ADHD

Question 1

Criteria A.1 of ADHD? (9)

Answer 1

Inattention: 6 or more for at least 6 months younger than 17, 5 symptoms for older

ALOOF LADS

1. attention to details lacking or make careless mistakes in schoolwork, at work etc
2. listen doesn’t seem to when spoken to directly
3. Ongoing Forgetful in daily activities - chores, keeping appointments etc
4. organizing tasks and activities difficult - messy , poor time management..
5. Fail to follow through on instructions and fails to finish schoolwork, chores, duties in workplace
6. Loses things necessary for tasks or activities
7. Avoids, dislikes or reluctant to engage in tasks that requiresustained mental effort
8. distracted easily by extraneous stimuli
9. Sustained attention in tasks or play difficult

Question 2

Criteria A. 2 of ADHD? (9)

Answer 2

Hyperactivity and impulsivity: six or more if younger than 17, older 5.

SWIFT BROS

1. seat is left in situations where remaining seated is expected
2. waiting his turn difficult
3. Interrupts or intrudes on others
4. Fidgets with or taps hands or feet or squirms in seat
5. Talks excessively
6. Blurts out answer before question has been completed
7. Runs about or climbs in situations where inappropriate. Older may be limited to feeling restless
8. Often “on the go” acting as if “driven by motor”
9. Silence difficult: Unable to play or engage in leisure activities quietly

Question 3

Criteria B of ADHD? (onset)

Answer 3

Several inattentive or hyperactive-impulsive symptoms were present prior to age 12

Question 4

3 most common comorbidites in adhd?

Answer 4

1. Disruptive mood dysregulation disorder (dmdd) 100%
2. Oppositional defiant disorder (odd) 50%
3. Conduct disorder (cd) 25%
   Also learning disorder, ocd and tic disorders, asd

Question 5

Name 3 soft neurologic signs in adhd

Answer 5

• Difficulties performing repetitive tasks eg serial thumb to finger opposition
• diff performing sequential timed tasks eg hand flipping
• Diff maintain gait and balance

Question 6

Name the 3 primary treatments for adhd

Answer 6

• Parent management training
• educational intervention
• Stimulant or non-stimulant medications

Question 7

Biological treatment of adhd? (4)

Answer 7

• Stimulants
1. Methylphenidate: Ritalin (8h duration of action) , concerta (10-12 h)
2. Lisdexamphetamine dimesylate (LDX) (10-12 h ) - vyvanse!
3. Modafinil/ provigil (15h) - not fda approved but used for day time alertness
• nonstimulants
1. Atomoxetine-. Strattera (24h) (nri)

Question 8

Name 7 specifiers ADHD

Answer 8

• Combined presentation: both criteria A1 (inattention) and A2 (hyperactivity- impulsivity) for past 6 months
• predominantly inattentive presentation: A1 but not A2 met for last 6 months
• predominantly hyperactive/impulsive presentation
• in partial remission
• mild
• moderate
• severe

Question 9

Name 2 non-stimulant treatment options for ADHD

Answer 9

• Atomoxetine (strattera)
• modafinil (provigil)

( - venlafaxine [ snri ]
- wellbutrin [bupropion] )