Show:
Walt Disney
"Every problem is an opportunity to find a
solution"
Bill Gates
'Excelling' at ADHD
Michael Phelps
Staying afloat
Jim Carrey
No laughing matter
100

When using the ASRS-v1.1 Symptom Checklist for adults, in Part A, what number of checkmarks in darkly-shaded boxes are needed for a positive screen (symptoms highly consistent with ADHD and further investigation is warranted)?  

4

100

What is Step 2 of the stepped approach to prescribing ADHD medications?

a) Ongoing follow-up

b) Medication selection

c) Titration and Monitoring

d) Setting treatment objectives


b) Medication selection

100

Name two strategies that can be used to optimize treatment when a patient’s goals of therapy are not being met.

Any two of the following (or any suggestions that fall into any of the categories below):

  • Rule out interfering factors
  • Evaluate adherence
  • Optimize medication timing and formulation
  • Optimize non-pharmacological measures
  • Titrate, add or switch medications
100

What are the benefits of long-acting stimulants?

a) Better adherence and convenience

b) Consistent, all-day symptom coverage

c) Reduced misuse and diversion

d) B & C

e) All of the above

e) All of the above

200

According to CADDRA (2020) Table 2.1, these are 3 of the most common psychiatric comorbidities in patients with ADHD.

Any 3 of the following:

Anxiety

Depression

Substance Use Disorder

Learning disorders

Borderline personality disorder

200

Up to ____ % of ADHD patients have at least one comorbid condition?

a) 35-40

b) 45-50

c) 65-70

d) 80-85

d) 80-85

200

This first line stimulant can be dosed up to 60 mg/day but no additional benefit was demonstrated at doses greater than 30 mg/day.


Vyvanse (lisdexamphetamine)


200

Which of the following is NOT considered second-line?

a) Ritalin SR

b) Guanfacine XR

c) Clonidine

d) Atomoxetine

c) Clonidine

300

**DAILY DOUBLE**

These are the names of the functional impairment scale & questionnaire for someone who knew the patient as a child.

WFIRS-S (Weiss Functional Impairment Rating Scale – Self) and SNAP-IV


300

Which one of these medications is considered amphetamine-based?

a) Biphentin

b) Foquest

c) Concerta

d) Vyvanse

d) Vyvanse

300

**DAILY DOUBLE**

Which of the following statements is TRUE about non-pharmacological treatments for ADHD:

a) Primary outcome is to ↓ core symptoms of ADHD (inattention, impulsivity, hyperactivity)

b) When used together with pharmacological treatment is more effective than either option alone and helps improve QoL

c) Helps target inattention better than pharmacological treatment

d) All of the above

b) When used together with pharmacological treatment is more effective than either option alone and helps improve QoL

300

Name two reasons why a drug holiday may be considered in an adult with ADHD.

Any two of the following:

  • Trying to delay/interrupt tolerance from developing
  • Trying to avoid ↑ in dose over time
  • To control acute adverse events (e.g. poor sleep and reduced appetite)
  • To monitor whether med is still effective/needed after a period of long-term treatment


400

List 3 specific life circumstances/scenarios associated with untreated ADHD that are NOT related to health comorbidities according to Chaulagain et al. (2023).

Any 3 of the following:

  • Lower educational attainment (i.e., failure to complete highschool)
  • Occupational challenges (dismissals)
  • Welfare
  • Divorce
  • Unintended pregnancy
  • Injuries
  • Car accidents
  • Criminal offences
400

**DAILY DOUBLE**

Which stimulant indicated for adults has the longest duration of action?

a) Biphentin

b) Foquest

c) Concerta

d) Vyvanse

b) Foquest

400

Name 2 strategies to consider when a patient’s symptoms are due to rebound effect of the medication wearing off.

Any two of the following:

  • If on long-acting agent taken in the morning, consider dividing into two doses taken 20 to 30 minutes apart to ensure they wear off over a longer time period
  • Consider switching to a longer acting formulation if available
  • Lower dose of a short acting stimulant can be overlapped with the tail end of the long-acting stimulant
400

This study aimed to determine which medications were most effective and well-tolerated to help guide treatment decisions?

a) Cortese et al, 2018

b) Elliot et al, 2020

c) Oliveira et al, 2019

d) Rutledge-Jukes et al, 2024

a) Cortese et al, 2018

500

These are 3 of the 10+ areas of the brain that may be affected by ADHD (volume OR activation)


Any 3 of the following:

Smaller volumes in youth:

  • Nucleus accumbens
  • Amygdala
  • Caudate
  • Hippocampus
  • Putamen
  • Occipital lobe

Less activation:

  • Prefrontal cortex (inferior & dorsolateral)
  • Anterior cingulate (part of fronto-striatal pathway with dorsolateral PFC)
  • Supplementary motor areas
  • Basal ganglia
  • Parietal lobe
  • Cerebellum
500

What was a limitation of the CADDRA 2020 guidelines?

a) Lack of transparency in linking evidence to recommendations

b) Lack of stakeholder involvement

c) Poorly defined scope and purpose

d) Not generally applicable to the ADHD patient population

a) Lack of transparency in linking evidence to recommendations

500

Which one of these statements is FALSE for patients with ADHD:

a) An ECG is recommended for all patients before prescribing a stimulant

b) An ECG is recommended for patients with hypertension before prescribing a stimulant

c) An ECG is recommended for patients with hypertension before prescribing atomoxetine

d) An ECG is recommended for all patients before prescribing modafinil


a) An ECG is recommended for all patients before prescribing a stimulant

500

**DAILY DOUBLE**

For a first line long-acting stimulant, efficacy for a given dose can be assessed in:

a) 2 days

b) 3-5 days

c) 1-3 weeks

d) 4-6 weeks

c) 1-3 weeks