Download Understanding ADHD and Related Disorders: Causes, Diagnosis, and Treatment and more Exams Nursing in PDF only on Docsity! Georgettes Module 3 Questions With Complete Solutions Tolerance - Correct answerthe diminishing effect with regular use of the same dose of a drug, requiring the user to take larger and larger doses before experiencing the drug's effect kindling - Correct answertendency for regions of the brain to react to repeated low levels of stimualtion by progressively boosting synaptic discharges, therefore lowering the seizure threshold How many sx of ADHD for a dx in children? - Correct answer6 or more in TWO settings How many sx of ADHD for a dx in Adults? - Correct answer5 or more in TWO settings` This causes ADHD: - Correct answerabnormalitites of fronto/subcortical pathways (Frontal cortex, Basal ganglia, reticular activation system) Reticular Activating System (RAS) - Correct answera dense network of neurons found in the core of the brain stem; it arouses the cortex and screens incoming information, disfunction in ADHD as the RAS filters out unnecessary information Structural abnormalities producing neurotransmitter abnormalities Dopamine dysfunction Norepi. dysfunction Serotonin These also can be a cause of what? - Correct answerADHD amphetamines are approved for what age? - Correct answer3 and up Methylphenidates are approved for what age? - Correct answer6 and up Guanfacine is FDA approved for? Clonidine is FDA approved for? Strattera? - Correct answerADHD 6-17 ADHD 6 and up ADHD 6 and up Signs of stimulant abuse - Correct answerinsomnia tremors inc BP and HR heart palpitations anxiety, irritable mood/ mood swings This screening tool for ADHD is public - Correct answerVanderbilt This screening tool for ADHD is copyrighted/costs money - Correct answerConnors BPD - Correct answerimpulsivity, often with self damaging behavior recurrent suicidal behavior chronic emptiness pattern of unstable, intense interpersonal relationships Antisocial PD - Correct answerreckless disregard for the welfare of others lack of remorse, indifference to feelings of others Rett syndrome - Correct answerprimarily affects girls, PE findings: period of nl development thru 5-7 mo, then loss of purposeful hand skills, stereotypical hand mvmts, deceleration of head growth, impaired expressive language can have severe motor retardation, seizures, irreg resps DMDD - Correct answerage 6-18 chronic dysregulated mood "moody" frequent intense anger outbursts, severe irritability (at 18 can dx bipolar) Treatment for DMDD - Correct answerstimulants, anti-psychotics, antidepressants IED - Correct answerrepeated sudden episodes of impulsive aggressive or violent behavior or anger outbursts OUT OF PROPORTION to the situation Likely cause of MDD: - Correct answerdysregulation of one or more neurotransmitters - serotonin, dopamine, norepi. This usually has a SLOW onset (over a year or more) - Correct answerdementia This usually has a rapid onset of cognitive changes - Correct answerDepression Why use SSRI over TCA for MDD? - Correct answersafer in OD than TCAs. What is possible with TCA's? - Correct answerECG changes, cardiac dysrhythmias (Avoid abrupt w/d, avoid if cardiac risk, SA risk ALL antidepressants for kids and young adults up to age 24 have this? - Correct answerBlack box warning for suicidality Hallmarks of vascular dementia - Correct answerCorotid bruit, fundoscopic abnormalities, enlarged cardiac chambers What medication is neuroprotective for bipolar? - Correct answerLithium, gold standard
