ADHD

Question 1

diagnosis criteria

Answer 1

persistent features

≤16hrs = 6 features
≥17yrs = 4 features

Question 2

diagnostic features: inattention

Answer 2

doesnt follow instructions
reluctance to engage mentally intense tasks 
easily distracted
difficulty sustaining tasks
difficulty organising tasks
forgetful
looses things
doesn't listen

Question 3

diagnostic features: hyperactivity

Answer 3

unable play quietly 
talks excessively 
doesnt wait their turn 
stands up when told to sit 
on the go 
interruptive, intrusive
answer prematurely before question finished
run/climb when innappropriate

Question 4

following presentation

Answer 4

10wk watch and wait to observe whether symptoms change or resolve

if persist - referral

Question 5

Mx

Answer 5

1/ methylphenidate

2/ lisdexamfetamine

3/ dexamfetamine

Question 6

methylphenidate

Answer 6

dopamine norapinephrine reuptake inhibitor

Question 7

methylphenidate monitoring

Answer 7

weight + height should be monitored every 6mo in children

Question 8

what needs to be done prior to starting treatment

Answer 8

baseline ECG