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Chapter 42. Attention-Deficit/Hyperactivity Disorder

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Which of the following statements about ADHD is true?

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A. Prevalence is much higher in girls than boys during grade school.

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B. ADHD is a diagnosis confined to children that should not be used in adolescents or adults.

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C. Patients with ADHD frequently have other comorbidities such as conduct disorder.

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D. Dysfunction of the neurotransmitter serotonin is thought to be crucial in the pathology of ADHD.

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E. According to the DSM-5 diagnostic criteria for ADHD, symptoms of inattention and/or hyperactivity or impulsivity must be present before 6 years of age.

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Management strategies for minimizing the side effects of stimulant medication in ADHD patients might include:

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A. Administering a stimulant dose after meals if decreased appetite is occurring

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B. Changing to longer-acting stimulant in the case of rebound symptoms

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C. Changing to clonidine or guanfacine if severe motor tics occur

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D. Monitoring blood pressure periodically in an adult ADHD patient

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E. All of the above

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A 9-year-old girl was diagnosed with ADHD 6 months ago and has not responded to drug therapy. She was prescribed methylphenidate for 3 months and then switched to dextroamphetamine for 3 months. What ADHD medication(s) would be appropriate to switch this girl to now?

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A. Mixed salts of amphetamine

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B. Imipramine

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C. Atomoxetine

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D. A or C

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E. Fluoxetine

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After a third trial with a stimulant medication, the above 9-year-old girl still has not responded to therapy. Which of the following would be a rational step in therapy?

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A. Lisdexamfetamine

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B. Extended-release guanfacine

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C. Atomoxetine

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D. B or C

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E. A or C

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Appropriate medication counseling for the parent of a child with ADHD might include:

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A. Stating that growth delay has been documented with stimulant use, but the evidence is controversial

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B. Advising administration of a stimulant dose earlier in the day if the ...

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