ADHD Flashcards

1
Q

symptoms must be present before age 12 T/F

A

true

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2
Q

what is the most common neurodevelopmental disorder

A

adhd

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3
Q

is ADHD heritable

A

yes

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4
Q

what is the overlap between ADHD and autism

A

the chromosomal loci

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5
Q

fetal exposure to what can increase the risk factors of adhd

A

maternal stress, alcohol, nicotine, other drugs, low birth weight, preterm birth, obstetric risks

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6
Q

what is the pathophysiology of adhd

A

dysregulation of the frontal/subcortical/cerebellar catecholaminergic circuitry and abnormalities in the dopamine transporter system

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7
Q

what agonists positively respond in adhd treatment

A

dopamine and norepinephrine

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8
Q

what is the name of an agonist used to treat adhd

A

methylphenidate

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9
Q

increased dopamine binding in the striatum is seen in ADHD T/F

A

true

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10
Q

neuroimaging shows what change to the brain versus normal brains

A

reduced who brain volumes

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11
Q

dysfunctions in which neural networks are implicated in adhd

A

multiple neural networks including the front-parietal executive control

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12
Q

what are the compensatory mechanisms seen in adhd

A

a more diffuse network of neural systems in order to preserve performance

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13
Q

what symptoms are targeted in adhd pharmacology

A

improved: attention, reaction time, short term memory, acquisition and retention of material, socialization. Reduced: motor activity, distractibility and impulsivity, vocalization, noise, and disruption

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14
Q

name three stimulants used to treat adhd

A

amphetamines, adderall, methylphenidate

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15
Q

what are two forms of dexedrine

A

focalin and vyvanse

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16
Q

what do ampethamines promote in the brain to treat adhd

A

release of newly synthesized dopamine and norepinephrine

17
Q

how to amphetamines interfere with neurotransmitters

A

interferes with reuptake of dopamine, norepinephrine, and epinephrine

18
Q

what areas of the brain are stimulated by adhd medications

A

cerebral cortex, brain stem, reticular activating system, and the reward center of the brain

19
Q

what is the biggest problem with amphetamines

A

people become tolerant and abuse them due to the rebound phenomenon (hit bottom quickly)

20
Q

do amphetamines easily cross the blood brain barrier

A

yes, they are low protein binding and highly lipophilic

21
Q

what are the biggest concern for children taking amphetamines

A

growth inhibition, insomnia, tics or involuntary movements

22
Q

how does methylpenidate act on dopamine

A

releases stored dopamine and blocks its reuptake

23
Q

what is the most commonly prescribed drug for adhd treatment

A

methylphenidate

24
Q

how does methylphenidate differ from amphetamines

A

they are structurally related, but it has a milder cortical effect and has more of an effect on mental activity vs motor activity

25
Q

does ritalin or concerta stay in the body longer

A

concerta

26
Q

name two non-stimulants used to treat adhd

A

intuniv and kapvay