EVALUATED GEORGETTE LMR PMHNP 7348.01 FINAL EXAM QUESTIONS AND ANSWERS

EVALUATED GEORGETTE LMR PMHNP 7348.01 FINAL EXAM QUESTIONS AND ANSWERS Which of the following is true regarding psychostimulants? - CORRECT ANSWER -First line treatment for ADHD Stimulants are first line treatment for ADHD in children, adolescents and adults. They are the most studied (Dulcan). ll of the following are changes that were made to the DSM V regarding ADHD? - CORRECT ANSWER Changed age of onset to 12 CAN have Autism and ADHD and added symptoms across the lifespan since we know ADHD does not go away Can have ADHD and ODD comorbid. Also included in DSM under ADHD comorbidity- discusses that ADHD and ODD are comorbid 50% of the time modifiers were added so that the severity of the disorder (i.e., mild, moderate, or severe) can be specified and the disorder can be coded as "in partial remission" ADHD treatment is associated with a ... - CORRECT ANSWER -Decrease in accidental injury and medical utilization due to accidents and trauma Stimulants have a black box warning for: - CORRECT ANSWER -Drug Dependence The U.S. Food and Drug Administration (FDA) reviewed the prescribing information on stimulants in an effort to clarify risks and benefits. After this careful review, the only black box warning for stimulants concerns their abuse potential" Screen for cardiac concerns. Which of the following is true regarding cortical brain development in children with ADHD compared to healthy controls? - CORRECT ANSWER -The timing of cortical maturation is different Peak thickness of cortex delayed (typically occurs around 7, may not happen until 10 for kids with ADHD) Paroxetine (Paxil) and atomoxetine (Strattera) - CORRECT ANSWER -Paroxetine (Paxil) is an inhibitor of CYP450 2D6 and atomoxetine (Strattera) is metabolized by CYP450 2D6, so the dose of atomoxetine should be decreased. Strattera as it is metabolized (get rid of d and c)by the P450 CYP 2D6, which many other psychiatric medications are also metabolized by. Specifically if you look under epocrates for interactions you will find "avoid combo, combo may increase atomoxetine levels, risk adverse effects" therefore you'd want to decrease the Strattera dose (or not use the combo) Which of the following is a risk factor for the development of Conduct Disorder - CORRECT ANSWER Poor family functioning child maltreatment, overly harsh and abusive parenting or inconsistent parenting, neglectful parenting Which of the following symptom is the MOST frequent reason for referral in child psychiatry clinics? - CORRECT ANSWER -Disruptive behavior