This is the first line treatment for preschool children (age 4 through sixth birthday)
What is Parent training in behavior management (PTBM)?
A tool that is a validated questionnaire that obtains information needed for diagnosis from a parent and teacher about core symptoms of ADHD and areas of functional impairment
What is the NICHQ Vanderbilt ADHD Primary Care Initial Evaluation Form?
These are the common short term side effects of stimulants
Appetite loss, abdominal pain, headaches, and sleep disturbance.
Medication that is prescribed on a off label basis to treat ADHD with moderate to severe dysfunction and preschool aged children (4 through 5 years of age)
What is methylphenidate?
Accepted as the preferred standard of care for children with chronic medical conditions (such as ADHD)
What is the medical home model?
This is the DSM-5 definition of ADHD
What is a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.
- across 2 or more settings
- report or documentation of symptoms before age 12
- cannot be better explained by another mental disorder
Adverse effects for guanfacine ER and clonidine ER
What are somnolence, dry mouth, dizziness, irritability, headache, bradycardia, hypotension, and abdominal pain?
This is the first line treatment for adolescents with ADHD
What are FDA approved medications for ADHD?
Also encouraged to prescribed evidence-based training interventions and/or behavioral interventions, if available)
This is the first line treatment for school aged children (age 6 to twelfth birthday)
Screening tools/questionnaires helpful in diagnosing mimicking or comorbid conditions in the evaluation for ADHD
What are PHQ-9, CRAFFT, SCARED, etc.
Due to the symptom profile of stimulant medications, clinicians are recommended to ask about these cardiac risk factors prior to initiating stimulant medication therapy
What is history of sudden death, cardiovascular symptoms, Wolff-Parkinson-White syndrome, hypertrophic cardiomyopathy, and long QT syndrome?
The mechanism of action of methylphenidate
What is the inhibition of the reuptake of dopamine and norepinephrine and increased dopaminergic and noradrenergic activity in the prefrontal cortex?
In most studies, parents of school aged children were more satisfied with the effect of this intervention as it pertains to its ability to address ADHD symptoms and functions
What is behavioral therapy?
According to a 2014 national survey, the median age of diagnosis for ADHD was ___ years
What is 7?
These are the adverse effects of atomoxetine
What are increased heart rate and blood pressure, somnolence, GI symptoms, and decreased appetite, less commonly and increasing suicidal thoughts (FDA black box warning)?
Extremely rare but hepatitis has been associated
Children and adolescents with ADHD may be eligible for services in school as part of either of these 2 plans
What are the 504 rehabilitation act plan (504 plan) or special education individualized education plan (IEP)?
IEP: Provides individualized special education and related services to meet a child’s unique learning needs.
504: Provides services and changes to the learning environment to enable students with disabilities to learn alongside their peers
These services are provided at no cost to families.
The only FDA approved treatment device for treating ADHD
What is an external trigeminal nerve stimulation (eTNS)?


These are some of the system level barriers that hamper the adoption of best practice recommendations in the diagnosis, evaluation, and treatment of ADHD in children and adolescents
What are lack of time, lack of experience, limited access to mental health clinicians, inadequate payment for needed services, impaired coverage limitations for needed medications, inadequate developmental-behavioral and mental healthcare training during residency, fragmented care/communication b/w providers
A more persistent side effect seen in both stimulant medications as well as atomoxetine, however it reverses itself in the first 1 to 2 years of treatment with atomoxetine but not with stimulant medications
What is diminished growth velocity linked to growth delays compared to expected trajectories/predicted adult height?
Stimulant medications can be effectively titrated on a __ day basis but in urgent situations they can be effectively titrated in as few as ___ days
What are 7 day basis and 3 days?