NR 606 Week 8 Final Exam Mock Questions

NR606 FINAL EXAM MIXED MOCK — QUESTIONS A 7-year-old is brought for evaluation due to frequent careless mistakes, losing school supplies, difficulty following instructions, and avoidance of math assignments. Symptoms are reported by the teacher, while at home the parent notes only that the child’s room is messy. Which diagnosis is most appropriate? ADHD, predominantly inattentive presentation ADHD, predominantly hyperactive-impulsive presentation ADHD, combined presentation Unspecified anxiety disorder A 6-year-old begins interrupting adults, refusing to play quietly, and acting out shortly after the mother’s pregnancy is announced. The teacher reports no similar concerns at school. What is the most appropriate conclusion? ADHD, combined presentation Oppositional defiant disorder Further evaluation is needed because the criteria for ADHD are not met ADHD, predominantly hyperactive-impulsive presentation A 10-year-old has fidgeting, blurting out, excessive talking, forgetfulness, and poor organization at both school and home. Which diagnosis is most appropriate? ADHD, predominantly inattentive presentation ADHD, predominantly hyperactive-impulsive presentation ADHD, combined presentation Oppositional defiant disorder A 15-year-old diagnosed with ADHD continues to demonstrate decreased need for sleep, cyclical mood shifts, and irritability after attention symptoms improve. Which comorbidity is most likely? Generalized anxiety disorder Bipolar disorder Oppositional defiant disorder Learning disorder A 12-year-old with ADHD is inattentive, fatigued, irritable, disinterested in school and extracurricular activities, and does not care about declining performance. Which comorbidity is most likely after ADHD symptoms are treated? Bipolar disorder Generalized anxiety disorder Unipolar depression Conduct disorder A 6-year-old with ADHD remains angry, blames others, argues with caregivers, deliberately annoys siblings, and loses temper frequently after hyperactivity improves. Which comorbidity is most likely? Conduct disorder Generalized anxiety disorder Oppositional defiant disorder Bipolar disorder Which neurotransmitters are most implicated in ADHD? Serotonin and GABA Dopamine and norepinephrine Acetylcholine and glutamate Histamine and serotonin Six Symptoms or more of ADHD must be present for at least how long to meet DSM-5-TR criteria? 1 month 3 months 6 months 12 months Which intervention is first-line for a child younger than 6 years old with ADHD? Psychotherapy Parent training Family therapy CBT A child taking dexmethylphenidate ER in the morning shows good school-day control but has marked symptom rebound in late afternoon on homework days. What is the best next step? Increase the ER dose Add a low-dose IR booster in the afternoon Stop stimulant and start bupropion Switch to clonidine only An 11-year-old takes amphetamine/dextroamphetamine IR in the morning and after school, and now has insomnia. Which intervention is most appropriate? Add zolpidem PRN Switch to extended-release taken in the morning Increase the second IR dose earlier in the afternoon Add trazodone nightly A 9-year-old has lost 8 pounds after starting methylphenidate ER. Which adjustment is most appropriate initially? Add mirtazapine Implement stimulant holidays on weekends/non-school days Switch to Adderall Switch to nonstimulant Which stimulant is a prodrug with lower abuse/diversion potential? Dexmethylphenidate Dextroamphetamine Lisdexamfetamine Methylphenidate IR Which medication is often considered an appropriate initial pharmacologic choice for adults with ADHD, especially with comorbid substance misuse risk? Atomoxetine (dose 40mg, then increase to 80mg) Adderall IR