ADHD Flashcards

1
Q

What is ADHD?

A

A Neurodevelopmental disorder characterised by inattention, hyperactivity and impulsivity

ADHD stands for Attention Deficit Hyperactivity Disorder.

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2
Q

What are the DSM-5 diagnostic criteria for ADHD?

A

Criteria A: 5 or more symptoms of inattention and/or hyperactivity-impulsivity
Criteria B: Several symptoms present by the age of 12
Criteria C: Several symptoms present in two or more settings
Criteria D: Symptoms interfere with or reduce quality of social, educational or occupational functioning
Criteria E: Symptoms are not better explained by another condition

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3
Q

What are symptoms of inattention in ADHD?

A
  • Lack of attention to details; makes careless mistakes
  • Difficulty sustaining attention
  • Does not listen when spoken to directly
  • Trouble completing tasks
  • Problems organising tasks and activities
  • Avoids or dislikes sustained mental effort
  • Loses and misplaces things
  • Easily distracted
  • Forgetful in daily activities
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4
Q

What are symptoms of hyperactivity/impulsivity in ADHD?

A
  • Fidgeting; tapping hands or feet; squirming in seat
  • Leaves seat
  • Feeling restless or overactive
  • Always on the go
  • Difficulty engaging in leisure activities quietly
  • Excessive talking
  • Difficulty waiting in line/taking turns
  • Blurts out answers before question completed
  • Interrupts/intrudes on others when working or busy
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5
Q

What is the ICD-10 classification for ADHD?

A

F90.0 Disturbance of Activity and Attention

Requires presence of both inattention and hyperactivity.

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6
Q

What is required for the diagnosis of ADHD according to ICD-10?

A
  • 6 symptoms of inattention
  • 3 symptoms of hyperactivity
  • 1 symptom of impulsivity
  • Onset no later than aged 7
  • Symptoms present in more than one setting
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7
Q

What aspects of life can ADHD impair in adults?

A
  • Quality of Life
  • Family Life
  • Work
  • Love
  • Education
  • Activities of Daily Living
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8
Q

What are some associated features of ADHD in adults according to DSM-5?

A
  • Mild delays in language, motor or social development
  • Low frustration tolerance, irritability, mood lability
  • Academic or work performance impairment
  • Cognitive problems on tests of attention, executive function or working memory
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9
Q

What is the prevalence of adult ADHD?

A

2.5-3.2% according to Asherson et al, 2016

Prevalence can be higher (10%-20%) in common mental disorders.

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10
Q

What factors are involved in the heritability of ADHD?

A
  • Genetic studies
  • Family studies
  • Twin studies
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11
Q

What is the first line of management for ADHD?

A
  • Information
  • Lifestyle advice
  • Pharmacological treatment
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12
Q

Fill in the blank: ADHD is a _______ disorder characterized by inattention, hyperactivity, and impulsivity.

A

Neurodevelopmental

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13
Q

True or False: Symptoms of ADHD must be present in only one setting for diagnosis.

A

False

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14
Q

What is the role of NICE guidelines in ADHD assessment?

A

Provide recommendations for diagnosis and management

NICE stands for the National Institute for Health and Care Excellence.

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15
Q

What is a significant cognitive deficit often seen in adults with ADHD?

A

Problems with attention, executive function, or working memory

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16
Q

What is the impact of ADHD on education?

A

Academic or work performance is impaired even in the absence of a specific learning difficulty