ADHD

Question 1

7 y/o with autism and ADHD treated with wraparound services, ABA therapy, clonidine and a stimulant has persistent worsening aggression. Best initial approach?

Answer 1

Functional behavior analysis

Question 1

What is the most validated non-pharmacological treatment for ADHD?

Answer 1

Behavioral parent training

Question 2

Maternal gestational factor supports increased risk for ADH- like behaviors in child?

Answer 2

Cigarette smoking

Question 3

Polymorphism predicts good response to stimulants in kids with ADHD?

Answer 3

DAT1

Question 4

Gene correlated with ADHD?

Answer 4

DRD4

Question 5

Child with ADHD is disruptive in classroom. Behavioral therapy approach is effective for?

Answer 5

Reinforcing on-task behaviors

Question 6

What was the first therapeutic use for stimulants?

Answer 6

Headaches in children, who were found to have improved behavior

Question 7

Why should you be cautious in diagnosing a hyperactive child with ADHD without comprehensive evaluation?

Answer 7

It deviates from standard of practice

Question 8

Child with ADHD and aggression. If ADHD symptoms improve with stimulant, but aggression remains, this indicates which comorbid diagnosis?

Answer 8

Affective symptoms

Question 9

9 y/o with ADHD, parents ask about prognosis. Answer?

Answer 9

Inattention likely persist into adulthood

Question 10

What is the most prevalent EEG wave in quantitative EEGs from children with an ADHD diagnosis?

Answer 10

Theta

Question 11

Which perinatal factor is most highly correlated with ADHD diagnosis in childhood?

Answer 11

Preterm Delivery

Question 12

Reason methylphenidate is cleared from children’s metabolism more quickly than adults?

Answer 12

Adults have smaller hepatic capacity

Question 13

PATS study found that younger children are more likely to develop what SE on stimulants?

Answer 13

Crying and irritability

Question 14

It is helpful to remove foods with artificial coloring in child with ADHD?

Answer 14

Eliminating food coloring produced small decrease in symptoms of ADHD in children with food sensitivities

Question 15

10 y.o with ADHD and seizures, treatment of choice?

Answer 15

Methylphenidate

Question 16

First line ADHD med for preschool-aged children?

Answer 16

Methylphenidate

Question 17

7 y/o with ADHD has minimal improvement after 6 weeks of implementation of a token economy targeting readiness for school and chore completion. What is the best course of action?

Answer 17

Modify system for rewards to be more frequent

Question 18

Child with ADHD shows deficit on imaging in which neural circuitry>

Answer 18

The prefrontal cortex to striatum

Question 19

Best method for diagnosis of ADHD?

Answer 19

Clinical interview of both patient and parents

Question 20

What does the MTA 6-8 year follow up recommend for treatment of ADHD in youth?

Answer 20

Drug holidays should be used to assess need and benefit of continued treatment

Question 21

Child diagnosed with ADHD. Parents want medications, but are focused on getting help with defiant behaviors. What should be discussed with family?

Answer 21

Limitations of the medication

Question 22

A child newly diagnosed with ADHD is prescribed a stimulant. The parents are worried about cardiac side-effects, but have no personal or family history of heart problems. What should the parents be told about the cardiovascular risks?

Answer 22

Their child has the same risk of serious cardiac events as the general population