Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-year-old child is brought to a pediatric primary care clinic for a
scheduled health supervision visit. The child has no acute complaints.
Which activity best demonstrates the preventive role of pediatric
primary care during this encounter?
A. Prescribing an antibiotic for presumed bacterial pharyngitis
B. Reviewing safety practices and counseling the caregiver about age-
appropriate injury prevention
C. Referring the child to an emergency department for immediate
stabilization
D. Ordering advanced imaging for an asymptomatic child without risk
factors
Correct Answer: B. Reviewing safety practices and counseling the
caregiver about age-appropriate injury prevention
Rationale:
Pediatric primary care extends beyond diagnosis and treatment of
illness. Health supervision visits incorporate disease detection, disease
prevention, health promotion, and anticipatory guidance, making
injury-prevention counseling an important component of routine
pediatric care.
Why the Other Options Are Incorrect:
A. Antibiotic therapy treats an existing or suspected infection rather
than representing the primary preventive focus of a routine well-child
visit.
, C. Emergency stabilization addresses acute illness and is outside the
main purpose of a routine health-supervision encounter.
D. Advanced diagnostic imaging without an indication does not
represent appropriate preventive care and exposes the child to
unnecessary testing.
Question 2
Question:
Which statement best describes pediatric primary care?
A. Care limited to treatment of acute childhood illnesses
B. A service focused primarily on hospital-based management of
complex disease
C. First-contact, continuous, comprehensive, coordinated care that
includes prevention and health promotion
D. Specialty care provided only after referral from an emergency
department
Correct Answer: C. First-contact, continuous, comprehensive,
coordinated care that includes prevention and health promotion
Rationale:
Pediatric primary care is designed to provide first-contact and
longitudinal care while integrating health supervision, screening,
prevention, treatment, developmental monitoring, and coordination of
services. The medical-home model further emphasizes accessible,
continuous, comprehensive, family-centered, and coordinated pediatric
care.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-year-old child is brought to a pediatric primary care clinic for a
scheduled health supervision visit. The child has no acute complaints.
Which activity best demonstrates the preventive role of pediatric
primary care during this encounter?
A. Prescribing an antibiotic for presumed bacterial pharyngitis
B. Reviewing safety practices and counseling the caregiver about age-
appropriate injury prevention
C. Referring the child to an emergency department for immediate
stabilization
D. Ordering advanced imaging for an asymptomatic child without risk
factors
Correct Answer: B. Reviewing safety practices and counseling the
caregiver about age-appropriate injury prevention
Rationale:
Pediatric primary care extends beyond diagnosis and treatment of
illness. Health supervision visits incorporate disease detection, disease
prevention, health promotion, and anticipatory guidance, making
injury-prevention counseling an important component of routine
pediatric care.
Why the Other Options Are Incorrect:
A. Antibiotic therapy treats an existing or suspected infection rather
than representing the primary preventive focus of a routine well-child
visit.
, C. Emergency stabilization addresses acute illness and is outside the
main purpose of a routine health-supervision encounter.
D. Advanced diagnostic imaging without an indication does not
represent appropriate preventive care and exposes the child to
unnecessary testing.
Question 2
Question:
Which statement best describes pediatric primary care?
A. Care limited to treatment of acute childhood illnesses
B. A service focused primarily on hospital-based management of
complex disease
C. First-contact, continuous, comprehensive, coordinated care that
includes prevention and health promotion
D. Specialty care provided only after referral from an emergency
department
Correct Answer: C. First-contact, continuous, comprehensive,
coordinated care that includes prevention and health promotion
Rationale:
Pediatric primary care is designed to provide first-contact and
longitudinal care while integrating health supervision, screening,
prevention, treatment, developmental monitoring, and coordination of
services. The medical-home model further emphasizes accessible,
continuous, comprehensive, family-centered, and coordinated pediatric
care.
