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 4-year-old child is brought to a pediatric primary care clinic for a
routine health visit. The child is healthy, meeting developmental
milestones, and has no acute complaints. Which activity best
demonstrates primary pediatric care rather than primary prevention
alone?
A. Administering an age-appropriate vaccine
B. Providing anticipatory guidance about bicycle safety
C. Evaluating a newly reported persistent cough and determining
whether treatment or referral is needed
D. Counseling the caregiver about healthy nutrition
Correct Answer: C. Evaluating a newly reported persistent cough and
determining whether treatment or referral is needed
Rationale:
Pediatric primary care extends beyond preventing disease. It includes
first-contact evaluation, diagnosis and treatment of acute and chronic
conditions, management of illness, coordination of services, and referral
when needed. A persistent cough requiring clinical assessment
therefore represents the broader scope of primary care rather than
prevention alone.
Why the Other Options Are Incorrect:
A. Vaccination is an important preventive service, but it represents
disease prevention rather than the full scope of primary care.
B. Bicycle-safety counseling is anticipatory guidance and injury
, prevention, both important components of prevention.
D. Nutrition counseling promotes health and prevents future disease
but does not, by itself, represent diagnosis or treatment of a health
problem.
Question 2
Question:
A pediatric primary care provider explains the medical home model to
the parents of a 7-year-old child with asthma. Which statement by the
provider best describes the purpose of a pediatric medical home?
A. “We provide care only when your child has an acute illness.”
B. “We coordinate preventive, acute, chronic, and specialty care over
time.”
C. “Specialists assume responsibility for most of your child’s routine
health needs.”
D. “The primary purpose is to reduce the number of visits your child has
each year.”
Correct Answer: B. “We coordinate preventive, acute, chronic, and
specialty care over time.”
Rationale:
A pediatric medical home is designed to provide accessible, continuous,
comprehensive, coordinated, family-centered care. It serves as a central
point for organizing preventive services, management of chronic
disease, referrals, and communication among professionals.
Why the Other Options Are Incorrect:
A. Primary care is not limited to acute illness; it encompasses
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
routine health visit. The child is healthy, meeting developmental
milestones, and has no acute complaints. Which activity best
demonstrates primary pediatric care rather than primary prevention
alone?
A. Administering an age-appropriate vaccine
B. Providing anticipatory guidance about bicycle safety
C. Evaluating a newly reported persistent cough and determining
whether treatment or referral is needed
D. Counseling the caregiver about healthy nutrition
Correct Answer: C. Evaluating a newly reported persistent cough and
determining whether treatment or referral is needed
Rationale:
Pediatric primary care extends beyond preventing disease. It includes
first-contact evaluation, diagnosis and treatment of acute and chronic
conditions, management of illness, coordination of services, and referral
when needed. A persistent cough requiring clinical assessment
therefore represents the broader scope of primary care rather than
prevention alone.
Why the Other Options Are Incorrect:
A. Vaccination is an important preventive service, but it represents
disease prevention rather than the full scope of primary care.
B. Bicycle-safety counseling is anticipatory guidance and injury
, prevention, both important components of prevention.
D. Nutrition counseling promotes health and prevents future disease
but does not, by itself, represent diagnosis or treatment of a health
problem.
Question 2
Question:
A pediatric primary care provider explains the medical home model to
the parents of a 7-year-old child with asthma. Which statement by the
provider best describes the purpose of a pediatric medical home?
A. “We provide care only when your child has an acute illness.”
B. “We coordinate preventive, acute, chronic, and specialty care over
time.”
C. “Specialists assume responsibility for most of your child’s routine
health needs.”
D. “The primary purpose is to reduce the number of visits your child has
each year.”
Correct Answer: B. “We coordinate preventive, acute, chronic, and
specialty care over time.”
Rationale:
A pediatric medical home is designed to provide accessible, continuous,
comprehensive, coordinated, family-centered care. It serves as a central
point for organizing preventive services, management of chronic
disease, referrals, and communication among professionals.
Why the Other Options Are Incorrect:
A. Primary care is not limited to acute illness; it encompasses
