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50 Multiple choice questions

  1. Strattera
  2. 4-8
  3. - ADHD stimulants can effect growth, but the effects are minimal/insignificant in children
    - Amphetamines may be associated with more growth effects than methylphenidate
    - Children should be given a drug-free trial every year
    - Not considered a contraindication
  4. Wellbutrin
  5. SNRI
  6. - Iron
    - Zinc
    - Omega 3
    - Additive/Preservative- Free diet
    - Oligoantigenic elimination diet
  7. True
  8. Vyvanse
  9. Hyperthyroidism
  10. Delayed release drugs
    (Once-daily formulations are preferred)
  11. Guanfacine ER (Tenex)
    Clonidine ER (Catapres)
  12. Chronic
    No cure
    (requires ongoing management)
  13. Stimulants
    Non-stimulants
  14. 1. Methylphenidate
    2. Dexmethylphenidate
    3. Adderal
    4. Dextroamphetamine
    5. Lisdexanfetamine
  15. - GI upset
    - Psych/ cardiac side effects
    - Warning for severe liver injury
    - Fatigue, sedation
    - FDA warning for new-onset suicidality
  16. 1. Amoxetine
    2. Central Alpha-2 Adrenergic agonists
    3. Bupropion
    4. Venlafaxine
    5. TCAs
  17. - Block dopamine and norepinephrine reuptake
    - Increase catecholamine release
    - Inhibit monoamine oxidase
  18. True
  19. Iron
    Zinc
  20. Sugar
    Artificial sweeteners
  21. 7 years of age
  22. - Longer time to onset of effectiveness
    - May provide a smoother blood level compared with extended-release formulations
    - It is intended to pose less abuse potential
  23. Positive rewards for good behavior and structured limit setting are considered first line before meds in ages 3-5
  24. False
  25. True
  26. Inhibit NE release presynaptically
    Increase blood flow to the PFC postsynaptically
  27. 6+ for at least 6 months
    MUST have negative impact on activites
  28. - Weak DA and NE re-uptake inhibitor
    - No significant effect on 5-HT or MAO
  29. 1. Combined type
    2. Hyperactive/Impulsive
    3. Predominantly inattentive
  30. - Dose dependent sedation
    - Hypotension
    - Constipation
  31. Psychosis/Mania
    Aggression or violent behavior
    Severe anxiety/panic attacks
    Tactile hallucinations
  32. - Imipramine
    - Despiramine
    - Nortriptyline
  33. Psychotherapy
    - Educational
    - Cognitive
    - Behavioral
  34. Class II
  35. - Bradycardia
    - Syncope
    - Rebound hypertension
    - Heart block
    - Sudden death
  36. Sudden unexplained death has been added to ADHD stimulant drug labeling
    - Increased heart rate
    - Increased BP
    - Caution in patients with known cardiac abnormalities
    - Consider baseline ECG if history suggests cardiac abnormality
  37. Non-stimulants
  38. True
  39. 6+ for at least 6 months
    MUST negatively impact social/ other activities
  40. True
  41. - Nausea
    - Rash
    - Should not be used in children (or any patient) with seizure disorder or eating disorder
    - May exacerbate tics
  42. Combination of behavioral therapy and pharmacological therapy
  43. Stimulants
  44. Last
  45. Specific
    (e.g. be able to sit an a chair for 20 mins, completes homework assignments)
  46. - Convenient
    - Better medication adherence
    - Lower cost
    - Less insomnia
    - Potentially fewer growth effects
  47. Superior
  48. 1. Inattention
    2. Hyperactivity and impulsivity
  49. Amoxetine
  50. Behavioral interventions