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NEUROSAE 2018 ANNUAL MEETING EDITION (VOLUME 10, ISSUE 3)
QUESTION 64 OF 100
Which of the following statements about a diagnosis of ADHD in adults (i.e. with no prior diagnosis in childhood) is true?
A. ADHD is more prevalent in adults than in children in the United States.
B. Adults with ADHD tend to have more problems with hyperactivity than with inattention.
C. DSM-5 criteria for ADHD in adults requires that symptoms appear before age 12 years.
D. Adults with ADHD are more likely to have a history of tic disorders or learning disabilities. **
E. Adults with ADHD are less likely to have a history alcohol and drug abuse.
** = Your answer
ADHD can be a lifelong disorder, thought to be present in up to 6% of adults (compared with up to 10% of children) in the United States. Confirming the diagnosis in adult patients requires documentation of symptoms before age 12 years, which may require confirmation through other sources as recall bias may influence a patient’s ability to provide that history. Although tics and learning disabilities are common comorbidities in children, adults with ADHD are more likely to have different comorbid conditions, including substance abuse, anxiety, and depression. First-line treatments usually are a combination of behavioral therapy and medications, with stimulants usually considered the medication of choice. Atomoxetine is the only nonstimulant approved by the FDA for treatment of adult ADHD.
* Spurling Jeste S. Neurodevelopmental behavioral and cognitive disorders. Continuum Lifelong Learning Neurol. 2015;21(3):690-714.