Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The parent
asks about fluoride varnish and anticipates the first dental
visit. Which action best demonstrates primary prevention in
this visit?
Options
A. Performing a caries risk assessment and scheduling a dental
referral for age 1.
B. Applying fluoride varnish and counseling on limiting
nighttime bottle feeding.
C. Treating an early enamel lesion found on visual exam.
D. Referring to a pediatric dentist after the first tooth erupts.
,Correct Answer
B
Rationales
• Correct (B): Applying fluoride varnish and counseling to
reduce nighttime bottle use are primary-prevention
actions that reduce disease incidence before pathology
occurs.
• Incorrect (A): Caries risk assessment and referral are
important but referral alone is secondary/tertiary if
disease already present or imminent; scheduling age-1
dental care is anticipatory but not the immediate
preventive procedure.
• Incorrect (C): Treating an enamel lesion is
secondary/tertiary care (addressing early disease), not
primary prevention.
• Incorrect (D): Referral after tooth eruption is anticipatory
guidance timing, but without immediate preventive
intervention it’s less effective than applying varnish and
counseling now.
Teaching Point
Primary prevention reduces disease risk before pathology
develops.
Citation
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A family seeks a primary care clinician who will coordinate
care, provide acute visits, immunizations, and developmental
surveillance. Which primary-care provider role best fits this
description?
Options
A. Specialist pediatrician focused on inpatient care.
B. Community health worker providing home visits only.
C. Pediatric primary care provider (PCP) who offers
longitudinal care.
D. School nurse offering episodic in-school care.
Correct Answer
C
Rationales
• Correct (C): A pediatric PCP provides longitudinal,
comprehensive care—immunizations, acute and well
visits, developmental surveillance, and care coordination.
• Incorrect (A): An inpatient specialist focuses on hospital-
based care and does not typically provide ongoing
community-based preventive services.
, • Incorrect (B): Community health workers support
outreach and home visits but usually do not provide full
medical management or immunizations.
• Incorrect (D): School nurses provide episodic, situational
care and health promotion in school settings, not
continuous primary medical care.
Teaching Point
Primary care providers deliver continuous, comprehensive
child-centered healthcare.
Citation
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Unique Issues in Pediatrics
Question Stem
A 4-year-old with poorly controlled asthma misses several
appointments due to caregiver transportation barriers. The
PCP wants to reduce missed care and improve outcomes.
Which is the best first step the clinic should take?
Options
A. Discharge the family and recommend urgent care for future
issues.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
A 9-month-old infant presents for a well-child visit. The parent
asks about fluoride varnish and anticipates the first dental
visit. Which action best demonstrates primary prevention in
this visit?
Options
A. Performing a caries risk assessment and scheduling a dental
referral for age 1.
B. Applying fluoride varnish and counseling on limiting
nighttime bottle feeding.
C. Treating an early enamel lesion found on visual exam.
D. Referring to a pediatric dentist after the first tooth erupts.
,Correct Answer
B
Rationales
• Correct (B): Applying fluoride varnish and counseling to
reduce nighttime bottle use are primary-prevention
actions that reduce disease incidence before pathology
occurs.
• Incorrect (A): Caries risk assessment and referral are
important but referral alone is secondary/tertiary if
disease already present or imminent; scheduling age-1
dental care is anticipatory but not the immediate
preventive procedure.
• Incorrect (C): Treating an enamel lesion is
secondary/tertiary care (addressing early disease), not
primary prevention.
• Incorrect (D): Referral after tooth eruption is anticipatory
guidance timing, but without immediate preventive
intervention it’s less effective than applying varnish and
counseling now.
Teaching Point
Primary prevention reduces disease risk before pathology
develops.
Citation
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A family seeks a primary care clinician who will coordinate
care, provide acute visits, immunizations, and developmental
surveillance. Which primary-care provider role best fits this
description?
Options
A. Specialist pediatrician focused on inpatient care.
B. Community health worker providing home visits only.
C. Pediatric primary care provider (PCP) who offers
longitudinal care.
D. School nurse offering episodic in-school care.
Correct Answer
C
Rationales
• Correct (C): A pediatric PCP provides longitudinal,
comprehensive care—immunizations, acute and well
visits, developmental surveillance, and care coordination.
• Incorrect (A): An inpatient specialist focuses on hospital-
based care and does not typically provide ongoing
community-based preventive services.
, • Incorrect (B): Community health workers support
outreach and home visits but usually do not provide full
medical management or immunizations.
• Incorrect (D): School nurses provide episodic, situational
care and health promotion in school settings, not
continuous primary medical care.
Teaching Point
Primary care providers deliver continuous, comprehensive
child-centered healthcare.
Citation
Burns, C. E. (2024). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Unique Issues in Pediatrics
Question Stem
A 4-year-old with poorly controlled asthma misses several
appointments due to caregiver transportation barriers. The
PCP wants to reduce missed care and improve outcomes.
Which is the best first step the clinic should take?
Options
A. Discharge the family and recommend urgent care for future
issues.
