ADHD Flashcards
1. Identify the diagnosis of ADHD in a vignette. 2. State the different classes of medications used in the treatment of ADHD, their mechanism of action and side effects, and be able to choose the correct ADHD pharmacotherapy from a list of medications (generic names only). 3. List important psychiatric and substance abuse and co-morbidities with ADHD. 4. Identify most common involved neuro-transmitters in ADHD. 5. State effects of a diagnosis of ADHD and its treatment on risk for s
ADHD triad of sx
Maladaptive and persuasive: inattentivness, hyperactivity, impulsiveness
age of onset for ADHD DX
age 7
DSM-IV diagnostic criteria for ADHD
persistant maladaptive sx for 6 months
precense of sx before age 7
impairment from sx in 2 or more situations
clinically significant imparirment in social, academic, or occupational settings
sx otherwise not accounted for
methods for DX ADHD
Diagnostic scales
Pt/Parent hx
collareral sources of other info (teachers)
exclude other possible dx
neurotransmitters invlved in ADHD
dopamine and NE
receptor genes involved in ADHD
serotonin, NE, dopamine
NT in anterior attention system
Dopamine
NT in posterior attention system
NE
possible environmental associations for ADHD
prenatal toxicity, low birth weight, neglect, poor early school environment
common comorbidities to ADHD
ODD, conduct disorder, anxiety, Learning disorders, depression
behavior risks of ADHD
drug use, poor driving, teen preggers, poor school/life performance
3 components of ADHD treatment
education, psychosocial interventions, medications
2 main types of ADHD meds
stimulants and a-2 agonists
main possible contraindication for stimulants
symptomatic CV disease
main non-stimulant meds
strattera, clonidine, guanfacine
