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MRCPSYCH_Paper B_MENTOR & More_Dr. ART > ADHD > Flashcards

ADHD Flashcards

1
Q

mnemonic for adult inattentive predominant adhd symptoms on DSM 5?

A

SQUIRREL

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2
Q

mnemonic for adult hyperactive predominant adhd symptoms on DSM 5?

A

HAPPIER

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2
Q

inattentive predominant adhd symptoms on DSM 5

A

SQUIRREL

S- Struggle to maintain attention
Q- Quits jobs undone
U- Unorganized
I- Inattention to details
R- Rarely listens
R- Reluctant to engage
E- Easily distracted
L- Loss of things, info etc.

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3
Q

hyperactive predominant adhd symptoms on dsm 5?

A

HAPPIER

H- Hyperactivity
A- Always on the go
P-Poor waiting skills
P- Rrying (interrupting others)
I- Impulsive
E-Excessive talking
R-Runs impulsively

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4
Q

How many symptoms have to be present for both inattention and hyperactivity in adults vs in children (DSM-5)?

A

for adults >17 at least 5
for children <17 at least 6

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5
Q

How many symptoms have to be present for both inattention and hyperactivity in adults vs in children (ICD 11)?

A

several

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6
Q

duration of sympotms of ADHD according to both ICD11 and DSM 5?

A

at least 6 months

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7
Q

at what age some symptoms of ADHD has to be present according to DSM 5 and ICD 11?

A

before 12

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8
Q

Can the involvement of stimulating and rewarding activities be suspect for ADHD?

A

no.

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9
Q

what do icd 11 and dsm 5 say about setting where ADHD is observed?

A

symptoms have to be observed in 2 or more settings (school and home)

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10
Q

very first managment option for adult ADHD?

A

environmental modifications

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11
Q

if environmental modifications failed to work, what is next in adult adhd?

A

offer medications

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12
Q

what is NICE stance on diet and ADHD?

A

recommends against all diet-related treatments such as restrictions, fatty acid supplementations…

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13
Q

when should you refer an adult with adhd to cardiologist before prescription?

A

Suggestion of cardiac pathology ( hx, breathlessness, fainting, palpitations or murmur)

History of sudden death in 1st degree relative under 40

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14
Q

medical options in adult adhd

A

1- methylphenidate or lisdexamfetamine (alternatively)

2- Atomoxetine (if 1st failed or not tolerated)

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15
Q

when should ADHD patients be sent to a tertiary?

A

if age 5 or above
a young person who doesnot respond to one or more stimulant and one non-stimulant

16
Q

what if lisdexamfetamin worked but induced intolance?

A

try dexamfetamine

17
Q

which medication should only be offered to adhd by tertiary services?

A

when considering Guanfacine for adults
when adding Atypical antipsychotics to stimulant in ahdh with pervasive aggression, rage and irritability

18
Q

what if an ADHD case developed mania?

A

stop ADHD Rx until episode resolves

19
Q

what would you do if ADHD develops tics

A

continue if Rx outweighs the risks
or
Reduce
or
Stop
Or swap to guanfacine (children age >5 and young adults only), atomoxetine and clonidine

20
Q

alternative Rx to problematic stimulant-induced tics in ADHD

A

guanfacine (children age >5 and young adults only), atomoxetine and clonidine

21
Q

tell me about monitorings in ADHD management?

A

1- weight every 6 months
2- blood pressure and pulse after every dose change or initiation, and every 6months after dose stablized

22
Q

how often blood pressue and pulse is changed in ADHD patient on medications?

A

blood pressure and pulse after every dose change or initiation and every 6 months after the dose stabilised

23
Q

Prevalence of ADHD in world under 18?

A

5%

24
Q

Prevalence of ADHD in those over 18?

A

3.5

25
Q

adhd dults in the uk?

A

3-4%

26
Q

Ratio of male to female adhd in children

A

2-5:1

27
Q

ratio of male to female adhd in adults

A

1.6: 1

28
Q

percentage of children who would struggle with at least residual of ADHD in adulthood?

A

90%

29
Q

percentage of children who would struggle full blown ADHD in adulthood?

A

40-50%

30
Q

Risk factors fo ADHD (NICE)?

A

Family hx
Maternal smoking during pregnancy
Maternal alcohol consumption during pregnancy
Maternal heroin use during pregnancy
Low birth weight
Foetal hypoxia
severe early psychosocial adversity

31
Q
A

MRCPSYCH_Paper B_MENTOR & More_Dr. ART (69 decks)

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