Pediatric Primary Care – Comprehensive Study
Notes Based on Burns’ 7th Edition (2025
Update)
Well-Child Care & Health Supervision
1. What is the primary goal of pediatric well-child visits?
A) To only administer vaccinations
B) To treat acute illnesses
C) To provide comprehensive health supervision, including prevention, screening,
education, and guidance
D) To perform annual physical exams
2. During a well-child visit, the concept of "anticipatory guidance" refers to:
A) Counseling parents/children about what to expect in the next developmental
period
B) Guiding the child to anticipate getting a shot
C) Providing guidance only for nutritional issues
D) Referring the child to a specialist in anticipation of problems
3. The recommended schedule for well-child visits is most frequent during
which period?
A) School-age years
B) Adolescence
C) First 2 years of life
D) Toddler years
4. Which of the following is a key component of every well-child visit?
A) Complete blood count
B) Developmental surveillance
C) Urinalysis
D) Chest X-ray
5. What is the single most important intervention for preventing childhood
infectious diseases according to the CDC and AAP?
,A) Exclusive breastfeeding for 6 months
B) Proper handwashing
C) Immunization
D) Vitamin supplementation
Growth & Development (Newborn/Infant)
6. By what age does an infant typically double their birth weight?
A) 2 months
B) 4 months
C) 6 months
D) 9 months
7. The anterior fontanelle typically closes by what age?
A) 2-4 months
B) 6-9 months
C) 12-18 months
D) 24 months
8. A social smile in an infant is expected to develop by what age?
A) 2 months
B) 4 months
C) 6 months
D) 8 months
9. According to the Denver II (DDST-II), a child should be able to sit without
support by approximately:
A) 4 months
B) 6 months
C) 8 months
D) 10 months
10. Stranger anxiety in an infant typically begins around what age?
A) 2-4 months
B) 4-6 months
C) 6-9 months
D) 12-15 months
, 11. Which reflex, if persistent beyond 6 months, may indicate neurological
concerns?
A) Rooting reflex
B) Moro reflex
C) Palmar grasp reflex
D) Stepping reflex
12. The recommended sleeping position for a healthy term infant to reduce the
risk of SIDS is:
A) Prone (on stomach)
B) Side-lying
C) Supine (on back)
D) Semi-reclined
Growth & Development (Toddler/Preschooler)
13. A toddler's vocabulary typically expands to about 50 words by what age?
A) 12 months
B) 18 months
C) 24 months
D) 30 months
14. Toilet training readiness typically begins between:
A) 12-18 months
B) 18-30 months
C) 30-36 months
D) 3-4 years
15. Which of the following is a hallmark of preoperational thought (Piaget) in
a preschooler?
A) Logical reasoning about abstract ideas
B) Egocentrism
C) Conservation of mass
D) Deductive reasoning
16. By age 3, a child should be able to:
A) Ride a two-wheel bicycle
Notes Based on Burns’ 7th Edition (2025
Update)
Well-Child Care & Health Supervision
1. What is the primary goal of pediatric well-child visits?
A) To only administer vaccinations
B) To treat acute illnesses
C) To provide comprehensive health supervision, including prevention, screening,
education, and guidance
D) To perform annual physical exams
2. During a well-child visit, the concept of "anticipatory guidance" refers to:
A) Counseling parents/children about what to expect in the next developmental
period
B) Guiding the child to anticipate getting a shot
C) Providing guidance only for nutritional issues
D) Referring the child to a specialist in anticipation of problems
3. The recommended schedule for well-child visits is most frequent during
which period?
A) School-age years
B) Adolescence
C) First 2 years of life
D) Toddler years
4. Which of the following is a key component of every well-child visit?
A) Complete blood count
B) Developmental surveillance
C) Urinalysis
D) Chest X-ray
5. What is the single most important intervention for preventing childhood
infectious diseases according to the CDC and AAP?
,A) Exclusive breastfeeding for 6 months
B) Proper handwashing
C) Immunization
D) Vitamin supplementation
Growth & Development (Newborn/Infant)
6. By what age does an infant typically double their birth weight?
A) 2 months
B) 4 months
C) 6 months
D) 9 months
7. The anterior fontanelle typically closes by what age?
A) 2-4 months
B) 6-9 months
C) 12-18 months
D) 24 months
8. A social smile in an infant is expected to develop by what age?
A) 2 months
B) 4 months
C) 6 months
D) 8 months
9. According to the Denver II (DDST-II), a child should be able to sit without
support by approximately:
A) 4 months
B) 6 months
C) 8 months
D) 10 months
10. Stranger anxiety in an infant typically begins around what age?
A) 2-4 months
B) 4-6 months
C) 6-9 months
D) 12-15 months
, 11. Which reflex, if persistent beyond 6 months, may indicate neurological
concerns?
A) Rooting reflex
B) Moro reflex
C) Palmar grasp reflex
D) Stepping reflex
12. The recommended sleeping position for a healthy term infant to reduce the
risk of SIDS is:
A) Prone (on stomach)
B) Side-lying
C) Supine (on back)
D) Semi-reclined
Growth & Development (Toddler/Preschooler)
13. A toddler's vocabulary typically expands to about 50 words by what age?
A) 12 months
B) 18 months
C) 24 months
D) 30 months
14. Toilet training readiness typically begins between:
A) 12-18 months
B) 18-30 months
C) 30-36 months
D) 3-4 years
15. Which of the following is a hallmark of preoperational thought (Piaget) in
a preschooler?
A) Logical reasoning about abstract ideas
B) Egocentrism
C) Conservation of mass
D) Deductive reasoning
16. By age 3, a child should be able to:
A) Ride a two-wheel bicycle
