ADHD

Question 1

Diagnostic features

Answer 1

Inattention

Hyperactivity

Impulsivity

Question 2

Inattention

Answer 2

Does not follow through on instructions

Reluctant to engage in mentally-intense tasks

Easily distracted

Finds it difficult to sustain tasks

Finds it difficult to organise tasks/ activities

Often forgetful in daily activities

Often loses things necessary for tasks/ activities

Often does not seem to listen when spoken to directly

Question 3

Hyperactivity/ impulsivity

Answer 3

Unable to play quietly

Talks excessively

Does not wait their turn easily

Will spontaneously leave their seat when expected to sit down

Is often ‘on the go’

Often interruptive or intrusive to others

Answers prematurely before a question has been finished

Run and climb in situations where it is not appropriate

Question 4

Management

Answer 4

10 week watch and wait

Referral to secondary care

Question 5

Drug therapy

Answer 5

Methylphenidate first line in children

If inadequate response switch to lisdexamfetamine

Both are first line in adults

Question 6

Methylphenidate

Answer 6

CNS stimulant primarily acts as a dopamine/ noradrenaline reuptake inhibitor

Side effects
- abdo pain
- nausea and dyspepsia

Question 7

Before starting drugs

Answer 7

All potentially cardiotoxic

Baseline ECG before starting