BURNS' PEDIATRIC PRIMARY CARE
7TH EDITION ACTUAL EXAM 2026
Epigastric pain can be from issues in which areas/organs: - Correct answer-Liver,
biliary tree, pancreas, stomach, and duodenum
Periumbilical pain can be caused by issues in which areas/organs: - Correct
answer-distal end of the small intestine, cecum, appendix, and ascending colon
Colonic pain is caused by issues in which area - Correct answer-Lower abdomin
Suprapubic pain is caused by issues in which organs/area? - Correct answer-distal
intestine, urinary tract, pelvic organs,
Common Diagnositc studies for abdominal pain/issues - Correct answer-UA &
culture, CBC w/diff, CMP,BMP, ESR,CRP, Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal cultures
Common diagnostic studies for GI issues - Correct answer-XR, US, CT, MRI,
nuclear medicine
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,Specialized tests that can be ordered - Correct answer-Duodenal Aspirate,
Esophageal pH probe, Capsule endoscopy, breath hydrogen test, and sweat
chloride test
Indications for Duodenal Aspirate - Correct answer-diarrhea from things like
giardia, unintentional weight loss, dyspepsia(reflux/GERD), and abdominal pain
A hydrogen breath test can help diagnose: - Correct answer-IBS, Intestinal
Methanogen overgrowth, rapid small bowel transit time, and possibly esophageal
and gastric cancer in early stages.
Sweat chloride test is used to diagnose: - Correct answer-Cystic Fibrosis. This is
usually done when a patient is having digestive problems, & FTT along with
history of respiratory issues.
Most common reasons for the use of Probiotics - Correct answer-IBS, Infectious
diarrhea, antibiotic associated diarrhea, and colic
What is Colic? - Correct answer-Crying for no apparent reason that lasts > 3
hrs/day and occurs > 3 days/wk in otherwise healthy infant <3months
Potential causes of vomiting in Newborn or young infants - Correct answer-
infectious process, congenital GI anomaly, CNS abnormality, or newborn errors of
metabolism
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, Potential causes of vomiting in Infants or young children - Correct answer-
Gastroenteritis, GERD, milk/soy protien allergies, pyloric stenosis or obstructive
lesion, inborn errors of metabolism, intussusception, child abuse, &intracranial
mass
Potential causes of vomiting in older children and adolescents - Correct answer-
Gastroenteritis, systemic illness, CNS (cyclic vomiting syndrome, abdominal
migraine, meningitis, brain tumor), intussusception, rumination, superior
mesenteric artery syndrome, pregnancy
_________ is one of the most common symptoms in childhood. - Correct answer-
vomiting
Non-bilious vomiting is generally caused by: - Correct answer-infection,
inflammation, and metabolic, neurologic, or psychological problems.
An ------- -------- generally causes causes bilious vomiting. - Correct answer-
obstructive lesion
Bloody vomit comes from: - Correct answer-active bleeding in the upper GI tract
(gastritis, peptic ulcer disease)
Rumination Syndrome - Correct answer-a condition in which people repeatedly
and unintentionally spit up (regurgitate) undigested or partially digested food from
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
7TH EDITION ACTUAL EXAM 2026
Epigastric pain can be from issues in which areas/organs: - Correct answer-Liver,
biliary tree, pancreas, stomach, and duodenum
Periumbilical pain can be caused by issues in which areas/organs: - Correct
answer-distal end of the small intestine, cecum, appendix, and ascending colon
Colonic pain is caused by issues in which area - Correct answer-Lower abdomin
Suprapubic pain is caused by issues in which organs/area? - Correct answer-distal
intestine, urinary tract, pelvic organs,
Common Diagnositc studies for abdominal pain/issues - Correct answer-UA &
culture, CBC w/diff, CMP,BMP, ESR,CRP, Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal cultures
Common diagnostic studies for GI issues - Correct answer-XR, US, CT, MRI,
nuclear medicine
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Specialized tests that can be ordered - Correct answer-Duodenal Aspirate,
Esophageal pH probe, Capsule endoscopy, breath hydrogen test, and sweat
chloride test
Indications for Duodenal Aspirate - Correct answer-diarrhea from things like
giardia, unintentional weight loss, dyspepsia(reflux/GERD), and abdominal pain
A hydrogen breath test can help diagnose: - Correct answer-IBS, Intestinal
Methanogen overgrowth, rapid small bowel transit time, and possibly esophageal
and gastric cancer in early stages.
Sweat chloride test is used to diagnose: - Correct answer-Cystic Fibrosis. This is
usually done when a patient is having digestive problems, & FTT along with
history of respiratory issues.
Most common reasons for the use of Probiotics - Correct answer-IBS, Infectious
diarrhea, antibiotic associated diarrhea, and colic
What is Colic? - Correct answer-Crying for no apparent reason that lasts > 3
hrs/day and occurs > 3 days/wk in otherwise healthy infant <3months
Potential causes of vomiting in Newborn or young infants - Correct answer-
infectious process, congenital GI anomaly, CNS abnormality, or newborn errors of
metabolism
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Potential causes of vomiting in Infants or young children - Correct answer-
Gastroenteritis, GERD, milk/soy protien allergies, pyloric stenosis or obstructive
lesion, inborn errors of metabolism, intussusception, child abuse, &intracranial
mass
Potential causes of vomiting in older children and adolescents - Correct answer-
Gastroenteritis, systemic illness, CNS (cyclic vomiting syndrome, abdominal
migraine, meningitis, brain tumor), intussusception, rumination, superior
mesenteric artery syndrome, pregnancy
_________ is one of the most common symptoms in childhood. - Correct answer-
vomiting
Non-bilious vomiting is generally caused by: - Correct answer-infection,
inflammation, and metabolic, neurologic, or psychological problems.
An ------- -------- generally causes causes bilious vomiting. - Correct answer-
obstructive lesion
Bloody vomit comes from: - Correct answer-active bleeding in the upper GI tract
(gastritis, peptic ulcer disease)
Rumination Syndrome - Correct answer-a condition in which people repeatedly
and unintentionally spit up (regurgitate) undigested or partially digested food from
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
