NEURODEVELOPMENTAL DISORDERS - Attention-Deficit Hyperactivity Disorder Flashcards
What is the most validated nonpharmacological treatment for ADHD? (3x)
Behavioral parent training
7 yo with autism and ADHD treated with wraparound services, ABA therapy, clonidine and a stimulant has persistent worsening aggression. Best initial approach? (2x)
Functional behavior analysis
Maternal gestational factor supports
increased risk for ADH- like behaviors in
child? (2x)
Cigarette smoking
Polymorphism predicts good response to
stimulants in kids with ADHD?
DAT1
Gene correlated with ADHD?
DRD4
Child w/ ADHD is disruptive in classroom.
Behavioral therapy approach is effective
for?
Reinforcing on-task behaviors
What was the first therapeutic use for
stimulants?
Headaches in children, who were found to
have improved behavior
Why should you be cautious in diagnosing a
hyperactive child with ADHD without a
comprehensive evaluation?
It deviates from standard of practice
Child with ADHD and aggression. If ADHD
symptoms improve with stimulant, but
aggression remains, this indicates which
comorbid diagnosis?
Affective symptoms
9 yo w/ ADHD, parents ask about
prognosis. Answer?
Inattention likely persist into adulthood
What is the most prevalent EEG wave in
quantitative EEGs from children with an
ADHD diagnosis?
Theta
Which perinatal factor is most highly
correlated with ADHD diagnosis in
childhood?
Preterm delivery
Reason methylphenidate is cleared from
children’s metabolism more quickly than
adults?
Adults have smaller hepatic capacity
PATS study found that younger children are
more likely to develop what SE on
stimulants?
Crying and irritability
Is it helpful to remove foods with artificial
coloring in child with ADHD?
Eliminating food coloring produces small
decrease in symptoms of ADHD in children
with food sensitivities
10 yo w/ ADHD and seizures, treatment of
choice?
Methylphenidate
First line ADHD med for preschool-aged
children
Methylphenidate
7 year old with ADHD has minimal improvement after 6 weeks of implementation of a token economy targeting readiness for school and chore completion. What is the best course of action?
Modify system for rewards to be more
frequent
Child w/ADHD shows deficit on imaging in
which neural circuitry?
The prefrontal cortex to striatum
Best method for diagnosis of ADHD?
Clinical interview of both patient and
parents
What does the MTA 6-8 year follow up
recommend for treatment of ADHD in
youth?
Drug holidays should be used to assess
need and benefit of continued treatment
Child diagnosed with ADHD. Parents want
medications, but are focused on getting
help with defiant behaviors. What should
be discussed with family?
Limitations of the medication
A child newly diagnosed with ADHD is
prescribed a stimulant. The parents are
worried about cardiac side-effects, but have
no personal or family history of heart
problems. What should the parents be told
about the cardiovascular risks?
Their child has the same risk of serious
cardiac events as the general population