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ADHD — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)ADHDUSMLE Step 3

An 8-year-old boy has poor attention, impulsivity, and incomplete schoolwork for 10 months. Symptoms occur at home and school and impair performance. Hearing and vision are normal. There is no sleep apnea or seizure history. Which of the following is the most likely diagnosis?

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Correct answer: AAttention-deficit/hyperactivity disorder

ADHD requires persistent inattentive and/or hyperactive symptoms in more than one setting with impairment and exclusion of alternative causes.

Reference: AAP ADHD Clinical Practice Guideline