ADHD

Question 1

what is ADHD?

Answer 1

Condition characterized by excessive inattention,

hyperactivity, impulsivity or any combination of them

Question 2

what is the Prevalence of ADHD?

Answer 2

• Children (school age): 3-8%

- Adults: 4%

Question 3

what is the Gold Standard for Diagnosis of ADHD?

Answer 3

Good History and Exam

Screens can be supportive but are not sufficient

Question 4

what are the 3 types of ADHD

Answer 4

Inattentive type

Hyperactive/compulsive type

Combined type

Question 5

What are the 9 Inattentive Symptom (DSM 5 Based)

Answer 5

1. Fails to give close attention to details or
makes careless mistakes.
2. Has difficulty sustaining attention.
3. Does not appear to listen.
4. Struggles to follow through on
instructions.
5. Has difficulty with organization.
6. Avoids or dislikes tasks requiring a lot of
thinking.
7. Loses things.
8. Is easily distracted.
9. Is forgetful in daily activities

Question 6

what are the 8 Hyperactive/Impulsive symptoms seen in ADHD

Answer 6

1. Fidgets with hands or feet or squirms in
   chair.
2. Has difficulty remaining seated.
3. Runs about or climbs excessively in
   children; extreme restlessness in adults.
4. Difficulty engaging in activities quietly.
5. Acts (or feels) as if driven by a motor
6. Talks excessively.
7. Blurts out answers before questions
   have been completed.
8. Difficulty waiting or taking turns.
9. Interrupts or intrudes upon others.

Question 7

what are 3 developmental risks associated with ADHD

Answer 7

1) Antisocial personality disorder (18%)
2) Non-alcohol drug abuse (16%)
3) Tobacco use (60%0

Question 8

what are common comorbidities in ADHD?

Answer 8

Major depression
Enuresis (bed wetting)
Oppositional defiant disorder: (defiant and disobedient behavior to authority figures.)
Conduct disorder (“antisocial behaviors.”)

Question 9

Discuss how Development of Depression and Oppositional defiant disorder may occur in someone with ADHD

Answer 9

ADHD is annoying/irritating to others so person may receive Frequent negative messages, then
Development of negative sense of self can occur ->
Anger and devaluation -> defensive

Question 10

what is the treatment for Oppositional defiant disorder (ODD)

Answer 10

Parent Management Training

Question 11

Why treat ADHD?

Answer 11

Over 90% of individuals will improve with appropriate medication treatment

Question 12

name the Amphetamines used in TX of ADHD

Answer 12

Short acting
Adderall (4-6 h)

Long Acting
Adderall XR (8-12 h)
Vyvanse (10-12 h)

Question 13

Name the Methylphenidates used in Tx of ADHD

Answer 13

Short Acting
     Ritalin (3-4 h)
Long Acting:
     Ritalin LA (8-10 h)
     Concerta (10-12 h)

Question 14

At least _______ % of patients continue to have ADHD symptoms into adulthood.

Answer 14

65%

Question 15

Hyperactivity in Adult ADHD tends to ______ with time

Answer 15

decrease

Question 16

Besides the stimulates what other meds are used in Tx of ADHD

Answer 16

Atomoxetine (Strattera)
Bupropion (Wellbutrin)
Alpha agonists (guanfacine, clonidine) -> Mostly affect hyperactive symptoms

Question 17

Tx of ADHD with stimulates can decrease risk of developing _________ later in life

Answer 17

Substance use disorder

Question 18

Need ______ or more symptoms in either (or

both) symptom categories in order to Dx ADHD
* ____ symptoms for >17 years old

Answer 18

6,

5

Question 19

In Dx of ADHD, several Sx’s appear before age _____

Answer 19

12

Question 20

In Dx of ADHD Several symptoms are present in two or more _________

Answer 20

settings, (e.g., at home, school or

work; with friends or relatives, etc).