Answers to Pretest

 

  1. The core symptoms of AD/HD are
    hyperactivity
    impulsivity
    inattention

  2. Multimodal treatment for AD/HD includes:
    behavior modification therapy
    environmental adjustments
    pharmacological agents

    60-90% of children will respond to multimodal therapy.

  3. The correct answer is (d).
    Dopamine, noradrenaline and serotonin have been implicated as potential neurotransmitters active in the neurological pathways which may be dysfunctioning in patients with AD/HD.

  4. The correct answer is (c).
    Sleep disturbances are a common sideeffect of stimulant medications but can be minimized by correctly adjusting dosage as well as timing of medication. The unmasking of a tic disorder can occur during stimulant therapy but is not common (1.3%). Patients may show a temporary decrease in linear growth and weight gain. However, there is no evidence that these medications affect ultimate adult stature or weight. Stimulant mediations are now considered safe in children with seizure disorders if the child's seizures are well controlled on a single anticonvulsant.