ADHD Flashcards
7 y/o with autism and ADHD treated with wraparound services, ABA therapy, clonidine and a stimulant has persistent worsening aggression. Best initial approach?
Functional behavior analysis
What is the most validated non-pharmacological treatment for ADHD?
Behavioral parent training
Maternal gestational factor supports increased risk for ADH- like behaviors in child?
Cigarette smoking
Polymorphism predicts good response to stimulants in kids with ADHD?
DAT1
Gene correlated with ADHD?
DRD4
Child with ADHD is disruptive in classroom. Behavioral therapy approach is effective for?
Reinforcing on-task behaviors
What was the first therapeutic use for stimulants?
Headaches in children, who were found to have improved behavior
Why should you be cautious in diagnosing a hyperactive child with ADHD without comprehensive evaluation?
It deviates from standard of practice
Child with ADHD and aggression. If ADHD symptoms improve with stimulant, but aggression remains, this indicates which comorbid diagnosis?
Affective symptoms
9 y/o with ADHD, parents ask about prognosis. Answer?
Inattention likely persist into adulthood
What is the most prevalent EEG wave in quantitative EEGs from children with an ADHD diagnosis?
Theta
Which perinatal factor is most highly correlated with ADHD diagnosis in childhood?
Preterm Delivery
Reason methylphenidate is cleared from children’s metabolism more quickly than adults?
Adults have smaller hepatic capacity
PATS study found that younger children are more likely to develop what SE on stimulants?
Crying and irritability
It is helpful to remove foods with artificial coloring in child with ADHD?
Eliminating food coloring produced small decrease in symptoms of ADHD in children with food sensitivities
10 y.o with ADHD and seizures, treatment of choice?
Methylphenidate
First line ADHD med for preschool-aged children?
Methylphenidate
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?
Modify system for rewards to be more frequent
Child with ADHD shows deficit on imaging in which neural circuitry>
The prefrontal cortex to striatum
Best method for diagnosis of ADHD?
Clinical interview of both patient and parents
What does the MTA 6-8 year follow up recommend for treatment of ADHD in youth?
Drug holidays should be used to assess need and benefit of continued treatment
Child diagnosed with ADHD. Parents want medications, but are focused on getting help with defiant behaviors. What should be discussed with family?
Limitations of the medication
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?
Their child has the same risk of serious cardiac events as the general population
