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Chapter 42. Attention-Deficit/Hyperactivity Disorder

Which of the following statements about ADHD is true?

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

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

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

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

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.

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

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

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

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

D. Monitoring blood pressure periodically in an adult ADHD patient

E. All of the above

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?

A. Mixed salts of amphetamine

B. Imipramine

C. Atomoxetine

D. A or C

E. Fluoxetine

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?

A. Lisdexamfetamine

B. Extended-release guanfacine

C. Atomoxetine

D. B or C

E. A or C

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

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

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

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