ADHD Flashcards

1
Q

What are the core features of ADHD?

A

Inattention
Hyperactivity
Impulsivity

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2
Q

Give some of the impacts of ADHD in childhood

A

Difficulty parenting children
Emotional dysregulation
Poor problem solving ability
Antisocial behaviours

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3
Q

Give some of the impacts of ADHD in adulthood

A

Psychiatric co-morbidity
Criminality
Substance misuse

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4
Q

ADHD has no genetic association. True/false?

A

False - familial clustering

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5
Q

Give some perinatal factors that could lead to ADHD

A

Tobacco and alcohol use
Significant prematurity
Foetal distress

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6
Q

Give some psychosocial risk factors that could lead to ADHD

A

Inconsistent parenting
Low social class
Large family size
Emotional trauma

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7
Q

In ADHD, the frontal lobe is underactive. True/false?

A

True

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8
Q

What is the significance of an underactive frontal lobe?

A

As it means the frontal lobe is unable to reason, plan and prevent impulses

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9
Q

In ADHD there is an higher concentration of which transporters?

A

Dopamine

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10
Q

What diagnostic criteria is required for childhood ADHD?

A

6+ symptoms of inattentiveness
6+ symptoms of hyperactivity
Present before 5 years

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11
Q

What is the diagnostic criteria for adulthood ADHD?

A

5+ symptoms of inattentiveness

5+ hyperactive/impulsive symptoms

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12
Q

Give some psychosocial treatments that an be used for ADHD

A

Parent training

Social skills training

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13
Q

What drugs are first-line treatment for ADHD?

A

Stimulants - ritalin (methylphenidate) and dexameftamine

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14
Q

What drug is second-line treatment for ADHD?

A

SNRI - atomoxetine

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15
Q

What drug is third-line treatment for ADHD?

A

Alpha agonists - clonidine and guanfacine

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16
Q

How does methylphenidate work?

A

Increases dopamine concentration by blocking its transporter

17
Q

How does dexamphetamine work?

A

Increases extracellular noradrenaline

18
Q

How do non-stimulants work?

A

Increase noradrenaline concentration