ADHD

Question 1

What is ADHD?

Answer 1

PERSISTENT inattention or hyperactivity

with developmental delay

Question 2

How many features need to be present in children up to the age of 16?

Answer 2

6 features

Question 3

How many features needs to be present in children > 17 years?

Answer 3

5

Question 4

What are the diagnostic features in regards to inattention? (x8)

Answer 4

1. does not follow through on instructions
2. relunctance to engage in mentally intense tasks
3. easily distracted
4. difficultly sustain tasks
5. difficulty organising tasks or activities
6. often forgetful in daily activities
7. often loses things necessary for tasks or activities
8. often does not seem to listen when spoken to directly

Question 5

What are the diagnostic features in regards to hyperactivity? (x8)

Answer 5

1. unable to play quietly
2. talk excessively
3. does not wait their turn easily
4. will spontaneously leave their seat when expected to stay seated
5. is often on the go
6. often interruptive and intrusive of otehrs
7. will answer prematurely before a question I s fnsihed
8. will run and climb in situations where it is not appropriate

Question 6

Management of adhd

Answer 6

drug therapy last resort - > 5 years only

mehlyphenidate

EDUCATION - 1st line

Question 7

What is one of the cautions of Methylphenidate?

Answer 7

cardiotoxic

Question 8

What investigation must you carry out before starting methylphenidate?

Answer 8

baseline ecg

Question 9

if you are starting methylphenidate when should you refer to a cardiologist?

Answer 9

if the child has any cardiac problems or abnormalities