BURNS PEDIATRIC PRIMARY CARE SEVENTH
2026 COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ What occurs with people WITHOUT diabetes when they exercise?
Answer: 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?
Answer: 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?
Answer: Splenomegaly
◉ How long should nothing stay out for sports if they are diagnosed
with infectious mononucleosis?
Answer: Three weeks
,◉ About 15% of children with down syndrome can have what?
Answer: 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?
Answer: by obtaining lateral radiographic views of the C-spine
◉ What does the female athlete triad consist of?
Answer: 1. Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
◉ Why is co-sleeping discouraged?
Answer: Risk of SIDS
◉ What is the best sleeping position for infants?
Answer: Supine
◉ At 6 months, infants are able to go how long with out eating over
the night?
Answer: 6 to 12 hours
,◉ at Ages 2 to 4 months, what should parents try doing with night
time sleeping?
Answer: Try to delay and then discontinue middle-of-the-night
feedings.
Encourage self-soothing
◉ How should parents manage Sleep-onset association disorders?
Answer: 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?
Answer: Positive routines.
Set limits on the child's demands for attention.
◉ What are the 3 recommendations for sleep-cycle problems?
Answer: 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?
Answer: they'll lose 5-8% of their birthweight
◉ One criterion for failure to thrive is?
Answer: Lack of return
◉ What should happen to infant weight by 6 months and 12
months?
Answer: Double and Triple in weight
◉ What age should you introduce solid foods?
Answer: 6 months
◉ The mother who is breastfeeding should be discouraged from?
Answer: 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)
Answer: Antihistamines
Estrogen
2026 COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ What occurs with people WITHOUT diabetes when they exercise?
Answer: 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?
Answer: 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?
Answer: Splenomegaly
◉ How long should nothing stay out for sports if they are diagnosed
with infectious mononucleosis?
Answer: Three weeks
,◉ About 15% of children with down syndrome can have what?
Answer: 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?
Answer: by obtaining lateral radiographic views of the C-spine
◉ What does the female athlete triad consist of?
Answer: 1. Disordered eating patterns
2. Menstrual dysfunction (amenorrhea or oligomenorrhea)
3. Osteopenia or osteoporosis
◉ Why is co-sleeping discouraged?
Answer: Risk of SIDS
◉ What is the best sleeping position for infants?
Answer: Supine
◉ At 6 months, infants are able to go how long with out eating over
the night?
Answer: 6 to 12 hours
,◉ at Ages 2 to 4 months, what should parents try doing with night
time sleeping?
Answer: Try to delay and then discontinue middle-of-the-night
feedings.
Encourage self-soothing
◉ How should parents manage Sleep-onset association disorders?
Answer: 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?
Answer: Positive routines.
Set limits on the child's demands for attention.
◉ What are the 3 recommendations for sleep-cycle problems?
Answer: 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?
Answer: they'll lose 5-8% of their birthweight
◉ One criterion for failure to thrive is?
Answer: Lack of return
◉ What should happen to infant weight by 6 months and 12
months?
Answer: Double and Triple in weight
◉ What age should you introduce solid foods?
Answer: 6 months
◉ The mother who is breastfeeding should be discouraged from?
Answer: 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)
Answer: Antihistamines
Estrogen
