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

Course content © copyright 2017 by Russell A. Barkley, Ph.D., ABPP. All rights reserved.

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1. 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
Obsessional thoughts and compulsions
Inattention and hyperactive-impulsive symptoms
2. 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.
3. 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
4. Adult ADHD is associated with additional deficits in which of the following areas of executive functioning: Help
Spatial reasoning
Goal-directed persistence and resistance to distraction
Language syntax
Perceptual-motor speed
5. Adult ADHD adversely impacts which of the following areas of executive functioning in daily life activities: Help
Self-awareness
Self-management to time
Self-motivation
All of the above
6. 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
School or education
Sexual behavior
Criminal activity
Substance abuse
7. 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
8. 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
9. Which of the following health risks are associated with adult ADHD: Help
Increased use of tobacco, alcohol, and marijuana
Excess Internet use and addiction
Accidental injuries
All of the above
10. Which of the following are client reactions to be expected following the diagnosis of adult ADHD: Help
Relief
Anger
Grief reaction
All of the above
11. A crucial step in preparing an adult with ADHD for treatment is: Help
Understanding their insurance reimbursements.
Obtaining signed releases of information.
Helping the adult to understand and accept or "own" their disorder.
None of the above.
12. 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
13. CBT programs for adult ADHD have been developed by: Help
Freud and Jung
Solanto and Safren
Stuart and Gottman
Meichenbaum and Kendall
14. The two basic types or categories of FDA approved medications for ADHD are: Help
Stimulants and nonstimulants.
Anti-anxiety and anti-psychotics.
Narcoleptics and tranquilizers.
Anti-depressants and MAO inhibitors.
15. 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.
16. 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.
17. 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
18. 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
Mindfulness meditation
Insight oriented psychotherapy
19. 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.
20. The relationship of adult ADHD to problems with time management is: Help
Of no consequence and requires no management recommendations.
An occasional problem but not serious enough to warrant treatment.
Substantial and often means those with ADHD are "blind to time".
Not able to be addressed by treatments at this time.
21. When it comes to self-motivation, adults with ADHD: Help
Have no problems with this domain of executive functioning.
Can benefit from arranging for frequent external types of motivation to help them get through the job.
Do not benefit from making arrangements to be more accountable to others.
Should arrange extravagantly large rewards at the end of long quotas of work to be done.
22. 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.
23. 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
24. 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
25. 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.
26. 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.
27. 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.
28. Managing the health risks posed by adult ADHD often includes advising clients to: Help
Reduce humidity within their work settings.
Develop regular weekly exercise patterns.
Eliminate sugar in their diet.
Reduce consumption of gluten containing products.
29. 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.
30. Recommendations for managing substance abuse in adults with ADHD are: Help
Unnecessary as substance use and abuse is not typically a problem associated with ADHD.
Only need to address the use of "hard" drugs such as cocaine, heroin, or LSD.
Will be needed to help the 1 in 4 adults with ADHD who are likely to have a problem with excessive use, dependence or abuse of substances.
Must include a prescription for an antihistamine.

 

 

 
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