BURNS PEDIATRIC PRIMARY CARE EXAM
QUESTIONS WITH CORRECT ANSWERS QUESTIONS
AND ANSWERS LATEST UPDATED 2026/2027 A
COMPLETE SOLUTION ALL ANSWERS GET IT 100%
CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS
What would be indicated if patient has Softer murmur with squatting
and Louder with Standing and Valsalva Maneuver?
Hypertrophic cardiomyopathy or mitral valve prolapse must be ruled out
What occurs with people WITHOUT diabetes when they exercise?
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?
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?
Splenomegaly
How long should nothing stay out for sports if they are diagnosed with
infectious mononucleosis?
Three weeks
About 15% of children with down syndrome can have what?
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?
by obtaining lateral radiographic views of the C-spine
What does the female athlete triad consist of?
1. Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
Why is co-sleeping discouraged?
Risk of SIDS
What is the best sleeping position for infants?
Supine
At 6 months, infants are able to go how long with out eating over the
night?
6 to 12 hours
at Ages 2 to 4 months, what should parents try doing with night time
sleeping?
Try to delay and then discontinue middle-of-the-night feedings.
Encourage self-soothing
How should parents manage Sleep-onset association disorders?
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?
Positive routines.
Set limits on the child's demands for attention.
What are the 3 recommendations for sleep-cycle problems?
,1. keep nighttime routine, but awaken child earlier in 15 minute
increments
2. Older child or Adolescent - better to go forward in time, have child
remain awake until the next evening & then go to bed at the desired
hour, beginning the desired routine from that point.
3. Keep a sleep log to document gradual change.
Normal newborn infants weight will do what in the first few days of life?
they'll lose 5-8% of their birthweight
One criterion for failure to thrive is?
Lack of return
What should happen to infant weight by 6 months and 12 months?
Double and Triple in weight
What age should you introduce solid foods?
6 months
The mother who is breastfeeding should be discouraged from?
Large amounts of Caffeine from coffee, sodas, or chocolate b/c it is
transmitted thru breast milk and can be associated with jitteriness
Which drugs should be avoided for breastfeeding that Inhibit Prolactin
release? (3)
Antihistamines
Estrogen
Ergot compounds (headache drugs)
What can be done to reduce nipple tenderness?
Rub a few drops of colostrum or hind milk onto nipple and areola after
every feeding and let air-dry
Which three organisms are most commonly associated with Mastitis?
, Staph. Aureus
Streptococci
Corynebacteria
Which antibiotics are used for mastitis?
Augmentin
Dicloxacillin (penicillinase-resistant penicillin)
Cefuroxime (Cephalosporin)
What is Breast milk (late onset) jaundice? (VERY UNCOMMON)
elevated serum indirect bilirubin w/ peak level occurring on or after the
7th-10th day of life in an infant drinking adequate breast milk
No other signs of live abnormality
Can mothers with HIV breastfeed?
no, it should be discouraged
What is Colostrum? Why is it important?
it is the breast milk that appears yellowish
important b/c it is rich in immunoglobulins, especially IgA
What is the difference (elimination) between breast milk fed infants
versus formula?
Breast fed have many small stools per day in the first weeks of life
Frequent Stooling in the neonate is an indicator of adequate breast
milk intake
What happens with stools from 1st month to 2nd month of life?
Goes from (median) 6 stools per day to --> one stool per day
Nearly 40% of infants do not stool daily
What is important to know about stooling in Older infants who are
breastfed?
may only stool once every 8 to 14 days.
How do formula fed infant's stools compare to breast?
QUESTIONS WITH CORRECT ANSWERS QUESTIONS
AND ANSWERS LATEST UPDATED 2026/2027 A
COMPLETE SOLUTION ALL ANSWERS GET IT 100%
CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS
What would be indicated if patient has Softer murmur with squatting
and Louder with Standing and Valsalva Maneuver?
Hypertrophic cardiomyopathy or mitral valve prolapse must be ruled out
What occurs with people WITHOUT diabetes when they exercise?
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?
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?
Splenomegaly
How long should nothing stay out for sports if they are diagnosed with
infectious mononucleosis?
Three weeks
About 15% of children with down syndrome can have what?
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?
by obtaining lateral radiographic views of the C-spine
What does the female athlete triad consist of?
1. Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
Why is co-sleeping discouraged?
Risk of SIDS
What is the best sleeping position for infants?
Supine
At 6 months, infants are able to go how long with out eating over the
night?
6 to 12 hours
at Ages 2 to 4 months, what should parents try doing with night time
sleeping?
Try to delay and then discontinue middle-of-the-night feedings.
Encourage self-soothing
How should parents manage Sleep-onset association disorders?
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?
Positive routines.
Set limits on the child's demands for attention.
What are the 3 recommendations for sleep-cycle problems?
,1. keep nighttime routine, but awaken child earlier in 15 minute
increments
2. Older child or Adolescent - better to go forward in time, have child
remain awake until the next evening & then go to bed at the desired
hour, beginning the desired routine from that point.
3. Keep a sleep log to document gradual change.
Normal newborn infants weight will do what in the first few days of life?
they'll lose 5-8% of their birthweight
One criterion for failure to thrive is?
Lack of return
What should happen to infant weight by 6 months and 12 months?
Double and Triple in weight
What age should you introduce solid foods?
6 months
The mother who is breastfeeding should be discouraged from?
Large amounts of Caffeine from coffee, sodas, or chocolate b/c it is
transmitted thru breast milk and can be associated with jitteriness
Which drugs should be avoided for breastfeeding that Inhibit Prolactin
release? (3)
Antihistamines
Estrogen
Ergot compounds (headache drugs)
What can be done to reduce nipple tenderness?
Rub a few drops of colostrum or hind milk onto nipple and areola after
every feeding and let air-dry
Which three organisms are most commonly associated with Mastitis?
, Staph. Aureus
Streptococci
Corynebacteria
Which antibiotics are used for mastitis?
Augmentin
Dicloxacillin (penicillinase-resistant penicillin)
Cefuroxime (Cephalosporin)
What is Breast milk (late onset) jaundice? (VERY UNCOMMON)
elevated serum indirect bilirubin w/ peak level occurring on or after the
7th-10th day of life in an infant drinking adequate breast milk
No other signs of live abnormality
Can mothers with HIV breastfeed?
no, it should be discouraged
What is Colostrum? Why is it important?
it is the breast milk that appears yellowish
important b/c it is rich in immunoglobulins, especially IgA
What is the difference (elimination) between breast milk fed infants
versus formula?
Breast fed have many small stools per day in the first weeks of life
Frequent Stooling in the neonate is an indicator of adequate breast
milk intake
What happens with stools from 1st month to 2nd month of life?
Goes from (median) 6 stools per day to --> one stool per day
Nearly 40% of infants do not stool daily
What is important to know about stooling in Older infants who are
breastfed?
may only stool once every 8 to 14 days.
How do formula fed infant's stools compare to breast?
