Question 1

Peter is 4 years old and has been dismissed from two preschools for disruptive behavior and inability to sit in circle time. His father wants him evaluated for ADHD. Which of the following statements about 4 year-olds and ADHD is most accurate?

Accepted Answer

A)  If medication is needed, methylphenidate is recommended for children in this age group. 
B)  Stimulants are the first-line treatment for children in this age group. 
C)  Children less than 6 years of age metabolize methylphenidate more quickly than older children and may need proportionally a higher dose. 
D)  The chronic condition model does not apply to preschool children with ADHD. A

Question 2

Which of the following statements about assessing a child for ADHD is most accurate?

Accepted Answer

A)  The pediatric clinician can make a diagnosis of ADHD as long as Diagnostic and Statistical Manual for Mental Disorders (DSM) criteria have been met and impairment occurs in EITHER home or school. 
B)  The Vanderbilt questionnaire has parent, child, and teacher components. 
C)  The pediatric clinician can assess children for ADHD from ages 2 to 18 years of age. 
D)  Under DSM-V criteria, children who have autism spectrum disorder CAN be diagnosed with ADHD if they meet criteria. D

Question 3

Mara is 8 years old, has many inattentive symptoms in school, problems completing chores and homework, and difficulties with peer interactions. She has been diagnosed with ADHD and her parents would prefer to try behavioral interventions before starting her on medication. Which of the following statements about behavioral interventions is most accurate?

Accepted Answer

A)  The combination of medication and behavioral treatments result in improved academic performance for poor children who have anxiety in addition to ADHD. 
B)  Children with ADHD cannot qualify for school-based behavioral interventions or academic accommodations unless they ALSO have an Individualized Educational Plan in place. 
C)  Behavioral interventions are just as effective as medication for the CORE symptoms of ADHD in school-aged children. 
D)  In general, parents prefer medication alone to a combination of medication and behavioral treatments. A

Question 4

Children with ADHD treated with stimulant medications have lower rates of academic failure than children who were not treated or received only behavioral therapy.

Accepted Answer

A) True 
 B)False

Question 5

Which of the following medications is approved by the Food and Drug Administration (FDA) as an add-on to stimulants in the treatment of ADHD?

Accepted Answer

A)  Extended release guanfacine (Intuniv) 
B)  Quetiapine (Seroquel) 
C)  Propanolol 
D)  Topiramate (Topamax)

Question 6

Coexisting mental health conditions are common in 35% of children diagnosed with ADHD and include all of the following except:

Accepted Answer

A)  Conduct disorder 
B)  Oppositional defiant disorder 
C)  Bipolar disorder 
D)  Anxiety disorder

Question 7

For children under 17 years of age, a diagnosis of ADHD using the DSM-V criteria requires recognition of symptoms of inattentive behaviors and hyperactive behaviors. Which of the following behaviors most accurately reflects these symptoms?

Accepted Answer

A)  Inability to take turns, blurts out answers 
B)  Task oriented with poor time management 
C)  High distractibility, behavior improves with sequential tasks 
D)  Listens attentively, experiences forgetfulness

Question 8

Which of the following is an uncommon side effect of stimulants when used at appropriate doses for treating ADHD?

Accepted Answer

A)  Insomnia 
B)  Headaches 
C)  Hallucinations 
D)  Appetite suppression

Question 9

Which of the following statements about stimulant dosage is true?

Accepted Answer

A)  It takes up to 2 to 3 weeks on any given dose to see the full effect of the dose. 
B)  Rebound effect is more common in longer acting preparations than in shorter acting preparations. 
C)  Most children have some appetite suppression while they are taking an adequate dose of the medication. 
D)  Drug levels must be monitored before increasing any dose.

Question 10

Children with ADHD seldom present with coexisting conditions such as oppositional defiant disorder, mood disorders, or anxiety disorders.

Accepted Answer