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Georgette Module 3 Questions With Complete Solutions
Question 1: What is a decreased effect of the same dose of a
medication overtime?
CORRECT ANSWER : Tolerance
Question 2: What is it called when there is a tendency of some
regions of the brain to react to repeated LOW level bioelectrical stimulation by progressively boosting synaptic discharges thereby lowering seizure thresholds?
CORRECT ANSWER : Kindling
Question 3: Kindling explanation/definition
CORRECT ANSWER : 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)
Question 4: 3 types of ADHD
CORRECT ANSWER : Inattention Hyperactivity/impulsivity
Combined type
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Question 5: Dx criteria for ADHD (all 3 types)
CORRECT ANSWER : -Hyperactivity & Inattentive type= 6 for
children, 5 for adults -Combined type (6 in each area) -6
MONTHS -BEFORE AGE 12 -2 SETTINGS
Question 6: Inattentive ADHD criteria symptoms
CORRECT ANSWER : 1. Lack of attention to detail 2. Dif.
sustaining attention 3. No listen when spoken to directly 4.Doesn't follow through on instruction 5. Dif. organizing tasks/activities 6. Avoids sustained mental effort 7. Loses things
- Easily distracted 9. Forgetful
Question 7: Hyperactivity ADHD Criteria symptoms
CORRECT ANSWER : 1. Fidgets/squirms in seat 2. Leaves seat
frequently 3. Restless/run or climbs where inappropriate 4. Can't engage in leisure activities QUIETLY 5. Always "on the go" 6.Talks excessively 7. Blurts out answer before question completed 8. Difficulty waiting turn 9. Interrupts others
Question 8: Brain Abnormalities Etiology of ADHD
CORRECT ANSWER : abnormalities in fronto-subcortical
pathway aka the Frontal cortex, Basal Ganglia, RAS
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Question 9: Basal Ganglia function
CORRECT ANSWER : -Motor control/learning -Executive
function -Emotions
Question 10: RAS (reticular activating system)
CORRECT ANSWER : regulates arousal and sleep-wake
transitions, ability to focus, fight-flight reponse
Question 11: what neurotransmitter abnormalities are seen in
ADHD??
CORRECT ANSWER : Neurotransmitters= *DNS(DA, NE,
5HT)*
Question 12: Stimulants for ADHD include and what ages are
they approved for??
CORRECT ANSWER: Adderall (3 and up) Methylphenidate (6
and up)
Question 13: What should you assess prior to giving a stimulant
for ADHD? why??
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CORRECT ANSWER : cardiac hx because they can cause
elevated HR & BP, increase risk of MI/CVA/Aneurysm rupture
Question 14: Amphetamines are approved for what age??
CORRECT ANSWER : **age 3 and older**
Question 15: Methylphenidate is approved for what age??
CORRECT ANSWER : *age 6 and older*
Question 16: Non-stimulants for ADHD include
CORRECT ANSWER : 1. Alpha-agonists/Alpha2 adrenergic
agonists= *Clonidine & Guanfacine* (approved ages 6-17 w/ ADHD) 2. Straterra (atomoxetine) approved for >/= 6yr
Question 17: Alpha-agonists FDA approved for ADHD and at
what age
CORRECT ANSWER : Guanfacine & Clonidine ages 6-17 with
confirmed dx
Question 18: Straterra (Atomoxetine) is approved for what age
in ADHD
