Questions And Correct Detailed Answers| Brand New Version
available in beads that may be sprinkled on food for children who cannot swallow pills - (Correct
Answer)-ritalin
patch applied in the morning and removed after 9 hour - (Correct Answer)-Daytrana
Available in immediate release and extended release
More potent than Ritalin
High risk of adverse effects - (Correct Answer)-Dexmethylphenidate (Focalin)
It is available in orally disintegrating extended-release formula for children who cannot swallow
pills.
Avoid prescribing when an monoamine oxidase inhibitors (MAOIs) has been used within 14
days. - (Correct Answer)-amphetamine (Adzenys
Available in immediate and extended-release formulations
Most abused and diverted prescription stimulant - (Correct Answer)-dextroamphetamine
(Adderall)
Prodrug, Less abuse and diversion potential than other stimulants
Higher-cost medication - (Correct Answer)-lisdexamfetamine (Vyvanse)
drug of choice for adults with ADHD, no abuse potential
tolerated well when prescribed in twice daily dosing
appropriate choice for comorbid substance abuse
may augment the effects of antidepressants and antianxiety medications
can be dosed at bedtime if fatigue is noted
unlikely to worsen tics - (Correct Answer)-noradrenergic (NRI)
atomoxetine (Strattera)
, 2
enhances precortical function for better mental focus
appetite neutral
may help with sleep disturbances, administer at bedtime
adverse effects: sedation, brain fog
monitor of blood pressure closely during initial titration, risk of hypotension
tapered to avoid rebound hypertension post discontinuation - (Correct Answer)-clonidine
may also be used for children with tics, sleep disturbances, or aggression
tolerability and convenience enhanced by once-daily oral controlled-release formulation
adverse effects: sedation, headache, decreased appetite
reduced side-effect profile comparable to clonidine
bedtime administration to avoid daytime sedation - (Correct Answer)-guanfacine
off-label use for ADHD in adults
appropriate for clients with concurrent depression or tobacco abuse - (Correct Answer)-
bupropion (Wellbutrin)
a long-term disorder characterized by either hyperactivity and impulsivity or inattention. -
(Correct Answer)-ADHD
The following describe which type of ADHD symptoms:
Lack of attention to detail
Careless mistakes
Not listening
Losing things
Diverting attention
, 3
Forgetfulness - (Correct Answer)-selective attention
The following describe which type of ADHD symptoms:
Poor problem solving
Difficulty completing tasks
Disorganization
Difficulty sustaining mental effort - (Correct Answer)-lack of sustained attention
The following describe which type of ADHD symptoms:
Excessive talking
Blurting things out
Not waiting for one's turn
Interrupting - (Correct Answer)-impulsivity
The following describe which type of ADHD symptoms:
Fidgeting
Leaving one's seat
Running, climbing
Trouble playing quietly - (Correct Answer)-hyperactivity
Dx criteria for ADHD - (Correct Answer)-A pattern of at least six symptoms of inattention and/or
hyperactivity-impulsivity that interfere with functioning or development.
Symptoms persist for six months or longer.
Symptoms interfere with social, academic, or occupational functioning.
Symptoms are present in two or more settings (for instance, home and school).
, 4
diagnostic criteria for ADHD with a predominantly inattentive presentation (symptoms) -
(Correct Answer)-lack of attention to detail, making careless mistakes, difficulty listening
and following instructions, frequent disorganization and misplacing items, distractibility,
avoiding tasks that require sustained mental effort, and forgetfulness.
diagnostic criteria for ADHD with a hyperactive-impulsive presentation (symptoms) - (Correct
Answer)-fidgeting, "non-stop" energy, difficulty in engaging in quiet activities, speaking out of
turn, excessive running, and interrupting others. The behaviors occur in school and at home and
have been present consistently for several years.
diagnostic criteria for ADHD combined presentation (symptoms) - (Correct Answer)-several
symptoms of hyperactive-impulsive presentation, including fidgeting, speaking out of turn,
excessive talking, and interrupting. Also has symptoms of inattentive presentation, including
difficulty listening, paying attention, forgetfulness, and difficulty with organization. symptoms in
both environments.
may cause psychotic or manic symptoms in clients with no prior history or may exacerbate
behavior disturbance symptoms and thought disorders in clients with pre-existing psychosis. -
(Correct Answer)-Central nervous system (CNS) stimulants
Treatment efficacy for ADHD will be noted within - (Correct Answer)-the first week
Stimulants can cause, worsen, or unmask the presence of - (Correct Answer)-Tics
For younger children under the age of 6, the American Academy of Pediatrics (AAP)
recommends what intervention as first line intervention? - (Correct Answer)-parent training in
behavior management
hallmark characteristics of include persistent angry and irritable mood, argumentative and defiant
behavior, and vindictiveness - (Correct Answer)-oppositional defiant disorder (ODD)