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 6-month-old infant comes for a well-child visit. The
parent asks whether routine well-child visits are an
example of primary care or primary prevention. Which is
the best answer?
A. Primary care only — they diagnose acute illnesses.
B. Primary prevention only — they only give
immunizations.
C. Both primary care and primary prevention — they
, provide continuous care and preventive services.
D. Neither — well-child visits are tertiary prevention.
Correct Answer: C. Both primary care and primary prevention
— they provide continuous care and preventive services.
Rationale: Well-child visits integrate ongoing primary care
(continuous assessment, management, family-centered
counseling) and primary prevention (anticipatory guidance,
immunizations). Tertiary prevention is for reducing disability
after disease. Options A and B are incomplete.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. Which statement best distinguishes a pediatric primary
care provider from a specialist in the context of family-
centered care?
A. Primary care providers only treat healthy children;
specialists treat sick children.
B. Primary care providers coordinate comprehensive,
continuous care for the family; specialists focus on specific
disorders.
C. Primary care providers do not provide referrals;
specialists always manage referrals.
D. Primary care providers only give immunizations and
growth checks.
Correct Answer: B. Primary care providers coordinate
comprehensive, continuous care for the family; specialists focus
,on specific disorders.
Rationale: Primary care emphasizes continuity, whole-child and
family-centered perspectives, and coordination across services.
Specialists provide disease-specific expertise. Options A, C, and
D are incorrect oversimplifications.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. A primary care clinician is working with a family who has a
3-year-old and a newborn and is concerned about parental
depression and child nutrition. Which model best
describes addressing both the child and caregiver needs
together?
A. Disease-centered model
B. Single-patient model
C. Two-generation (dual-patient) model
D. Episodic care model
Correct Answer: C. Two-generation (dual-patient) model
Rationale: The two-generation or dual-patient approach
addresses child health while concurrently identifying and
treating caregiver needs that affect child outcomes. Other
options do not emphasize parallel caregiver–child intervention.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
, 4. Which of the following is the clearest example of a
protective factor that mitigates the lifelong impact of
adverse childhood experiences (ACEs)?
A. Chronic family stress without supports
B. Secure caregiver–child attachment and responsive
parenting
C. Repeated school absenteeism
D. Early exposure to multiple caregivers with no consistent
adult
Correct Answer: B. Secure caregiver–child attachment and
responsive parenting
Rationale: Secure attachment and responsive caregiving are
protective, buffering stress and reducing ACEs’ negative effects.
Options A, C, and D are risk factors or neutral/negative.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5. During a well visit, a parent discloses recent food insecurity
at home. Which immediate primary care action is highest
priority?
A. Document the disclosure and ignore it until the next
visit.
B. Provide judgmental advice about budgeting.
C. Screen for related risks (growth, developmental
concerns) and connect the family with community
resources.
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 6-month-old infant comes for a well-child visit. The
parent asks whether routine well-child visits are an
example of primary care or primary prevention. Which is
the best answer?
A. Primary care only — they diagnose acute illnesses.
B. Primary prevention only — they only give
immunizations.
C. Both primary care and primary prevention — they
, provide continuous care and preventive services.
D. Neither — well-child visits are tertiary prevention.
Correct Answer: C. Both primary care and primary prevention
— they provide continuous care and preventive services.
Rationale: Well-child visits integrate ongoing primary care
(continuous assessment, management, family-centered
counseling) and primary prevention (anticipatory guidance,
immunizations). Tertiary prevention is for reducing disability
after disease. Options A and B are incomplete.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. Which statement best distinguishes a pediatric primary
care provider from a specialist in the context of family-
centered care?
A. Primary care providers only treat healthy children;
specialists treat sick children.
B. Primary care providers coordinate comprehensive,
continuous care for the family; specialists focus on specific
disorders.
C. Primary care providers do not provide referrals;
specialists always manage referrals.
D. Primary care providers only give immunizations and
growth checks.
Correct Answer: B. Primary care providers coordinate
comprehensive, continuous care for the family; specialists focus
,on specific disorders.
Rationale: Primary care emphasizes continuity, whole-child and
family-centered perspectives, and coordination across services.
Specialists provide disease-specific expertise. Options A, C, and
D are incorrect oversimplifications.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. A primary care clinician is working with a family who has a
3-year-old and a newborn and is concerned about parental
depression and child nutrition. Which model best
describes addressing both the child and caregiver needs
together?
A. Disease-centered model
B. Single-patient model
C. Two-generation (dual-patient) model
D. Episodic care model
Correct Answer: C. Two-generation (dual-patient) model
Rationale: The two-generation or dual-patient approach
addresses child health while concurrently identifying and
treating caregiver needs that affect child outcomes. Other
options do not emphasize parallel caregiver–child intervention.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
, 4. Which of the following is the clearest example of a
protective factor that mitigates the lifelong impact of
adverse childhood experiences (ACEs)?
A. Chronic family stress without supports
B. Secure caregiver–child attachment and responsive
parenting
C. Repeated school absenteeism
D. Early exposure to multiple caregivers with no consistent
adult
Correct Answer: B. Secure caregiver–child attachment and
responsive parenting
Rationale: Secure attachment and responsive caregiving are
protective, buffering stress and reducing ACEs’ negative effects.
Options A, C, and D are risk factors or neutral/negative.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5. During a well visit, a parent discloses recent food insecurity
at home. Which immediate primary care action is highest
priority?
A. Document the disclosure and ignore it until the next
visit.
B. Provide judgmental advice about budgeting.
C. Screen for related risks (growth, developmental
concerns) and connect the family with community
resources.
