Below is a sample revision test based on key topics you’d expect in Pediatric
Primary Care (8th Edition by Garzon, Dirks, Driessnack, Duderstadt, and
Gaylord). Each question is followed by the correct answer and a rationale to
help you understand the underlying concepts. You can use these questions to
assess your knowledge and identify areas for further review.
Revision Test for Pediatric Primary Care
Question 1: Developmental Milestones
Which of the following is an expected developmental milestone for a 2-year-old child?
A. Scribbling simple lines
B. Riding a tricycle
C. Engaging in parallel play
D. Speaking in simple 2-3 word phrases
Correct Answer: D. Speaking in simple 2-3 word phrases
Rationale: By age 2, children typically begin to combine words to form short phrases, reflecting early
language development. While scribbling may be seen in toddlers, “speaking in simple phrases” is a more
precise developmental expectation at this age.
Question 2: Immunization Protocols
A 6-month-old infant is due for several immunizations. Which of the following vaccines is NOT typically
scheduled for this age?
A. DTaP (Diphtheria, Tetanus, acellular Pertussis)
B. IPV (Inactivated Poliovirus)
C. Hepatitis B
D. Hib (Haemophilus influenzae type b)
Correct Answer: C. Hepatitis B
Rationale: The primary hepatitis B vaccine is generally administered at birth, with follow-up doses
scheduled later. At 6 months, the standard schedule includes DTaP, IPV, and Hib as part of the routine
immunization series.
Question 3: Management of Fever
A 4-year-old presents with a temperature of 38.5°C (101.3°F) and appears playful. What is the most
appropriate initial management?
A. Immediate hospitalization for IV fluids
B. High-dose antipyretics and antibiotics
, C. Supportive care with antipyretics and hydration
D. Aggressive diagnostic testing for sepsis
Correct Answer: C. Supportive care with antipyretics and hydration
Rationale: In the absence of severe symptoms or signs of serious illness, a febrile, well-appearing child is
best managed with supportive care. Antipyretics (like acetaminophen) and proper hydration are
recommended while monitoring the child’s status.
Question 4: Nutritional Guidance
For an exclusively breastfed infant, which of the following is the recommended feeding frequency in the
first 6 months?
A. Every 6 hours
B. Every 2–3 hours on demand
C. Only during scheduled times
D. Every 4 hours regardless of hunger cues
Correct Answer: B. Every 2–3 hours on demand
Rationale: Infants typically feed on demand every 2–3 hours, which supports their nutritional needs and
growth. Rigid scheduling may not align with the infant’s hunger cues, and demand feeding is encouraged
for optimal development.
Question 5: Preventing Sudden Infant Death Syndrome (SIDS)
Which of the following practices is recommended to reduce the risk of SIDS?
A. Allowing the infant to sleep with soft bedding
B. Placing the infant in the prone position
C. Room-sharing without bed-sharing
D. Using sleep positioners in the crib
Correct Answer: C. Room-sharing without bed-sharing
Rationale: The current guidelines to reduce SIDS risk recommend room-sharing (keeping the infant’s
sleep space in the same room as the caregiver) while avoiding bed-sharing, as well as placing the infant
on their back for sleep.
Question 6: Pediatric Asthma Management
In managing a child with persistent asthma, which of the following is considered a first-line controller
medication?
A. Oral corticosteroids
B. Inhaled corticosteroids
C. Long-acting beta agonists (LABA) alone
D. Leukotriene receptor antagonists as monotherapy
Primary Care (8th Edition by Garzon, Dirks, Driessnack, Duderstadt, and
Gaylord). Each question is followed by the correct answer and a rationale to
help you understand the underlying concepts. You can use these questions to
assess your knowledge and identify areas for further review.
Revision Test for Pediatric Primary Care
Question 1: Developmental Milestones
Which of the following is an expected developmental milestone for a 2-year-old child?
A. Scribbling simple lines
B. Riding a tricycle
C. Engaging in parallel play
D. Speaking in simple 2-3 word phrases
Correct Answer: D. Speaking in simple 2-3 word phrases
Rationale: By age 2, children typically begin to combine words to form short phrases, reflecting early
language development. While scribbling may be seen in toddlers, “speaking in simple phrases” is a more
precise developmental expectation at this age.
Question 2: Immunization Protocols
A 6-month-old infant is due for several immunizations. Which of the following vaccines is NOT typically
scheduled for this age?
A. DTaP (Diphtheria, Tetanus, acellular Pertussis)
B. IPV (Inactivated Poliovirus)
C. Hepatitis B
D. Hib (Haemophilus influenzae type b)
Correct Answer: C. Hepatitis B
Rationale: The primary hepatitis B vaccine is generally administered at birth, with follow-up doses
scheduled later. At 6 months, the standard schedule includes DTaP, IPV, and Hib as part of the routine
immunization series.
Question 3: Management of Fever
A 4-year-old presents with a temperature of 38.5°C (101.3°F) and appears playful. What is the most
appropriate initial management?
A. Immediate hospitalization for IV fluids
B. High-dose antipyretics and antibiotics
, C. Supportive care with antipyretics and hydration
D. Aggressive diagnostic testing for sepsis
Correct Answer: C. Supportive care with antipyretics and hydration
Rationale: In the absence of severe symptoms or signs of serious illness, a febrile, well-appearing child is
best managed with supportive care. Antipyretics (like acetaminophen) and proper hydration are
recommended while monitoring the child’s status.
Question 4: Nutritional Guidance
For an exclusively breastfed infant, which of the following is the recommended feeding frequency in the
first 6 months?
A. Every 6 hours
B. Every 2–3 hours on demand
C. Only during scheduled times
D. Every 4 hours regardless of hunger cues
Correct Answer: B. Every 2–3 hours on demand
Rationale: Infants typically feed on demand every 2–3 hours, which supports their nutritional needs and
growth. Rigid scheduling may not align with the infant’s hunger cues, and demand feeding is encouraged
for optimal development.
Question 5: Preventing Sudden Infant Death Syndrome (SIDS)
Which of the following practices is recommended to reduce the risk of SIDS?
A. Allowing the infant to sleep with soft bedding
B. Placing the infant in the prone position
C. Room-sharing without bed-sharing
D. Using sleep positioners in the crib
Correct Answer: C. Room-sharing without bed-sharing
Rationale: The current guidelines to reduce SIDS risk recommend room-sharing (keeping the infant’s
sleep space in the same room as the caregiver) while avoiding bed-sharing, as well as placing the infant
on their back for sleep.
Question 6: Pediatric Asthma Management
In managing a child with persistent asthma, which of the following is considered a first-line controller
medication?
A. Oral corticosteroids
B. Inhaled corticosteroids
C. Long-acting beta agonists (LABA) alone
D. Leukotriene receptor antagonists as monotherapy
