ADHD Flashcards
Jorge del salto is the rich kid smug and pampered by his mother who thinks he is superior to all children. Unfortunately he was born with a genetic defect in which he has decreased GI absorption. Jorge was diagnosed with ADHD at 7 y/o, which of the following medications do you recommend for Jorge del Salto? (Select all that apply)
A. Daytrana
B. Concerta
C. Vyvanse
D. Focalin
A,C, D
NOTE: Children with decreased GI absorption/ intestinal resection may not fully benefit when taking concerta….
Pablo Guerra stole his sister’s ADHD’s medications to trick his classmate Jaime Pallilo it was candy. Jaime later in the day says he found a capsule in his stool and got scared. He runs to the pharmacy scared he has been poisoned. Which medication was Jaime most likely given?
A. Daytrana
B. Vyvanse
C. Concerta
D. Metadate ER
C. Concerta
Pearl: Do not open or chew; Ghost capsule in stool
Which of the following is the brand name for clonidine? (select all that apply)
A. Strattera
B. Catapress
C. Nexiclon XR
D. Kapvay
E. Tenex
B, C, D
True or False
Children can be given medication as a sole approach to management of ADHD
False
she said that during class
Which of the following statements is true? (select all that apply)
A. BID dosing for SR bead preparations may be sprinkled into soft foods
B. Must be swallowed whole
C. Take with a 500 calorie meal to increase absorption
D. High-Fat means may delay onset and increase peak
E. Do not take with antacids/ drugs that decrease gastric acidicty
A, D, E
What is the primary mechanism of amphetamine?
A. centrally acting alpha-2 adrenergic agonist
B. Blocks the re-uptake of NE and DA into the presynaptic neuron
C. Increase the release of DA and NE into the synaptic space
D. Block the degradation of serotonin and NE
C.
What is the brand name of lisdexamphetamine?
A. Procenta
B. Adderall
C. Zenzedi
D. Vyvanse
D.
What is the first line treatment for ADHD for 5 y/o Claudio?
A. Treat with parent and/or teacher
B. Methylphenidate
C. Combination of stimulants and guanfacine
D. Stimulants with clonidine
A.
What is the brand name of dexmethylphenidate?
A. Ritalin
B. Focalin
C. Metadate
D. Concerta
E. Aptensio
B.
What is the generic name of Zenzedi?
A. Lisdexamphetamine
B. amphetamine/ dextroamphetamine
C. dextroamphetamine
D. methylphenidate
C.
Cirilo Rivera is a 6 y/o boy diagnosed with ADHD. His parents complain that he cannot swallow. Which of the following medications would you recommend for Cirilo? (select all that apply)
A. Concerta
B. Daytrana
C. Vyvanse
D. Dexedrine
B, D
Daytrana is a patch
Dexedrine is an SR bead preparation that can be sprinkled into soft foods
Which of the following are ER Capsules? (select all that apply) A. Daytrana
B. Concerta
C. Ritalin LA
D. Aptensio XR
E. Ritalin SR
C, D
Which of the following is pairs is matched incorrectly?
A. Concerta: ER Tablet
B. Methylin: Chew Tab/ Solution
C. Quillivant XR: Chew Tab/ Solution
D. Daytrana: Transdermal Patch
C.
Which of the following patients is more at risk for ADHD?
A. Dell who has born premature
B. Melissa because she was put in many foster homes due to child abuse
C. Aislinn because Esmeralda was diagnosed with ADHD
D. Axel because he was born with very low weight because his mother drank, and smoked weed while he was in utero
D. Axel
Remember the risk factors are
- Very low birth weight ( conveys a 2-3 fold risk for ADHD
- Smoking during pregnancy
- H/O child abuse, neglect, multiple foster placements
- Neurotoxin Exposure ( lead), infections or alcohol exposure in utero
- First-degree biological relatives
What is the brand name of dextroamphetamine? (select all that apply)
A. Adderall XR
B. Dexedrin
C. Procenta
D. Zendedi
E. Vyvanse
B, C,D
Which of the following medications have the black box warning of suicidal ideation in children and adolescents?
A. Straterra and Wellbutrin
B. Straterra and Nexiclon
C. Wellbutrin and Kapvay
D. Kapvay and Tenex
A. atomoxetine and bupropion
What is the brand name of Atomoxetine?
A. Catapress
B. Tenex
C. Intuniv
D. Strattera
E. Nexiclon
D. Straterra
Remember this comes in a capsule
Which of the following are SR bead preparations? (select all that apply)
A. Ritalin SR
B. Metadate ER
C. Methylin ER
D. Ritalin LA
E. Focalin XR
D,E
which of the following non-stimulant pharmacotherapy centrally acts at the alpha-2 adrenergic agonist? (select all that apply)
A. Tenex
B. Wellbutrin
C. Straterra
D. Nexiclon
A, D
b is a DA and NE reuptake inhibitor
c is a NE reuptake inhibitor
Which of the following medications must be swallowed whole? (select all that apply)
A. Methylin ER
B. Metadate CD
C. Metadate ER
D. Ritalin SR
E. Ritalin LA
A, C, D These are also single-pulse SR
Which of the following statements is false regarding Daytrana? (select at that apply)
A. MOA is thought to block re-uptake or NE and DA into the pre-synpatic neuron
B. generic name is methylphenidate
C. generic name is dexmethylphenidate
D. Must be applied 6 hours before desired effect is needed
C,D.
Pearl: Patch must be applied 2 hours before desired effect is needed
Also…effects last 2-3 hours after the patch is removed
Which of the following is the brand name of amphetamine/dextroamphetamine?
A. Dexedrin
B. Vyvanse
C. Adderall
D. Procenta
C. a is dextroamphetamine b is lisdexamphetamine d is dextroamphetamine
Maria Joaquina Villasenor is a 6 y/o diagnosed with ADHD. Which of the following is the correct treatment for Maria Joaquina?
A. Treat first with parent-and/or teacher-admnistered behavioral therapy.
B. Methylphenidate
C. amphetamine/dextroamphetamine
D. A and B
E. B and C
E.
Note:
For 4-5 Year old:
- Treat first with parent-and/or teacher-admnistered behavioral therapy
- Consider methylphenidate if behavioral interventions do not lead to improvement
For 6-11 y/o
- FDA apporved meds
- Stimulants>atomoxetine> ER guanfacine> ER clonidine
- Parent-and/or teacher-admnistered behavioral therapy
Adolescents 12-18 y/o
- FDA approved meds
- Behavioral Therapy
Which of the following are ER Tablets? ( select all that apply) A. Concerta
B. Metadate CD
C. Metadate ER
D. Ritalin SR
E. Ritalin LA
F. Aptensio XR
A,D
