ADHD Flashcards

1
Q

What is the definition of ADHA?

A

disorder that manifest in childhood

Marked by: hyperactivity; impulsivity; inattention
negatively effects functioning

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2
Q

To diagnose a child with ADHA, they must have sx that manifest before age _____; Have been ongoing for _______ or longer; and are present in _______ situations/environments?

A
  • 12 y/o
  • 6 months
  • at least 2 (home, and school; or camp and school)
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3
Q

What are the three pathophysiological components seen in PT’s with ADHD?

A
  • low prefrontal cortical volumes
  • catecholamine metabolism imbalance (dopamine leaves too quickly)
  • Cortical thinning
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4
Q

What are 2 risk factors for ADHD develpoment?

A

possibly smoking; premature birth;
genetics;
trauma in childhood

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5
Q

What are the two categories of sx in ADHD?

A

Hyperactivity & inattentiveness

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6
Q

Patients who are older than 17 must have this many sx from both the hyperactive and inattentive categories of sx?

A

5

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7
Q

Patients <17 must have this many sx from both the hyperactive and inattentive categories of sx?

A

6

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8
Q

What are 3 sx in the hyperactive category of ADHD?

A
  • fidgets or squirms
  • interrupts
  • talks excessively
  • always on the go
  • runs/climbs where not appropriate
  • can’t stay in seat
  • cant play quietly
  • blurts out answer
    trouble waiting their turn
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9
Q

What are 3 sx in the inattentive category of ADHD?

A
  • poor attention to detail
  • cant hold attn on tasks
  • appears not to listen when addressed
  • trouble organizing tasks
  • easily distracted
  • forgetful in daily activities
  • loses necessary items
  • fails to follow through
  • avoids/dislikes HW
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10
Q

This type of SX in ADHD begins age 4 and peaks at age 8; can last lifetime and relate to risky behaviors later in life?

A

Hyperactive

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11
Q

This ADHD sx begins at about age 8-9 and is more obvious when reading begins in school

A

Inattentive

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12
Q

This is the best screening tool for ADHD?

A

Vanderbilt ADHD parent diagnostic scale

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13
Q

Presentation of children in this age group with ADHD include insatiable curiosity; vigorous and destructive play (all their toys are broken) low level of compliance; kicked out of daycare; in ER for risky accidents?

A

Preschool aged (3-5)

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14
Q

Presentation of children in this age group with ADHD include a shift where inattention is more prominent and can replace hyperactivity; appear distracted; make careless errors; interrupt a lot; can be more aggressive; appear immature?

A

School aged children

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15
Q

Presentation of children in this age group with ADHD include a sense of inner restlessness; impacts self-esteem a lot in this level; risky behavior increases (substance use, issue with authority)

A

adolescence

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16
Q

Treatment for ADHD in children under 5?

A

Behavioral therapy

17
Q

This class of drug is the first line pharmacologic treatment for ADHD in children 5 years and older?

A

Stimulants