Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Item 1
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The
caregiver asks whether immunizations and anticipatory
guidance are the same as “primary care.” Which explanation
best differentiates primary prevention from primary care in
pediatric practice?
Options
A. Primary prevention includes only immunizations; primary
care focuses on illness management.
B. Primary care is the ongoing relationship and services;
primary prevention comprises actions to prevent disease before
it occurs.
C. Primary prevention refers to specialty referrals; primary care
,refers to emergency services.
D. Primary care and primary prevention are interchangeable
terms in pediatrics.
Correct Answer
B
Rationales
• Correct (B): Primary care is the continuous, comprehensive
relationship and services provided by clinicians; primary
prevention are specific measures (e.g., immunizations,
anticipatory guidance) to prevent disease before onset.
This distinction guides visit planning and preventive
counseling.
• Incorrect (A): Primary prevention is broader than
immunizations and includes counseling, safety measures,
and interventions to reduce risk. Primary care is not
limited to illness management.
• Incorrect (C): Primary prevention is not specialty or
emergency referral; those are components of the
healthcare system but not prevention strategies.
• Incorrect (D): The terms are related but not synonymous;
conflating them can obscure responsibilities for prevention
and continuity.
Teaching Point
Primary care = continuous relationship; primary prevention =
actions to stop disease before it starts.
,Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Item 2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family requests a provider who emphasizes continuity of care
across childhood and coordinates school, specialty, and
community services. Which primary care professional best fits
this description in most pediatric systems?
Options
A. Pediatric hospitalist
B. Emergency medicine physician
C. Primary care pediatric nurse practitioner or pediatrician
D. Subspecialty pediatric cardiologist
Correct Answer
C
Rationales
• Correct (C): Primary care pediatricians and pediatric
primary care nurse practitioners provide longitudinal care,
, coordinate referrals, and liaise with schools and
community services—key roles families expect.
• Incorrect (A): Hospitalists focus on inpatient care and do
not typically provide outpatient continuity.
• Incorrect (B): Emergency physicians provide episodic acute
care, not ongoing coordination.
• Incorrect (D): Subspecialists provide focused care and co-
manage conditions but are not primary coordinators for
routine health maintenance.
Teaching Point
Primary care providers deliver longitudinal, coordinated care
across settings.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Item 3
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
A 2-year-old presents with recurrent otitis media. The clinician
considers the child’s developmental stage and family context
when planning management. Which unique pediatric issue
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Item 1
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The
caregiver asks whether immunizations and anticipatory
guidance are the same as “primary care.” Which explanation
best differentiates primary prevention from primary care in
pediatric practice?
Options
A. Primary prevention includes only immunizations; primary
care focuses on illness management.
B. Primary care is the ongoing relationship and services;
primary prevention comprises actions to prevent disease before
it occurs.
C. Primary prevention refers to specialty referrals; primary care
,refers to emergency services.
D. Primary care and primary prevention are interchangeable
terms in pediatrics.
Correct Answer
B
Rationales
• Correct (B): Primary care is the continuous, comprehensive
relationship and services provided by clinicians; primary
prevention are specific measures (e.g., immunizations,
anticipatory guidance) to prevent disease before onset.
This distinction guides visit planning and preventive
counseling.
• Incorrect (A): Primary prevention is broader than
immunizations and includes counseling, safety measures,
and interventions to reduce risk. Primary care is not
limited to illness management.
• Incorrect (C): Primary prevention is not specialty or
emergency referral; those are components of the
healthcare system but not prevention strategies.
• Incorrect (D): The terms are related but not synonymous;
conflating them can obscure responsibilities for prevention
and continuity.
Teaching Point
Primary care = continuous relationship; primary prevention =
actions to stop disease before it starts.
,Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Item 2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family requests a provider who emphasizes continuity of care
across childhood and coordinates school, specialty, and
community services. Which primary care professional best fits
this description in most pediatric systems?
Options
A. Pediatric hospitalist
B. Emergency medicine physician
C. Primary care pediatric nurse practitioner or pediatrician
D. Subspecialty pediatric cardiologist
Correct Answer
C
Rationales
• Correct (C): Primary care pediatricians and pediatric
primary care nurse practitioners provide longitudinal care,
, coordinate referrals, and liaise with schools and
community services—key roles families expect.
• Incorrect (A): Hospitalists focus on inpatient care and do
not typically provide outpatient continuity.
• Incorrect (B): Emergency physicians provide episodic acute
care, not ongoing coordination.
• Incorrect (D): Subspecialists provide focused care and co-
manage conditions but are not primary coordinators for
routine health maintenance.
Teaching Point
Primary care providers deliver longitudinal, coordinated care
across settings.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Item 3
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
A 2-year-old presents with recurrent otitis media. The clinician
considers the child’s developmental stage and family context
when planning management. Which unique pediatric issue
