ADHD Flashcards
Of the multiple etiologies of ADHD which is the most strongly associated?
Genetic, it is highly hereditary (2-8x higher risk with first degree relative)
What are some of the common associated problems with ADHD?
Behavior Problems
Learning Disorder
Peer Problems
Increased Injuries
Anxiety and Depression
Is executive functioning impaired in ADHD?
Yes
Is ADHD diagnosed on the first visit?
No, should be conducted over several scheduled office visits to complete full evaluation
How many signs and symptoms need to be present in order to meet the DSM-5 criteria for ADHD?
6 or more (5 for adults)
What are the two types of ADHD?
Inattentive Presentation
Hyperactive-Impulsive Presentation
What are the screening tools for ADHD?
Conner’s Comprehensive Behavior Rating Scale
Vanderbilt ADHD Diagnostic Rating Scale
Strengths and Weaknesses of ADHD (SWAN)
SNAP-IV Teacher and Parent Rating Scale
Are the screening tools for ADHD quick to complete for parents and teachers?
No, they are in depth and take time. Done as part of a larger comprehensive work-up.
What are the key component of the physical exam when diagnosing ADHD?
Hearing and Vision Screening
Thyroid
Cardio Exam
Neurological Exam
Skin Examination
What are the treatment types of ADHD?
Behavioral therapy
Medications (stimulants and non-stimulants)
What is the first line treatment for children less than 6 years old diagnosed with ADHD?
Behavioral management (non-pharmacologic treatment)
What are some adverse effects of stimulants?
Interfere with sleep and appetite, can affect growth and weight gain
What are the first-line short acting stimulants?
Dextroamphetamine (Adderall) or Lisdexamfetamine (Vyvanse)
What are some non-stimulants that can be used to treat ADHD?
Atomoxetine (Strattera)
Bupropion (Wellbutrin)
How should stimulants be prescribed using universal precautions?
Write scripts in 28-day supplies and only for 3-6 month supplies for established patients
