer: C
Rationale: Pediatric primary care should identify social
determinants (e.g., food insecurity), screen further, provide
, resources/referrals (WIC, food banks), and integrate nutrition
guidance. A is passive and unsafe. B is inappropriate. D ignores
the primary care role in addressing family social needs.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
4. A 15-year-old with complex congenital heart disease is
preparing to transition to adult care. Which plan best
supports effective transition?
A. Wait until the patient is 21 to start discussing adult
providers.
B. Begin transition education early, set progressive self-
management goals, and coordinate with adult specialty
care.
C. Transfer all responsibility immediately to the caregiver
at age 18.
D. Continue pediatric visits indefinitely without preparing
for adult care.
Correct Answer: B
Rationale: Transition should begin early with staged self-
management goals and coordinated handoff to adult providers.
A delays preparation. C inappropriately hands responsibility to
caregiver rather than empowering the adolescent. D fails to
prepare the patient for adult care.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
