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ADHD — MCCQE Part 1 MCQ

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EasyChild/Adolescent Mental HealthADHDMCCQE Part 1

9-year-old boy presents with school difficulties. Symptoms of inattention and hyperactivity occur at home and school and began before age 12. Which of the following is the most appropriate next step?

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Correct answer: E — Use teacher/parent rating scales and assess comorbidities before behavioural/pharmacologic treatment

Use teacher/parent rating scales and assess comorbidities before behavioural/pharmacologic treatment is best because cross-setting impairment supports ADHD assessment. Provide only reassurance without clear follow-up or safety-netting is suboptimal because children can deteriorate quickly and follow-up must be explicit; Use adult dosing or adult pathways without paediatric adjustment is suboptimal because children require age- and weight-appropriate care; Delay assessment until the next routine visit is suboptimal because developmental, infectious and neonatal red flags require timely assessment; Give antibiotics, steroids or investigations routinely despite no indication is suboptimal because over-treatment can cause harm when supportive or targeted care is indicated. Diagnosis requires impairment in more than one setting.

Reference: Canadian ADHD Practice Guidelines