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ADHD in Adults: Diagnosis, Impairments, and Long-Term Management - Test
by Russell A. Barkley, Ph.D., ABPP

Course content © copyright 2019 by Russell A. Barkley, Ph.D., ABPP. All rights reserved.

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1. The first suggestion that ADHD might persist from childhood into adulthood was provided by: Help
Melchior Adam Weikard.
Sigmund Freud.
John B. Watson.
B. F. Skinner.
2. Wender (1976) was the first to: Help
Describe ADHD in the child and adult population.
Study the efficacy of stimulants in adults with MBD (ADHD).
Describe the effectiveness of cognitive therapy for adult ADHD.
None of the above
3. The first new nonstimulant drug developed for ADHD in adults was: Help
Amphetamine.
Methylphenidate.
Daytrana
Atomoxetine.
4. The prevalence of ADHD in U.S. adults is approximately: Help
1-2%.
4-5%.
8-10%.
None of the above
5. Adult ADHD is considered a neurodevelopmental disorder comprised of which of the following sets of symptoms: Help
Anxiety and depression symptoms
Social communication and restricted interests
Inattention and hyperactive-impulsive symptoms
Obsessional thoughts and compulsions
6. The symptoms of adult ADHD are: Help
Dimensional, falling along a continuum of typical or normal behavior.
Categorical, reflecting an all or none type of disorder.
Pathognomonic, indicating the presence of a psychopathology whenever any symptom is present.
Disguised within those of another disorder, like depression.
7. Which of the following are part of the DSM-5 diagnostic criteria for adult ADHD: Help
The presence of at least 5 symptoms on either symptom list
The onset of symptoms by age 12 years
Symptoms must lead to impairment in major life activities.
All of the above
8. Barkley has argued that the age of onset of symptoms producing impairment for a diagnosis of ADHD should be: Help
Left at age 7-years-old as in DSM-IV because it works as well for adults as for children.
Eliminated completely or else raised to adolescence (12 to 16-years-old).
Raised to age 30-years-old to eliminate developmental difficulties.
Lowered to age 5-years-old to expand the range for diagnosing.
9. Barkley asserts that the determination of "impairment" in the diagnostic criteria be relative to the: Help
Individual's IQ score.
Average or normal person in the population.
Individual's specialized current peer group.
None of the above
10. Clinical judgment is necessary in rendering the diagnosis of ADHD because: Help
Self-reported ADHD-like symptoms may be better accounted for by the presence of another disorder.
The symptoms patients endorse may not rise to the level of being clinically significant or developmentally inappropriate.
There must be compelling evidence that the onset of symptoms occurred sometime during childhood or adolescence and have been chronic and pervasive.
All of the above
11. Barkley and colleagues (2008) identified a new list of symptoms for adults with ADHD. Which statement describes this list of symptoms? Help
They are the same symptoms as in DSM-IV and 5 for children.
All 14 symptoms are compiled from other disorders.
Three are from the DSM and six from evaluating executive functioning.
None of the above
12. The concept of "impairment" can be distinguished from the concept of "symptoms" as follows: Help
The symptoms of ADHD are its behavioral expressions, while impairments are the consequences of those symptoms.
The symptoms of ADHD are manifestations of underlying intrapsychic conflicts, while impairments are the psychological pain and suffering the person may experience from such conflicts.
The symptoms of ADHD arise from defects in the hippocampus that result in cognitive distortions while impairments are the reactions of others to these distortions.
None of the above
13. Which of the following domains of major life activities is likely to be the most adversely affected in the histories of adults having ADHD: Help
Sexual behavior
Criminal activity
School or education
Substance abuse
14. Adult ADHD may also lead to adverse outcomes in which of the following areas of major life activities: Help
Money management
Driving
Dating, marriage, or cohabiting
All of the above
15. Which of the following are among the health and medical problems associated with adult ADHD: Help
Risk for arthritis
Risk for kidney disease
Risk for sleeping problems
Risk for irritable bowel syndrome
16. Which of the following health risks are associated with adult ADHD: Help
Excess Internet use and addiction
Increased use of tobacco, alcohol, and marijuana
Accidental injuries
All of the above
17. ADHD increases the liability for having other psychiatric disorders. At least what percent of cases of ADHD have another disorder? Help
20 percent
40 percent
80 percent
None of the above
18. A crucial step in preparing an adult with ADHD for treatment is: Help
Helping the adult to understand and accept or "own" their disorder.
Understanding their insurance reimbursements.
Obtaining signed releases of information.
None of the above.
19. Which of the following are considered to be among the evidence-based therapies for adult ADHD: Help
Cognitive behavioral therapy focused on EF deficits
Coaching
Medication
All of the above
20. CBT programs for adult ADHD have been developed by: Help
Freud and Jung
Stuart and Gottman
Solanto and Safren
Meichenbaum and Kendall
21. The two basic types or categories of FDA approved medications for ADHD are: Help
Anti-anxiety and anti-psychotics.
Stimulants and nonstimulants.
Narcoleptics and tranquilizers.
Anti-depressants and MAO inhibitors.
22. Specific FDA medications for use in managing adult ADHD are: Help
Methylphenidate and amphetamine.
Atomoxetine.
Anti-hypertensive drugs (alpha-2 agonists).
All of the above.
23. ADHD medications approved by the FDA: Help
Only come in immediate release preparations at this time.
Come in a variety of stimulant delivery systems such as liquids, pills, time release pellets, osmotic pumps, skin patches, and pro-drug formulations.
Require weeks to months of titration before benefits are evident.
Benefit only 25-35% of all adults with ADHD.
24. Which of the following medications have been used "off-label" in the management of adult ADHD: Help
Thorazine and chlorpromazine
Bupropion and modafinil
Fluoxetine and fluvoxamine
Ibuprofen and acetaminaphen
25. Which of the following is not considered to be a promising but under-investigated therapy for ADHD in adults: Help
Routine physical exercise
Marital/couples counseling
Insight oriented psychotherapy
Mindfulness meditation
26. A general strategy or guiding principle for managing ADHD in adults is: Help
Understanding that ADHD is a disorder of performance, not one of knowledge.
Ensuring that the patient understands the psychosocial origins of the disorder.
Learning that ADHD can be an effective excuse for irresponsible behavior.
Focusing on the reduction of stress and anxiety.
27. "Point of performance", an important factor in planning treatment, refers to: Help
Using a behavioral chart with points earned for compliance.
Assisting the client in the natural environment for a particular behavior.
Making sure the client understands the reasoning for the treatment plan.
Scoring one's performance over time like a report card.
28. When it comes to self-motivation, adults with ADHD: Help
Have no problems with this domain of executive functioning.
Do not benefit from making arrangements to be more accountable to others.
Can benefit from arranging for frequent external types of motivation to help them get through the job.
Should arrange extravagantly large rewards at the end of long quotas of work to be done.
29. It can be very helpful to the management of adult ADHD if the patient views the condition as: Help
Easily treated through physical exercise and healthy diet.
The diabetes of psychiatry - a chronic disorder that can be effectively managed.
An adjustment reaction to situational distress.
An episodic disorder requiring periodic psychotherapy.
30. Rules alone don't guide behavior very well in adult ADHD. What can clinicians do to help? Help
Make rules into physical lists.
Have the adult talk out loud or in a low voice to him or her self and state the rules aloud.
Digitally record reminders on a recorder and then play then back again as needed.
All of the above
31. Which of the following are specific strategies that can be recommended for addressing problems in work and school settings that are due to adult ADHD: Help
Find a coach or "mentor" to which the adult can be held accountable several times each day for their work.
Encourage the adult to use a daily assignment calendar and a journal.
Digitally record important lectures or meetings.
All of the above
32. Requesting extra time on timed tests in college or work is: Help
Especially helpful and specifically benefits the adult with ADHD while being of no benefit to others with ADHD.
Beneficial for everyone, disabled or not.
Of no help to anyone.
Only helpful on graduate school admissions tests.
33. The SQ4R system for improving reading comprehension does not include which of the following: Help
Survey the material to be read.
Draft some questions that need to be answered.
Use large print versions of textbooks.
Read, recite, write, and review.
34. Suggestions for managing the excessive Internet use of adults with ADHD might include: Help
At home, placing the computer with Internet access in a space set aside for working.
Setting up two computers: one for work and the other for play.
Installing Internet time management software on the home and workplace computers.
All of the above.
35. Managing the health risks posed by adult ADHD often includes advising clients to: Help
Reduce humidity within their work settings.
Eliminate sugar in their diet.
Develop regular weekly exercise patterns.
Reduce consumption of gluten containing products.
36. Driving performance risks posed by adult ADHD can be reduced by: Help
Using ADHD medications while driving.
Precluding the use of alcohol when planning to operate a motor vehicle.
Asking a spouse or partner who does not have ADHD to drive children to their various activities.
All of the above.

 

 

 
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