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Behavioral Med III > ADHD > Flashcards

ADHD Flashcards

1
Q

What are some examples of inattentive sx in pts with ADHD?

A

Poor attention to detail/careless mistakes
Easily distracted
Difficulty sustaining attention, Easily distracted
Avoids tasks requiring mental effort
Often forgetful in daily life
Often does not follow through on instructions, fails to finish tasks
Trouble with organizational skills
Often loses things necessary for tasks
Does not listen when spoken to directly

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2
Q

What are some examples of hyperactivity and impulsivity sx that a pt with ADHD may present with?

A

Constantly on-the-go or driven by a motor
Fidgety, squirmy, leaves seat
runs or climbs excessively
Unable to engage in leisure activities quietly
Talks excessively, Interrupts and Blurts out inappropriately
Difficulty waiting his or her turn

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3
Q

What are the 3 subtypes of ADHD?

A 
Predominantly inattentive type (ADHD-I)
Predominantly hyperactive-impulsive type (ADHD-HI)
Combined type (ADHD-C)
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4
Q

How many inattentive and how many hyperactivity/impulsivity sx does a pt with Predominantly inattentive type (ADHD-I) have?

A

6 inattentive sx and <6 HI sx

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5
Q

How many inattentive and how many hyperactivity/impulsivity sx does a pt with Predominantly hyperactive-impulsive type (ADHD-HI) have?

A

6 HI sx and <6 Inattentive sx

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6
Q

How many inattentive and how many hyperactivity/impulsivity sx does a pt with Combined type (ADHD-C) have?

A

6+ HI AND 6+ Inattentive

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7
Q

Dx with ADHD occurs by what age?

A

onset prior to 12 y/o

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8
Q

T/F: ADHD sx must be present in only a certain setting for dx

A

F; sx must be present in more than 1 setting

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9
Q

ADHD is more common in males or females? At what ratio?

A

Males 2:1

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10
Q

What are some examples of environmental factors that can influence ADHD?

A

VLBW, Pb exposure, teratogenic substances in utero

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11
Q

What are some examples of genetic/physiological factors that can influence ADHD?

A

very heritable, common in TBI, epilepsy, sleep d/o

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12
Q

T/F: Mild delays in language, motor, and social development are common in ADHD

A

T

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13
Q

Pts with ADHD are at an increased risk of ____ and _____ by early adulthood

A

TBI, suicide attempt

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14
Q

In what age group are we more likely to see hyperactivity in?

A

Preschool age

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15
Q

What is psychological testing useful for in pts with ADHD?

A

Useful for ranking children on a specific dimension relative to age-mates

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16
Q

What are some potential problems with testing for ADHD?

A

Children are individuals
Development varies across different dimensions
Tests not designed for children off the standard developmental trajectory
Tests are important, but not enough and can be misused

17
Q

What are psychostimulant medication options for patients with ADHD?

A

Methylphenidate, Adderall XR, Concerta, Vyvanse, Focalin

18
Q

What are some non stimulant medication options for tx of ADHD?

A

Intuniv (guanfacine), Strattera (atomoxetine)

19
Q

What are some emerging tx options for ADHD?

A 
Neurofeedback
Working memory training
Dietary adjustments (gluten-/casein-free)
Sensory integration/OT
Complementary and Alternative Medicines
DHA/fish oils for improving cognition
20
Q

What non-pharmacological tx option ADHD is now recommended by the CDC as preferred tx children <6 y/o?

A

Behavior modification

21
Q

What non-pharmacological tx option ADHD is appropriate for children, adolescents, and adults?

A

Psychoeducation

22
Q

What non-pharmacological tx option ADHD is appropriate for adults with ADHD?

A

Cognitive behavioral therapy (CBT)

23
Q

What non-pharmacological tx option ADHD is appropriate for adults and some adolescents?

A

Coaching or tutoring

24
Q

What non-pharmacological tx option ADHD is helpful for ASD especially but also ADHD and ODD?

A

Social skills training

25
Q

What is Speech-language therapy?

A

Pragmatic language instruction for social situations

26
Q

Outside of the home, where else do pts with ADHD need support?

A

School!

*Accommodate and remediate!

Behavioral Med III (11 decks)

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