Question 1

Recommended monitoring for children who are started on stimulants for ADHD includes:&#10;A)Height, weight, and blood pressure every three months for the first year&#10;B)Monthly monitoring of symptoms until under control&#10;C)Prescription refill pattern&#10;D)All of the above&#10;

Accepted Answer

All of the options listed are important aspects of monitoring children who are started on stimulants for ADHD. Height, weight, and blood pressure should be monitored every three months for the first year to check for any adverse effects of the medication. Monthly monitoring of symptoms is crucial to ensure that the medication is effectively controlling the symptoms and to adjust the dosage if necessary. Monitoring prescription refill patterns can help identify any issues with medication adherence or misuse.

Question 2

Discontinuation of ADHD medication involves:&#10;A)&#9;Tapering dose of alpha 2 agonist&#10;B)&#9;Switching from a stimulant to a nonstimulant then wean off&#10;C)&#9;Tapering off dexamphetamine slowly to prevent withdrawal symptoms&#10;D)&#9;Switch to every other day methylphenidate for a month then discontinue&#10;

Accepted Answer

Alpha 2 agonists, such as clonidine and guanfacine, should be tapered off gradually to avoid rebound hypertension and other withdrawal symptoms.

Question 3

Baseline assessment prior to starting a child on stimulants for ADHD includes:&#10;A)Height, weight, and blood pressure&#10;B)Fasting glucose&#10;C)Liver enzymes&#10;D)Electrocardiogram&#10;

Accepted Answer

Baseline assessment for children starting on stimulants for ADHD typically includes measuring height, weight, and blood pressure to monitor potential side effects such as growth suppression and cardiovascular effects.

Question 4

After an adult is started on stimulants for ADHD the following should be monitored:&#10;A)Height and weight for increased body mass index (BMI)&#10;B)Blood pressure for hypotension&#10;C)Refill pattern for diversion&#10;D)All of the above&#10;

Accepted Answer

Stimulants can be misused or diverted, so monitoring refill patterns is important. Height and weight are more relevant in children, and stimulants can cause hypertension, not hypotension.

Question 5

First-line therapy for a school-aged child diagnosed with attention deficit-hyperactivity disorder (ADHD) is:&#10;A)Atomoxetine&#10;B)Clonidine patch&#10;C)Methylphenidate&#10;D)Lisdexamfetamine&#10;

Accepted Answer

Methylphenidate is a first-line treatment for ADHD in school-aged children due to its efficacy and safety profile.

Question 6

First-line therapy for an adult with ADHD is:&#10;A)Methylphenidate&#10;B)Atomoxetine&#10;C)Clonidine&#10;D)Behavioral therapy&#10;

Accepted Answer

Methylphenidate is a first-line pharmacological treatment for adults with ADHD due to its efficacy and safety profile.

Question 7

An adult taking methylphenidate for ADHD reports problems with insomnia. Treatment options include:&#10;A)Add an evening dose of clonidine.&#10;B)Decrease dose of methylphenidate.&#10;C)Prescribe zolpidem to use as needed for sleep.&#10;D)Recommend a sleep study.&#10;

Accepted Answer

The answer of An adult taking methylphenidate for ADHD reports...

Question 8

The evidence-based first-line treatment of preschoolers with ADHD includes:&#10;A)Methylphenidate&#10;B)Atomoxetine&#10;C)Dexamphetamine&#10;D)Behavioral therapy&#10;

Accepted Answer

Behavioral therapy is recommended as the first-line treatment for preschoolers with ADHD, as it is non-pharmacological and has been shown to be effective in this age group.

Question 9

A 5-year-old child does not demonstrate improvement in ADHD symptoms while taking methylphenidate. Treatment options include:&#10;A)Change to dextroamphetamine&#10;B)Add clonidine patch&#10;C)Add atomoxetine&#10;D)Switch to bupropion&#10;

Accepted Answer

The answer of A 5-year-old child does not demonstrate improvement...

Deck 31: Attention-Deficithyperactivity Disorder