Georgette Module 3
What is a decreased effect of the same dose of a medication
overtime? Correct
answers
Tolerance
Ex. taking 2 pills of ibuprofen over a period of time so now needing to
take 3 pills
achieve thetosame
effect
What is it called when there is a tendency of some regions of the brain
to react toLOW level bioelectrical stimulation by progressively
repeated
boosting synaptic
discharges thereby lowering seizure thresholds? Correct answers
Kindling
Kindling explanation/definition Correct answers process of neuronal
membrane
threshold sensitivity
dysfunction
-d/t subthreshold brain
stimulation
-brain's overly sensitive to electrical
stimuli
-neuronal misfiring (occurs w/o
stimuli)
3 types of ADHD Correct answers
Inattention
Hyperactivity/
impulsivity
Combined
type
Dx criteria for ADHD (all 3 types) Correct answers -Hyperactivity &
Inattentive
for children,type=
5 for 6
adults
-Combined type (6 in each
area)
-6
MONTHS
-BEFORE AGE
12
-2 SETTINGS
Inattentive ADHD criteria symptoms Correct answers 1. Lack of
attention
2. to detail
Dif. sustaining
attention
3. No listen when spoken to
directly
4. Doesn't follow through on
instruction
5. Dif. organizing
6. Avoids sustained mental
tasks/activities
effort
7. Loses
things
8. Easily
distracted
9.
Forgetful
Hyperactivity ADHD Criteria symptoms Correct answers 1.
Fidgets/squirms
2. Leaves seat in seat
frequently
3. Restless/run or climbs where
4. Can't engage in leisure activities
inappropriate
QUIETLY
5. Always "on the
go"
,6. Talks
excessively
7. Blurts out answer before question
completed
8. Difficulty waiting
turn
9. Interrupts
others
Brain Abnormalities Etiology of ADHD Correct answers abnormalities
in fronto- pathway aka the Frontal cortex, Basal
subcortical
Ganglia, RAS
Basal Ganglia function Correct answers -Motor
control/learning
-Executive
function
-
Emotions
RAS (reticular activating system) Correct answers regulates arousal and
sleep-wake
transitions, ability to focus, fight-flight
reponse
what neurotransmitter abnormalities are seen in ADHD?? Correct
answers
Neurotransmitters= **DNS**(DA, NE,
5HT)**
Stimulants for ADHD include and what ages are they approved for??
Correct answers
Adderall (3 and
up)
Methylphenidate (6 and
up)
What should you assess prior to giving a stimulant for ADHD? why??
Correct hx
cardiac answers
because they can cause elevated HR & BP,
increase risk of
MI/CVA/Aneurysm
rupture
Amphetamines are approved for what age?? Correct answers ***age 3
and older***
Methylphenidate is approved for what age?? Correct answers **age 6
and older**
Non-stimulants for ADHD include Correct answers 1. Alpha-agonists/Alpha2
adrenergic
agonists= **Clonidine & Guanfacine** (approved ages 6-17
w/ Straterra
2. ADHD) (atomoxetine) approved for
>/= 6yr
Alpha-agonists FDA approved for ADHD and at what age Correct answers
Guanfacine
&
ages 6-17 with
Clonidine
confirmed dx
Straterra (Atomoxetine) is approved for what age in ADHD Correct answers
>/= 6 years
with
ADHD
***know** that for children <6 years old, what to give for ADHD
Correct answers
Addera
ll
**Know** what to give when children turn 6 for ADHD Correct answers
Methylphenidate
, DNS stands for and what is it?? Correct answers DA,
NE, 5HT
(abnormalities in ADHD and some
others)
If choosing between Guanfacine & Clonidine for ADHD, which should you
choose
the on why? Correct answers Guanfacine, lasts longer & is less
test??
sedating
Signs of stimulant abuse?? Correct answers
**Insomnia
**Tremor
s
**Increase in BP &
HR
**Heart
Palpitations
Agitation/Anxiety/Irritability/Mood
swings/Elevated mood
Nonpharmacological management for ADHD includes... Correct answers -
Behavioral
therap
y
-Pt & Parent CBT
program
-
Psychoeducatio
-Tx of learning
n
d/o
-Family
therapy/edu.
Follow up for ADHD, includes monitoring clinical progress
Correct
answers over
time
Standardized rating scales for ADHD include..... Correct answers 1.
**Vanderbilt
Dx ADHD Rating Scales (PUBLIC, need in 2
Parent & Teacher
settings)**
2. Conners' Parent & Teacher Rating Scale (Copyrighted, need
permission to use)
Borderline Personality Disorder Dx criteria Correct answers 1. *Impulsivity,
often w/ self-
damaging
behavior*
2. *Recurrent suicidal
behavior*
3. Frantic efforts to avoid real/imagined
4. Unstable/intense
abandonment
5. Identity
relationships
disturbances
6. Chronic feelings of
emptiness
7. Inappropriate/intensified anger
responses
Treatment for BPD Correct answers DBT (dialectical behavioral
therapy)
to dx person with personality disorder they have to be at least how
old? Correct
answers 18
years
why is DBT the key treatment for BPD? Correct answers helps with
thoughts of self-
har
m
Antisocial personality disorder DSM Criteria Correct answers 1. **Reckless
disregard
welfare of for
others**
2. **Lack of remorse/indifference to feelings of
others**
What is a decreased effect of the same dose of a medication
overtime? Correct
answers
Tolerance
Ex. taking 2 pills of ibuprofen over a period of time so now needing to
take 3 pills
achieve thetosame
effect
What is it called when there is a tendency of some regions of the brain
to react toLOW level bioelectrical stimulation by progressively
repeated
boosting synaptic
discharges thereby lowering seizure thresholds? Correct answers
Kindling
Kindling explanation/definition Correct answers process of neuronal
membrane
threshold sensitivity
dysfunction
-d/t subthreshold brain
stimulation
-brain's overly sensitive to electrical
stimuli
-neuronal misfiring (occurs w/o
stimuli)
3 types of ADHD Correct answers
Inattention
Hyperactivity/
impulsivity
Combined
type
Dx criteria for ADHD (all 3 types) Correct answers -Hyperactivity &
Inattentive
for children,type=
5 for 6
adults
-Combined type (6 in each
area)
-6
MONTHS
-BEFORE AGE
12
-2 SETTINGS
Inattentive ADHD criteria symptoms Correct answers 1. Lack of
attention
2. to detail
Dif. sustaining
attention
3. No listen when spoken to
directly
4. Doesn't follow through on
instruction
5. Dif. organizing
6. Avoids sustained mental
tasks/activities
effort
7. Loses
things
8. Easily
distracted
9.
Forgetful
Hyperactivity ADHD Criteria symptoms Correct answers 1.
Fidgets/squirms
2. Leaves seat in seat
frequently
3. Restless/run or climbs where
4. Can't engage in leisure activities
inappropriate
QUIETLY
5. Always "on the
go"
,6. Talks
excessively
7. Blurts out answer before question
completed
8. Difficulty waiting
turn
9. Interrupts
others
Brain Abnormalities Etiology of ADHD Correct answers abnormalities
in fronto- pathway aka the Frontal cortex, Basal
subcortical
Ganglia, RAS
Basal Ganglia function Correct answers -Motor
control/learning
-Executive
function
-
Emotions
RAS (reticular activating system) Correct answers regulates arousal and
sleep-wake
transitions, ability to focus, fight-flight
reponse
what neurotransmitter abnormalities are seen in ADHD?? Correct
answers
Neurotransmitters= **DNS**(DA, NE,
5HT)**
Stimulants for ADHD include and what ages are they approved for??
Correct answers
Adderall (3 and
up)
Methylphenidate (6 and
up)
What should you assess prior to giving a stimulant for ADHD? why??
Correct hx
cardiac answers
because they can cause elevated HR & BP,
increase risk of
MI/CVA/Aneurysm
rupture
Amphetamines are approved for what age?? Correct answers ***age 3
and older***
Methylphenidate is approved for what age?? Correct answers **age 6
and older**
Non-stimulants for ADHD include Correct answers 1. Alpha-agonists/Alpha2
adrenergic
agonists= **Clonidine & Guanfacine** (approved ages 6-17
w/ Straterra
2. ADHD) (atomoxetine) approved for
>/= 6yr
Alpha-agonists FDA approved for ADHD and at what age Correct answers
Guanfacine
&
ages 6-17 with
Clonidine
confirmed dx
Straterra (Atomoxetine) is approved for what age in ADHD Correct answers
>/= 6 years
with
ADHD
***know** that for children <6 years old, what to give for ADHD
Correct answers
Addera
ll
**Know** what to give when children turn 6 for ADHD Correct answers
Methylphenidate
, DNS stands for and what is it?? Correct answers DA,
NE, 5HT
(abnormalities in ADHD and some
others)
If choosing between Guanfacine & Clonidine for ADHD, which should you
choose
the on why? Correct answers Guanfacine, lasts longer & is less
test??
sedating
Signs of stimulant abuse?? Correct answers
**Insomnia
**Tremor
s
**Increase in BP &
HR
**Heart
Palpitations
Agitation/Anxiety/Irritability/Mood
swings/Elevated mood
Nonpharmacological management for ADHD includes... Correct answers -
Behavioral
therap
y
-Pt & Parent CBT
program
-
Psychoeducatio
-Tx of learning
n
d/o
-Family
therapy/edu.
Follow up for ADHD, includes monitoring clinical progress
Correct
answers over
time
Standardized rating scales for ADHD include..... Correct answers 1.
**Vanderbilt
Dx ADHD Rating Scales (PUBLIC, need in 2
Parent & Teacher
settings)**
2. Conners' Parent & Teacher Rating Scale (Copyrighted, need
permission to use)
Borderline Personality Disorder Dx criteria Correct answers 1. *Impulsivity,
often w/ self-
damaging
behavior*
2. *Recurrent suicidal
behavior*
3. Frantic efforts to avoid real/imagined
4. Unstable/intense
abandonment
5. Identity
relationships
disturbances
6. Chronic feelings of
emptiness
7. Inappropriate/intensified anger
responses
Treatment for BPD Correct answers DBT (dialectical behavioral
therapy)
to dx person with personality disorder they have to be at least how
old? Correct
answers 18
years
why is DBT the key treatment for BPD? Correct answers helps with
thoughts of self-
har
m
Antisocial personality disorder DSM Criteria Correct answers 1. **Reckless
disregard
welfare of for
others**
2. **Lack of remorse/indifference to feelings of
others**
