Psychiatry Case Files

Question 1

How long do the symptoms of ADHD have to last to be diagnose?

Answer 1

at least 6 months, before age 12

Question 2

What is the first line medication for ADHD?

Answer 2

a stimulant or atomoxetine

Question 3

What drugs are stimulants?

Answer 3

methylphenidate or amphetamine

Question 4

What can stimulants worsen?

Answer 4

tics

Question 5

What is an advantage of using atomoxetine?

Answer 5

can be use in pt’s or families with a hx of substance use disorder

Question 6

What are the second-line medications for ADHD?

Answer 6

clonidine or guanfacine

Question 7

What are the third-line medications for ADHD?

Answer 7

Bupropion and imipramine

Question 8

What is important to check if given imipramine?

Answer 8

blood levels and EKG due to QT prolongation

Question 9

What is the tx for ASD?

Answer 9

multi-systemic approach: family education, behavior shaping, speech therapy, occupational therapy, and educational planning

Question 10

What drug can be use to tx the irritability symptom of ASD?

Answer 10

Aripiprazole

Question 11

What other drug can be use to tx ASD?

Answer 11

risperidone

Question 12

What drugs are FDA approved to tx Tourette disorder?

Answer 12

haloperidol and pimozide

Question 13

What do most clinicians use to tx Tourette disorder?

Answer 13

alpha 2 agonists like Clonidine and Guanfacine and atypical antipsychotics

Question 14

Which antipsychotic has been the most studied to tx Tourettes disorder?

Answer 14

Risperidone