Avery Brook iHuman Case Study Answers: 10-
Year-Old ADHD Inattentive Type – Step-by-Step
Guide
,
, Q1. What is the most appropriate open-ended question to start the interview with Avery?
A. “Why do you think your grades are slipping?”
B. “Tell me what brings you in today.”
C. “Do you have trouble paying attention?”
D. “How is school going?”
B. “Tell me what brings you in today.”
Rationale: Open-ended questions establish rapport and allow the patient/parent to state the
chief complaint without bias. Options C and D are leading or too narrow.
Q2. Avery’s mother says grades dropped from Bs to Cs/Ds over 8 months. Which question best
assesses onset?
A. “Has she always struggled in school?”
B. “Was there a sudden change or gradual decline?”
C. “Does she have a learning disability?”
D. “Is she bullied at school?”
B. “Was there a sudden change or gradual decline?”
Rationale: Distinguishes acute (e.g., seizure, depression) from insidious (e.g., ADHD) onset.
ADHD typically has gradual decline starting before age 12.
Q3. Which question best screens for inattention per DSM-5?
A. “Does she fidget constantly?”
B. “Does she often lose things needed for tasks?”
C. “Does she interrupt others?”
D. “Is she always on the go?”
B. “Does she often lose things needed for tasks?”
Rationale: Losing items (homework, pencils) is a core inattention symptom. Options A, C, D are
hyperactivity/impulsivity symptoms.
Q4. To rule out absence seizures, which question is essential?
A. “Does she snore at night?”
B. “Has anyone seen her stare blankly for a few seconds without responding?”
C. “Does she complain of headaches?”
D. “Does she have trouble waking up?”
B. “Has anyone seen her stare blankly for a few seconds without responding?”
Rationale: Absence seizures present as brief staring spells with unresponsiveness, often
mistaken for daydreaming in ADHD.
Q5. What family history finding most supports an ADHD diagnosis?
A. Mother with hypothyroidism
B. Father with ADHD diagnosed in childhood
Year-Old ADHD Inattentive Type – Step-by-Step
Guide
,
, Q1. What is the most appropriate open-ended question to start the interview with Avery?
A. “Why do you think your grades are slipping?”
B. “Tell me what brings you in today.”
C. “Do you have trouble paying attention?”
D. “How is school going?”
B. “Tell me what brings you in today.”
Rationale: Open-ended questions establish rapport and allow the patient/parent to state the
chief complaint without bias. Options C and D are leading or too narrow.
Q2. Avery’s mother says grades dropped from Bs to Cs/Ds over 8 months. Which question best
assesses onset?
A. “Has she always struggled in school?”
B. “Was there a sudden change or gradual decline?”
C. “Does she have a learning disability?”
D. “Is she bullied at school?”
B. “Was there a sudden change or gradual decline?”
Rationale: Distinguishes acute (e.g., seizure, depression) from insidious (e.g., ADHD) onset.
ADHD typically has gradual decline starting before age 12.
Q3. Which question best screens for inattention per DSM-5?
A. “Does she fidget constantly?”
B. “Does she often lose things needed for tasks?”
C. “Does she interrupt others?”
D. “Is she always on the go?”
B. “Does she often lose things needed for tasks?”
Rationale: Losing items (homework, pencils) is a core inattention symptom. Options A, C, D are
hyperactivity/impulsivity symptoms.
Q4. To rule out absence seizures, which question is essential?
A. “Does she snore at night?”
B. “Has anyone seen her stare blankly for a few seconds without responding?”
C. “Does she complain of headaches?”
D. “Does she have trouble waking up?”
B. “Has anyone seen her stare blankly for a few seconds without responding?”
Rationale: Absence seizures present as brief staring spells with unresponsiveness, often
mistaken for daydreaming in ADHD.
Q5. What family history finding most supports an ADHD diagnosis?
A. Mother with hypothyroidism
B. Father with ADHD diagnosed in childhood
