An 8-year-old boy has inattentiveness, impulsivity, and incomplete schoolwork for 9 months. Symptoms occur at home and school and impair performance.

Question

An 8-year-old boy has inattentiveness, impulsivity, and incomplete schoolwork for 9 months. Symptoms occur at home and school and impair performance. Parent and teacher rating scales support ADHD. Which of the following is the most appropriate next step in management?

Accepted Answer

Begin stimulant medication with behavioral and school-based supports

Answer

Delay treatment until adolescence

Answer

Recommend strict sugar avoidance as sole therapy

Answer

Use antibiotics for presumed infection

Answer

Start antipsychotic therapy as initial treatment

ADHD — USMLE Step 3 MCQ

An 8-year-old boy has inattentiveness, impulsivity, and incomplete schoolwork for 9 months. Symptoms occur at home and school and impair performance. Parent and teacher rating scales support ADHD. Which of the following is the most appropriate next step in management?