ADHD Quiz

Question 1

Pharmacologic treatment of ADHD in children has been reported to:

A) Increase the risk of accidents in adolescence
B) Reduce the risk of substance abuse in adolescence
C) Increase the risk of cancer in adulthood
D) Reduce the risk of cardiovascular events

Answer 1

B – use of ADHD meds in adults has been associated with a reduced risk of serious traffic accidents and criminal behavior

Question 2

The transdermal methylphenidate patch:

A) Should be applied 2 hours before an effect is needed
B) Was approved based on data in children and adolescents
C) Can be removed before 9 hours if a shorter duration of effect is desired
D) All are correct

Answer 2

D – effects can persist for up to 3 hours after removal

Question 3

Which of the following is a common short-term adverse effect of stimulants?

A) Loss of appetite
B) Bradycardia
C) Somnolence

Answer 3

A – other common short term adverse effects of stimulants include appetite loss, abdominal pain, headache, and sleep disturbances. Some children, especially teens, say that stimulants make them feel less spontaneous and less comfortable in social interactions

Question 4

An appropriate first line treatment for a 4 y/o in pre-k with recently diagnosed ADHD would be:

A) Behavioral classroom intervention
B) Methylphenidate
C) Amphetamine
D) Atomoxetine

Answer 4

A

Question 5

A 6 y/o girl with predominantly attention deficit symptoms and not hyperactivity behaviors requires an alternate treatment to address school and family problems d/t her ADD. She has failed adequate trials of amphetamines and methylphenidate formulations. Which of the following is an appropriate treatment option at this time?

A) Armodafinil
B) Atomoxetine
C) Lisdexamfetamine
D) Dexmethylphenidate

Answer 5

B – appropriate 2nd line agents after patients fail stimulants

Question 6

A common adverse effect of amphetamines:

A) Bradycardia
B) Somnolence
C) Constipation
D) Hypertension

Answer 6

D – HTN is a possible adverse effect that warrants caution, especially in individuals with risk factors for increased BP. Amphetamines cause tachycardia (not brady), insomnia (not somnolence), and diarrhea (not constipation)