Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 3-year-old is brought for a well-child visit; the parent asks
whether the visit is mainly to give vaccines or to address the
child's overall health and development. As a primary-care
clinician, which response best explains the role of pediatric
primary care?
Options
A. Primary care is primarily for delivering preventive
interventions such as immunizations; sick care is separate.
B. Primary care focuses on disease treatment only; prevention
is the family’s responsibility.
C. Primary care provides longitudinal, family-centered care
addressing prevention, acute/chronic issues, and development.
,D. Primary care is primarily administrative—coordinating
referrals and filling out forms.
Correct Answer
C
Rationales
Correct: Primary pediatric primary care is longitudinal and
family-centered, combining preventive services (immunizations,
anticipatory guidance) with acute and chronic care and
developmental surveillance.
A: Incorrect — Immunizations are a component but not the sole
focus; primary care integrates many services.
B: Incorrect — Primary care explicitly includes prevention and
health promotion, not just treatment.
D: Incorrect — Care coordination and paperwork occur, but
they are components, not the central mission of primary care.
Teaching Point
Primary pediatric care is longitudinal, preventive, acute/chronic,
and family-centered.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2. Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus
Primary Prevention
,Question Stem
A new parent asks why the clinic schedules well visits at
multiple ages (infancy, toddler, school age). Which explanation
best distinguishes primary care visits from primary prevention
activities?
Options
A. Well visits are solely primary prevention; primary care visits
only treat illnesses.
B. Primary care visits provide preventive services and
surveillance, while primary prevention specifically targets
preventing disease before it occurs.
C. Primary prevention happens only in hospitals; well visits are
unrelated.
D. Primary care and primary prevention are identical terms and
interchangeable.
Correct Answer
B
Rationales
Correct: Well visits in primary care include surveillance and
preventive services, whereas primary prevention refers
specifically to actions (e.g., immunizations, safety counseling)
that prevent disease before onset.
A: Incorrect — Well visits are part of primary care and include
prevention, not mutually exclusive categories.
C: Incorrect — Primary prevention is not limited to hospitals; it
occurs in primary care and community settings.
, D: Incorrect — The terms overlap but are not synonymous;
primary prevention is a component of primary care.
Teaching Point
Primary prevention (preventing disease) is a core component of
broader primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
During a well visit, a 9-month-old’s parent reports frequent falls
and delayed sitting. The clinician must decide next steps. Which
action best reflects the primary-care clinician’s applied role?
Options
A. Reassure the parent that all infants develop at their own
pace and schedule follow-up in 6 months.
B. Perform focused developmental screening, document
findings, provide anticipatory guidance, and arrange early
intervention referral if screening is abnormal.
C. Immediately prescribe a neurologic medication and discharge
the family.
D. Refer directly to a tertiary hospital for MRI without local
screening.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 3-year-old is brought for a well-child visit; the parent asks
whether the visit is mainly to give vaccines or to address the
child's overall health and development. As a primary-care
clinician, which response best explains the role of pediatric
primary care?
Options
A. Primary care is primarily for delivering preventive
interventions such as immunizations; sick care is separate.
B. Primary care focuses on disease treatment only; prevention
is the family’s responsibility.
C. Primary care provides longitudinal, family-centered care
addressing prevention, acute/chronic issues, and development.
,D. Primary care is primarily administrative—coordinating
referrals and filling out forms.
Correct Answer
C
Rationales
Correct: Primary pediatric primary care is longitudinal and
family-centered, combining preventive services (immunizations,
anticipatory guidance) with acute and chronic care and
developmental surveillance.
A: Incorrect — Immunizations are a component but not the sole
focus; primary care integrates many services.
B: Incorrect — Primary care explicitly includes prevention and
health promotion, not just treatment.
D: Incorrect — Care coordination and paperwork occur, but
they are components, not the central mission of primary care.
Teaching Point
Primary pediatric care is longitudinal, preventive, acute/chronic,
and family-centered.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2. Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus
Primary Prevention
,Question Stem
A new parent asks why the clinic schedules well visits at
multiple ages (infancy, toddler, school age). Which explanation
best distinguishes primary care visits from primary prevention
activities?
Options
A. Well visits are solely primary prevention; primary care visits
only treat illnesses.
B. Primary care visits provide preventive services and
surveillance, while primary prevention specifically targets
preventing disease before it occurs.
C. Primary prevention happens only in hospitals; well visits are
unrelated.
D. Primary care and primary prevention are identical terms and
interchangeable.
Correct Answer
B
Rationales
Correct: Well visits in primary care include surveillance and
preventive services, whereas primary prevention refers
specifically to actions (e.g., immunizations, safety counseling)
that prevent disease before onset.
A: Incorrect — Well visits are part of primary care and include
prevention, not mutually exclusive categories.
C: Incorrect — Primary prevention is not limited to hospitals; it
occurs in primary care and community settings.
, D: Incorrect — The terms overlap but are not synonymous;
primary prevention is a component of primary care.
Teaching Point
Primary prevention (preventing disease) is a core component of
broader primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
During a well visit, a 9-month-old’s parent reports frequent falls
and delayed sitting. The clinician must decide next steps. Which
action best reflects the primary-care clinician’s applied role?
Options
A. Reassure the parent that all infants develop at their own
pace and schedule follow-up in 6 months.
B. Perform focused developmental screening, document
findings, provide anticipatory guidance, and arrange early
intervention referral if screening is abnormal.
C. Immediately prescribe a neurologic medication and discharge
the family.
D. Refer directly to a tertiary hospital for MRI without local
screening.
