ADHD

Question 1

TCA for the ADHD ? T / F

Answer 1

True , but is less effective than stimulants and has side effects

slow cardiac conduction
inc PR and QRS interval
anticholinergic effects - constipayion, dry mouth, blurri g of vision

Question 2

structural changes in ADHD

Answer 2

ABN in frontostriatal brain (DACC) - deficits in attention, self regulation, cognition, working memory

pet - reduced perfusion in bilateral frontal
fmri- DACC dysfunction

methylphenidate- stimulant - inc perfusion in prefrontal, straital and thalamic

Question 3

structural changes in ADHD

Answer 3

ABN in frontostriatal brain (DACC) - deficits in attention, self regulation, cognition, working memory

pet - reduced perfusion in bilateral frontal
fmri- DACC dysfunction

methylphenidate- stimulant - inc perfusion in prefrontal, straital and thalamic

Question 4

associated with ADHD

Answer 4

conduct d/o

Question 5

possible nonfamilial etio of ADHD

Answer 5

low birth weight
TBI
prenatal exposure to subs ( alcohol nd nicotine)

Question 6

first symptom to remit

Answer 6

Hyperactivity

naiiwan : inattention and impulsivity

Question 7

indicate which treatemnt for ADHD

ifc a child has ADHD + tic

has short hallife, but effective in 75%, what is the adverse effect , same reason why drugf holiday is needed

rebound symptoms from stimulants and good for ADHD + depression

half life 8-12hrs, approved for children as young as 3yrs for ADHD

Answer 7

ifc a child has ADHD + tic - CLONIDINE , GOOD IF CHILD IS HYPERACTIVE AT NIGHT ( SEDATING EFFECTS )

has short hallife (3-4HRS) SECOND DOSE IS NEEDED, but effective in 75%, what is the adverse effect , same reason why drugf holiday is needed- METHYLPHENIDATE, GROWTH SUPPRESSION

rebound symptoms from stimulants and good for ADHD + depression- - BUPROPION

half life 8-12hrs, approved for children as young as 3yrs for ADHD - DEXTROAMPHETAMINE

SNRI-atomoxetine
stimulant aslo- pemoline
TCA- venlafaxine
every 3-4mo monitoringg- ht, wt, bp pulse

Question 8

MOST COMMON SUBTYPE OF ADHD

Answer 8

combined - diagnostic procedures
inattention-observed by parents, teachers

least- hyperactive-impulsive , younger pxs

Question 9

what is provisional tic disorder

Answer 9

tics occured <12 mos