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 — Primary Care Versus Primary
Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The parents
ask whether the visit is "just a checkup" or whether anything is
being done to prevent future illness. As a primary care provider,
which explanation best differentiates primary care from primary
prevention?
Options
A. Primary care focuses on acute illness management; primary
prevention focuses only on immunizations.
B. Primary care provides continuous, comprehensive care for
individuals; primary prevention reduces disease incidence
through population-level interventions.
C. Primary care is delivered only in clinics; primary prevention is
only delivered by public health departments.
D. Primary care and primary prevention are synonymous and
interchangeable terms.
,Correct Answer
B
Rationales
Correct: Primary care encompasses continuous, comprehensive,
patient-centered services across the lifespan, while primary
prevention includes actions (e.g., vaccinations, safety
counseling) aimed to reduce disease incidence at individual and
population levels.
A (incorrect): Primary care also manages chronic and preventive
issues — it is not limited to acute illness; prevention is broader
than immunizations.
C (incorrect): Both primary care and primary prevention are
delivered across settings; they are not limited to clinic versus
public health.
D (incorrect): The terms overlap but are not synonymous;
primary prevention is a component of preventive services
within primary care.
Teaching Point
Primary care is continuous and comprehensive; primary
prevention reduces incidence through proactive interventions.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
,Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family with a 2-year-old child asks whether to see a
pediatrician or a family nurse practitioner for routine care.
Which criterion most appropriately guides selection of a
pediatric primary care provider?
Options
A. Only the proximity of the office to the family’s home.
B. The provider’s experience with age-specific development and
continuity of care across childhood.
C. The provider’s ability to prescribe adult medications.
D. Whether the provider accepts only walk-in appointments.
Correct Answer
B
Rationales
Correct: Provider experience with pediatric growth,
development, preventive guidance, and capacity for long-term
continuity are primary determinants for selecting pediatric
primary care.
A (incorrect): Proximity is convenient but not the key clinical
criterion for provider selection.
C (incorrect): Prescribing adult medications is irrelevant to
pediatric primary care competence.
D (incorrect): Appointment logistics matter for access but do
not determine clinical appropriateness.
, Teaching Point
Choose providers with pediatric developmental expertise and
commitment to continuity of care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a 4-month well visit, you note the infant’s head
circumference is at the 10th percentile but increasing
appropriately along the curve. There is a parental concern
about “small head size.” What is the most appropriate initial
clinical reasoning step?
Options
A. Schedule immediate neurosurgical referral for microcephaly
evaluation.
B. Review growth trajectory and developmental milestones and
consider familial head size before invasive testing.
C. Order a head CT immediately to evaluate intracranial
pathology.
D. Advise discontinuing breastfeeding because it could stunt
head growth.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
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 parents
ask whether the visit is "just a checkup" or whether anything is
being done to prevent future illness. As a primary care provider,
which explanation best differentiates primary care from primary
prevention?
Options
A. Primary care focuses on acute illness management; primary
prevention focuses only on immunizations.
B. Primary care provides continuous, comprehensive care for
individuals; primary prevention reduces disease incidence
through population-level interventions.
C. Primary care is delivered only in clinics; primary prevention is
only delivered by public health departments.
D. Primary care and primary prevention are synonymous and
interchangeable terms.
,Correct Answer
B
Rationales
Correct: Primary care encompasses continuous, comprehensive,
patient-centered services across the lifespan, while primary
prevention includes actions (e.g., vaccinations, safety
counseling) aimed to reduce disease incidence at individual and
population levels.
A (incorrect): Primary care also manages chronic and preventive
issues — it is not limited to acute illness; prevention is broader
than immunizations.
C (incorrect): Both primary care and primary prevention are
delivered across settings; they are not limited to clinic versus
public health.
D (incorrect): The terms overlap but are not synonymous;
primary prevention is a component of preventive services
within primary care.
Teaching Point
Primary care is continuous and comprehensive; primary
prevention reduces incidence through proactive interventions.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
,Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family with a 2-year-old child asks whether to see a
pediatrician or a family nurse practitioner for routine care.
Which criterion most appropriately guides selection of a
pediatric primary care provider?
Options
A. Only the proximity of the office to the family’s home.
B. The provider’s experience with age-specific development and
continuity of care across childhood.
C. The provider’s ability to prescribe adult medications.
D. Whether the provider accepts only walk-in appointments.
Correct Answer
B
Rationales
Correct: Provider experience with pediatric growth,
development, preventive guidance, and capacity for long-term
continuity are primary determinants for selecting pediatric
primary care.
A (incorrect): Proximity is convenient but not the key clinical
criterion for provider selection.
C (incorrect): Prescribing adult medications is irrelevant to
pediatric primary care competence.
D (incorrect): Appointment logistics matter for access but do
not determine clinical appropriateness.
, Teaching Point
Choose providers with pediatric developmental expertise and
commitment to continuity of care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
During a 4-month well visit, you note the infant’s head
circumference is at the 10th percentile but increasing
appropriately along the curve. There is a parental concern
about “small head size.” What is the most appropriate initial
clinical reasoning step?
Options
A. Schedule immediate neurosurgical referral for microcephaly
evaluation.
B. Review growth trajectory and developmental milestones and
consider familial head size before invasive testing.
C. Order a head CT immediately to evaluate intracranial
pathology.
D. Advise discontinuing breastfeeding because it could stunt
head growth.
