Neurodevelopmental1. ADHD diagnosis requires symptoms that are: Select TWO correct statements.Select all that apply.A. Most appropriate: Pervasive across two or more settings and causing impairment, inconsistent with developmental levelB. The following is not the most appropriate next step: Only present when playing video gamesC. Most appropriate: A single afternoon of restlessness in clinicD. Most appropriate: Explained entirely by uncorrected deafness that has not been checkedCheck
Neurodevelopmental2. Why is ADHD missed in many women and girls? Select TWO correct statements.Select all that apply.A. Most appropriate: Inattentive presentation, internalising symptoms, and compensatory strategies (camouflaging)B. The following is not the most appropriate next step: NICE forbids diagnosing womenC. Most appropriate: They never have ADHD as a biological ruleD. Most appropriate: QbTest is always normal in women so referral is bannedCheck
Neurodevelopmental3. A commissioner delays all ADHD referrals until QbTest is booked. What is the NICE-aligned response? Select TWO correct statements.Select all that apply.A. Most appropriate: QbTest is not required and must not be the sole diagnostic tool or an access barrier (NICE NG87)B. The following is not the most appropriate next step: QbTest is mandatory before any history is takenC. Most appropriate: QbTest replaces informant questionnairesD. Most appropriate: QbTest diagnoses autismCheck
Neurodevelopmental4. Before referring possible ADHD, which mimics should you think of? The most appropriate action is: Sleep apnoea, hearing/vision, thyroid, trauma, substance use, learning needsTRUE. TrueFALSE. FalseCheck
Neurodevelopmental5. Teachers say he is 'fine at school' but home is chaotic with inattention. What is a fair interpretation? The most appropriate action is: If school is fine, ADHD is impossibleTRUE. TrueFALSE. FalseCheck
Neurodevelopmental6. First-line medication for ADHD in children (after environmental measures) per NICE NG87 is typically:A. Lisdexamfetamine always first in every child before methylphenidateB. Risperidone first-line for core ADHDC. MethylphenidateD. Clonidine patches from GP unaided as NICE first-lineCheck
Neurodevelopmental7. First-line drug options in adult ADHD (NICE NG87) include:A. AmitriptylineB. Sodium valproate as first-line ADHDC. MethadoneD. Methylphenidate or lisdexamfetamineCheck
Neurodevelopmental8. Atomoxetine is more likely to be chosen when:A. Stimulants are contraindicated, not tolerated, or there is concern about misuse/tics as per specialist judgement (NG87)B. It is faster than stimulants for everyone on day 1C. It is a controlled stimulantD. It replaces the need for a diagnosisCheck
Neurodevelopmental9. On shared-care methylphenidate, what does the GP typically monitor? Select TWO correct statements.Select all that apply.A. Most appropriate: Growth, BP, HR, sleep, appetite, tics, mood, and prescription safety (CD)B. The following is not the most appropriate next step: Nothing; specialists do all bloods weekly in every case as the only modelC. Most appropriate: INR weeklyD. Most appropriate: CA125Check
Neurodevelopmental10. Weekend 'drug holidays' from methylphenidate: The most appropriate action is: Are compulsory every weekend by lawTRUE. TrueFALSE. FalseCheck