Lecture 7: ADHD Flashcards

1
Q

Females with ADHD present more commonly with which subtype; why is this a problem?

A
  • Inattentive subtype
  • Less disruptive behavior in females may contribute to referral bias causing under identification and lack of tx
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2
Q

What is the tourette’s syndrome triad?

A
  • Tics
  • ADHD
  • Obsesseive compuslive sx’s (OCS)
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3
Q

Which other disorder needs to be considered in both the initial assessment and ongoing management of children with ADHD?

A

Chronic Tic Disorder

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4
Q

ADHD is an information processing dysfunction where in the brain; primarily due to deficinecy of which 2 NT’s?

A
  • Within prefrontal cortex (executive functioning)
  • Deficiency of dopamine and norepinephrine
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5
Q

According to the DSM-5 how many sx’s should a child vs. patient >17 y/o have for making dx of ADHD?

A
  • Children: should have 6 or more
  • Adults: should have at least 5 sx’s
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6
Q

According to the DSM-5 what are 9 sx’s of the inattentive type of ADHD?

A
  • Fails to give close attention to details or make careless mistakes
  • Difficulty sustaining attention
  • Does not appear to listen
  • Struggles to follow through on instructions
  • Difficult with organization + loses things + easily distracted
  • Avoids or dislikes tasks requiring a lot of thinking
  • Is forgetful in daily activities
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7
Q

According to the DSM-5 what are the sx’s that fit the hyperactive type of of ADHD?

A
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8
Q

What are the clinical practice guidelines for treating preschool-aged children (4-5 years of age) with ADHD?

A
  • Prescribe evidence-based parent- and/or teacher-administered behavior therapy as the 1st line tx
  • Prescribe methylphenidate if the behavior therapy does not provide significant improvement and the child continues to have moderate to severe sx’s
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9
Q

What are the clinical practice guidelines for treating elementary school-aged children (6-11 years of age) with ADHD?

A
  • Prescribe FDA approved meds for ADHD and/or evidence-based parent and/or teacher-administered behavior therapy as tx for ADHD
  • Preferably both medication and behavior therapy should be used together
  • Evidnce is particularly strong for stimulant medications
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10
Q

What is a potential AE associated with Bupropion?

A

↑ risk of seizure

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11
Q

Which stimulant used for ADHD is a re-uptake inhibitor of catecholamines AND also releases catecholamines?

A

Amphetamines

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12
Q

Dysfunctional brain region in ADHD

A

Dorsal anterior midcingulate cortex

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13
Q

What is an accurate, objective test for the diagnosis of ADHD?

A

TOVA - test of variables of attention

*good for adults and children*

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14
Q

What are the clinical practice guidelines for treating adolescents (12-18 years of age) with ADHD

A
  • prescribe FDA approved medications for ADHD with assent
  • maybe behavior therapy
  • Preferably, medication and behavior therapy together
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15
Q

What are the three domains of adaptive functioning necessary to diagnose intellectual developmental disorder?

A

1) conceptual

2) social

3) practical

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16
Q

What 2 medications are FDA approved for the irritability and agitation associated with autism?

A

1) risperidone
2) aripiprazole