ADHD Flashcards

1
Q

name the triad of symptoms in ADHD

A

inattention - not listening/completing tasks
hyperactivity - fidgeting/cant sit still
impulsivity - interrupting

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2
Q

symptoms of ADHD present from what age…

A

age 5

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3
Q

the classic triad of symptoms in ADHD must meet what criteria to be a diagnosis of of ADHD

A

developmentally inappropriate
impaired functioning
present across settings
present from age 5

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4
Q

how does the triad of symptoms in adult ADHD differ from childhood ADHD?

A

less hyperactivity and impulsivity

more inattentive

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5
Q

frequency of psychiatric comorbidities is more common in child/adult ADHD?

A

adult

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6
Q

why can some adults with ADHD symptoms appear “normal”?

A

increase in cortical thickness ie maturation can compensative for cognitive deficits

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7
Q

what neurotransmitter genes are mainly involved in ADHD

A

dopamine (high level of reuptake inhibitors)

serotonin

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8
Q

perinatal risk factors for ADHD

A
tobacco/alcohol use
prematurity
perinatal hypoxia
foetal distess,
eclampsia
viral infection
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9
Q

what kind of parenting can increase risk of ADHD?

A

inconsistent parenting
maltreatment
emotional trauma

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10
Q

what factors cause ADHD

A

a genetic disposition magnified by psychosocial factors which affect the brain’s neuronal pathways

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11
Q

what brain lobe is underactive in ADHD? what does this lobe manage?

A

frontal lobe (planning, reasoning, impulse control, long term memory, social/sexual relations)

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12
Q

a reduction in norepinephrine causes what symptoms?

A

problems with attention

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13
Q

decreased serotinin causes what symptoms?

A

mood and social behaviour

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14
Q

what parts of the history are particularly important?

A
developmental history
attachment style
risk factors
family history
what are they like in school?
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15
Q

for an adult to have ADHD they must have current clinical symptoms not just a positive history T or F

A

T

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16
Q

diagnostic criteria for childhood ADHD?

A

need 6 inattentive symptoms
need 6 hyperactivity/impulsive symptoms
present before age 5
affect daily life and clear to others

17
Q

diagnostic criteria for adult ADHD?

A

5 inattentive symptoms
5 hyperactivity/impulsive symptoms
affect daily life

18
Q

psychosocial Tx of ADHD

A

parent training
social skills training
behavioural classroom changes
sleep and diet changes

19
Q

1st line pharmacological Tx of ADHD

A

methylphenidate
dezampfetamine
lisdexamentamine

20
Q

2nd line pharmacological Tx of ADHD

A

atomoxetine (SNRI)

21
Q

3rd line pharmacological Tx of ADHD

A

clonidine

guanfacine (alpha agonists)

22
Q

4th line pharmacological Tx of ADHD

A

imipriamine (antidepressant)

risperidone (antipsychotic)

23
Q

what do SNRIs do pharmacologically in ADHD?

A

block sympathetic stimulation by increasing norepinephrine

24
Q

what does methylphenidate do?

A

increases dopamine by blocking its transporter

25
Q

symptoms must be present for >__ months for diagnosis to be made

A

6