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 4-month-old is brought for a well-visit. The
caregiver asks whether the visit is “primary care” or “primary
prevention.” Which explanation best differentiates primary
prevention from primary care in pediatric practice?
A. Primary prevention focuses on treating illness after it occurs;
primary care focuses on routine vaccinations.
B. Primary prevention aims to stop disease before it occurs;
primary care provides continuous, comprehensive health
services.
C. Primary prevention is exclusively public-health programs;
primary care only manages acute illnesses.
D. Primary prevention involves only screenings; primary care is
limited to sick-visit management.
Correct Answer: B
Rationales:
, • Correct (B): Primary prevention includes actions (eg,
immunizations, safety counseling) that prevent disease
before it occurs; primary care encompasses ongoing,
comprehensive services including prevention, acute care,
and chronic disease management. (2 sentences)
• A: Incorrect — primary prevention is before disease, not
treatment after disease, and vaccinations are a preventive
measure, not only primary care. (1–2 sentences)
• C: Incorrect — primary prevention may involve public
health but is not exclusively public-health programs;
primary care includes prevention and management. (1
sentence)
• D: Incorrect — screening is part of prevention but primary
prevention is broader; primary care is more than sick visits.
(1 sentence)
Teaching Point: Primary prevention prevents disease
occurrence; primary care delivers continuous, comprehensive
child health services.
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 2-year-old with eczema and recurrent otitis is
seen in a clinic staffed by a pediatric NP, a family physician, and
a pediatrician. The family asks who should coordinate their
child’s complex care. Which response reflects best practice for
pediatric primary care providers?
A. The family should always choose a pediatrician; other
providers cannot coordinate complex care.
B. Any primary care provider may act as the medical home; the
clinician who provides continuous, comprehensive care should
coordinate.
C. Coordination must be done by a subspecialist because
primary care clinicians lack resources.
D. Care coordination is unnecessary; families should self-refer to
subspecialists when problems arise.
Correct Answer: B
Rationales:
• Correct (B): The medical home concept emphasizes that
any primary care provider delivering continuous,
comprehensive care can coordinate services, referrals, and
follow-up for complex pediatric needs. (2 sentences)
• A: Incorrect — while pediatricians commonly coordinate
care, NPs and family physicians can also effectively serve as
the medical home. (1 sentence)
• C: Incorrect — subspecialists provide specialty input but
coordination is a primary care responsibility. (1 sentence)
, • D: Incorrect — proactive care coordination improves
outcomes and reduces fragmentation; it is not appropriate
to rely on families to self-refer. (1 sentence)
Teaching Point: The medical home—any consistent primary
care clinician—coordinates and integrates pediatric 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 9-month visit a caregiver reports the
infant resists feeding and has lost weight percentile. Which
initial primary-care action reflects the unique pediatric
emphasis on growth and development?
A. Immediately order an extensive metabolic panel and genetic
testing.
B. Obtain a detailed feeding, growth, and developmental history
and review growth-chart trajectory.
C. Reassure the parent that fluctuations are normal and
schedule routine follow-up in one year.
D. Start the infant on supplemental formula without further
assessment.
Correct Answer: B
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 4-month-old is brought for a well-visit. The
caregiver asks whether the visit is “primary care” or “primary
prevention.” Which explanation best differentiates primary
prevention from primary care in pediatric practice?
A. Primary prevention focuses on treating illness after it occurs;
primary care focuses on routine vaccinations.
B. Primary prevention aims to stop disease before it occurs;
primary care provides continuous, comprehensive health
services.
C. Primary prevention is exclusively public-health programs;
primary care only manages acute illnesses.
D. Primary prevention involves only screenings; primary care is
limited to sick-visit management.
Correct Answer: B
Rationales:
, • Correct (B): Primary prevention includes actions (eg,
immunizations, safety counseling) that prevent disease
before it occurs; primary care encompasses ongoing,
comprehensive services including prevention, acute care,
and chronic disease management. (2 sentences)
• A: Incorrect — primary prevention is before disease, not
treatment after disease, and vaccinations are a preventive
measure, not only primary care. (1–2 sentences)
• C: Incorrect — primary prevention may involve public
health but is not exclusively public-health programs;
primary care includes prevention and management. (1
sentence)
• D: Incorrect — screening is part of prevention but primary
prevention is broader; primary care is more than sick visits.
(1 sentence)
Teaching Point: Primary prevention prevents disease
occurrence; primary care delivers continuous, comprehensive
child health services.
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 2-year-old with eczema and recurrent otitis is
seen in a clinic staffed by a pediatric NP, a family physician, and
a pediatrician. The family asks who should coordinate their
child’s complex care. Which response reflects best practice for
pediatric primary care providers?
A. The family should always choose a pediatrician; other
providers cannot coordinate complex care.
B. Any primary care provider may act as the medical home; the
clinician who provides continuous, comprehensive care should
coordinate.
C. Coordination must be done by a subspecialist because
primary care clinicians lack resources.
D. Care coordination is unnecessary; families should self-refer to
subspecialists when problems arise.
Correct Answer: B
Rationales:
• Correct (B): The medical home concept emphasizes that
any primary care provider delivering continuous,
comprehensive care can coordinate services, referrals, and
follow-up for complex pediatric needs. (2 sentences)
• A: Incorrect — while pediatricians commonly coordinate
care, NPs and family physicians can also effectively serve as
the medical home. (1 sentence)
• C: Incorrect — subspecialists provide specialty input but
coordination is a primary care responsibility. (1 sentence)
, • D: Incorrect — proactive care coordination improves
outcomes and reduces fragmentation; it is not appropriate
to rely on families to self-refer. (1 sentence)
Teaching Point: The medical home—any consistent primary
care clinician—coordinates and integrates pediatric 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 9-month visit a caregiver reports the
infant resists feeding and has lost weight percentile. Which
initial primary-care action reflects the unique pediatric
emphasis on growth and development?
A. Immediately order an extensive metabolic panel and genetic
testing.
B. Obtain a detailed feeding, growth, and developmental history
and review growth-chart trajectory.
C. Reassure the parent that fluctuations are normal and
schedule routine follow-up in one year.
D. Start the infant on supplemental formula without further
assessment.
Correct Answer: B
