ADHD Flashcards
The multimodal treatment study of children with ADHD (1999) is the largest, best controlled study to date assessing the efficacy of medication and behavioral therapy for children. Which of the following statements best characterizes the findings with regard to ADHD symptoms?
A) Behavioral intervention alone was slightly superior to medication intervention alone, particularly in younger children
B) There was a large effect seen for medication treatment, for which the addition of behavioral therapy produced no added benefit
C) Medication and behavioral therapy combined performed significantly better than medication alone or behavioral therapy alone
D) There were no significant differences between medication alone behavioral therapy alone, and combination of medication and behavioral therapy
B) There was a large effect seen for medication treatment, for which the addition of behavioral therapy produced no added benefit
The base rate of ADHD among children in the United States is approximately ____ within community-based samples.
A) 9%
B) 25%
C) 5%
D) 2-3%
A) 9%
What is the rate of comorbidity between ADHD and developmental dyslexia?
A) 10-25%
B) 25-40%
C) 35-50%
D)60-75%
B) 25-40%
When comparing children with ADHD to their typically developing peers, which of the following structural brain imaging findings has been reported?
A) Abnormalities in the supplementary sensory motor area
B) Abnormal cortical maturation within the frontal and temporal lobes
C) Abnormal symmetry of the planum temporale
D) Abnormalities in the thalamic nuclei
B) Abnormal cortical maturation within the frontal and temporal lobes
Which of the following conditions is NOT an environmental cause of ADHD?
A) Exposure to antiepileptic drugs in utero
B) Moderate to severe TBI
C) Lead Poisoning in early childhood
D) Exposure to tobacco smoke in utero
A) Exposure to antiepileptic drugs in utero
When evaluating for ADHD among adults, it is important to rule out competing psychiatric diagnoses that may have a similar presentation. Which of the following disorder would be least likely to be among the list of potential differential diagnoses?
A) Anxiety Disorder
B) Alcohol Abuse
C) Bipolar Disorder
D) Schizophrenia
D) Schizophrenia
Which of the following is a typical side effect of psychostimulant medication?
A) Depression
B) Insomnia
C) Hallucinations
D) Lowered Blood Pressure
B) Insomnia
Which of the following statements is true regarding adults with ADHD and psychological functioning?
A) Adults with ADHD are at lower risk for driving difficulties, traffic citations, crashes, or license suspensions
B) Academic outcome in those diagnosed with ADHD in adulthood is better than the academic outcome of adults who were diagnosed with ADHD as children
C) The risk for psychiatric disorders in adults with ADHD is not greater than that of the general population
D) Adults with ADHD (without comorbid learning disabilities) do not significantly benefit from extended time on standardized exams
D) Adults with ADHD (without comorbid learning disabilities) do not significantly benefit from extended time on standardized exams
Abnormalities in which brain structure have been most consistently associated with ADHD?
A) cerebellar vermis
B) substantia nigra
C) basal ganglia
D) frontal lobe
C) basal ganglia
Family and twin studies of ADHD have been used to assess the degree to which variability in the disorder and its underlying latent traits are under genetic control. Which of the following research findings is true?
A) The heritability of ADHD symptoms is approximately 25%
B) Shared environmental influence accounts for 25% of the variance
C) ADHD-I is more heritable than ADHD-H
D) A sibling of a child with ADHD has a 75% chance of having ADHD
C) ADHD-I is more heritable than ADHD-H
Which of the following would be the most appropriate reason to conduct a neuropsychological evaluation for a child suspected of having ADHD?
A) To administer a CPT that can detect the presence of ADHD
B) To determine which stimulant medication would be most appropriate for treating ADHD symptoms
C) To determine if the child has a comorbid learning disability or emotional disorder
D) To assess if the child has thyroid dysfunction or epilepsy
C) To determine if the child has a comorbid learning disability or emotional disorder
You are performing a neuropsychological evaluation on a 12 year old boy. Results from your evaluation reveal significant attention difficulties in most home and school settings, increased variability in response latencies on a visual CPT, slowed rapid automatized naming, poor phonological awareness, and decreased processing speed, all in the context of average intelligence. Based on this information, which diagnostic formulation would be most probable?
A) ADHD and dyslexia
B) ADHD without a comorbid condition
C) Dyslexia without a comorbid condition
D) Mixed receptive-expressive language disorder
A) ADHD and dyslexia