NEURODEVELOPMENTAL DISORDERS - Attention-Deficit Hyperactivity Disorder

Question 1

What is the most validated nonpharmacological treatment for ADHD? (3x)

Answer 1

Behavioral parent training

Question 2

7 yo with autism and ADHD treated with
wraparound services, ABA therapy,
clonidine and a stimulant has persistent
worsening aggression. Best initial
approach? (2x)

Answer 2

Functional behavior analysis

Question 3

Maternal gestational factor supports
increased risk for ADH- like behaviors in
child? (2x)

Answer 3

Cigarette smoking

Question 4

Polymorphism predicts good response to

stimulants in kids with ADHD?

Answer 4

DAT1

Question 5

Gene correlated with ADHD?

Answer 5

DRD4

Question 6

Child w/ ADHD is disruptive in classroom.
Behavioral therapy approach is effective
for?

Answer 6

Reinforcing on-task behaviors

Question 7

What was the first therapeutic use for

stimulants?

Answer 7

Headaches in children, who were found to

have improved behavior

Question 8

Why should you be cautious in diagnosing a
hyperactive child with ADHD without a
comprehensive evaluation?

Answer 8

It deviates from standard of practice

Question 9

Child with ADHD and aggression. If ADHD
symptoms improve with stimulant, but
aggression remains, this indicates which
comorbid diagnosis?

Answer 9

Affective symptoms

Question 10

9 yo w/ ADHD, parents ask about

prognosis. Answer?

Answer 10

Inattention likely persist into adulthood

Question 11

What is the most prevalent EEG wave in
quantitative EEGs from children with an
ADHD diagnosis?

Answer 11

Theta

Question 12

Which perinatal factor is most highly
correlated with ADHD diagnosis in
childhood?

Answer 12

Preterm delivery

Question 13

Reason methylphenidate is cleared from
children’s metabolism more quickly than
adults?

Answer 13

Adults have smaller hepatic capacity

Question 14

PATS study found that younger children are
more likely to develop what SE on
stimulants?

Answer 14

Crying and irritability

Question 15

Is it helpful to remove foods with artificial

coloring in child with ADHD?

Answer 15

Eliminating food coloring produces small
decrease in symptoms of ADHD in children
with food sensitivities

Question 16

10 yo w/ ADHD and seizures, treatment of

choice?

Answer 16

Methylphenidate

Question 17

First line ADHD med for preschool-aged

children

Answer 17

Methylphenidate

Question 18

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?

Answer 18

Modify system for rewards to be more

frequent

Question 19

Child w/ADHD shows deficit on imaging in

which neural circuitry?

Answer 19

The prefrontal cortex to striatum

Question 20

Best method for diagnosis of ADHD?

Answer 20

Clinical interview of both patient and

parents

Question 21

What does the MTA 6-8 year follow up
recommend for treatment of ADHD in
youth?

Answer 21

Drug holidays should be used to assess

need and benefit of continued treatment

Question 22

Child diagnosed with ADHD. Parents want
medications, but are focused on getting
help with defiant behaviors. What should
be discussed with family?

Answer 22

Limitations of the medication

Question 23

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?

Answer 23

Their child has the same risk of serious

cardiac events as the general population