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ADHD — USMLE Step 3 MCQ

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HardPediatrics (Well-child / Chronic Management)ADHDUSMLE Step 3

A 9-year-old has inattention and hyperactivity causing impairment at school and home for one year. Parent and teacher scales support ADHD; hearing and vision are normal. What is the best next treatment plan?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: COffer approved ADHD medication with parent training or classroom behavioral support

For school-aged children, guideline-based care includes medication and behavioral interventions with school support, tailored to the child and family. The alternatives omit effective first-line treatment or use inappropriate drugs.

Reference: American Academy of Pediatrics, ADHD Guideline: https://publications.aap.org/pediatrics/article/144/4/e20192528/38581/Clinical-Practice-Guideline-for-the-Diagnosis