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Attention-deficit/hyperactivity disorder — MCCQE Part 1 MCQ

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ModerateAttention, Learning, and School ProblemsAttention-deficit/hyperactivity disorderMCCQE Part 1

An 8-year-old has persistent inattention, impulsivity and academic difficulties in both home and school settings for more than 6 months. Vision and hearing are normal. Which of the following is the most appropriate diagnostic approach?

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Correct answer: A — Use collateral from parents and teachers, assess impairment and screen for comorbidities before treatment planning

ADHD diagnosis requires symptoms in more than one setting with functional impairment and collateral history. Comorbid learning disorders, anxiety, sleep problems and family context should be assessed. Imaging is not routine in typical ADHD.

Reference: Canadian Paediatric Society ADHD guidance