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ADHD in Adults: History, Diagnosis, and Impairments - Test
by Russell A. Barkley, Ph.D., ABPP

Course content © copyright 2007-2015 by Russell A. Barkley, Ph.D., ABPP. All rights reserved.

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1. The first suggestion that ADHD might persist from childhood into adulthood was provided by: Help
Melchior Adam Weikard.
Sigmund Freud.
John B. Watson.
B. F. Skinner.
2. In 1976, Mann & Greenspan suggested that these medications may be useful in the management of MBD (ADHD) in adults: Help
3. Wood, Reimherr, and Wender (1976) were the first to: Help
Study the efficacy of stimulants in adults with MBD (ADHD).
Describe ADHD in the child and adult population.
Describe the effectiveness of cognitive therapy for adult ADHD.
None of the above
4. The Utah Criteria for diagnosis ADHD in adults were developed by: Help
James McGough.
Russell Barkley.
Paul Wender.
Anneliese Pontius.
5. The first new nonstimulant drug developed for ADHD in adults was: Help
6. The prevalence of ADHD in U.S. adults is approximately: Help
None of the above
7. The DSM-5 Criteria for ADHD require how many symptoms be present for the disorder to be diagnosed: Help
3 on either list of inattention or hyperactive-impulsive symptoms
5 on either list of symptoms
4 or either list of symptoms
None of the above
8. Barkley has argued that the age of onset of symptoms producing impairment for a diagnosis of ADHD should be: Help
Left at age 7-years-old as in DSM-IV because it works as well for adults as for children.
Raised to age 30-years-old to eliminate developmental difficulties.
Lowered to age 5-years-old to expand the range for diagnosing.
Eliminated completely or else raised to adolescence (12 to 16-years-old).
9. Barkley asserts that the determination of "impairment" in the diagnostic criteria be relative to the: Help
Average or normal person in the population.
Individual's IQ score.
Individual's specialized current peer group.
None of the above
10. Clinical judgment is necessary in rendering the diagnosis of ADHD because: Help
Self-reported ADHD-like symptoms may be better accounted for by the presence of another disorder.
The symptoms patients endorse may not rise to the level of being clinically significant or developmentally inappropriate.
There must be compelling evidence that the onset of symptoms occurred sometime during childhood or adolescence and have been chronic and pervasive.
All of the above
11. Barkley and colleagues (2008) identified a new list of symptoms for adults with ADHD. Which statement describes this list of symptoms? Help
They are the same symptoms as in DSM-IV and 5 for children.
Three are from the DSM and six from evaluating executive functioning.
All 14 symptoms are compiled from other disorders.
None of the above
12. Compared to other disorders likely to present in outpatient clinics, such as anxiety or depression, ADHD in adults is: Help
Less impairing.
More impairing.
Equally as impairing.
Not impairing at all.
13. The concept of "impairment" can be distinguished from the concept of "symptoms" as follows: Help
The symptoms of ADHD are its behavioral expressions, while impairments are the consequences of those symptoms.
The symptoms of ADHD are manifestations of underlying intrapsychic conflicts, while impairments are the psychological pain and suffering the person may experience from such conflicts.
The symptoms of ADHD arise from defects in the hippocampus that result in cognitive distortions while impairments are the reactions of others to these distortions.
None of the above
14. ADHD increases the liability for having other psychiatric disorders. At least what percent of cases of ADHD have another disorder? Help
20 percent
40 percent
80 percent
None of the above
15. ADHD in adults is likely to result in: Help
Less risk for drug use and abuse than is the case with other disorders.
A greater risk for drug use and abuse than with other disorders.
No increase in risk for drug use and abuse than with other disorders.
None of the above
16. Treating children with ADHD with stimulants in childhood is associated with: Help
No increased risk of drug use or abuse in any category of illegal drugs.
An increase in all forms of drug use in adulthood.
An increase in abuse of illegal stimulants in adulthood.
None of the above
17. Children growing up with ADHD in adulthood: Help
Are less likely than control children to engage in antisocial activities.
Are more likely to engage in sexual assaults and fire-setting specifically.
Are more likely than control children to engage in antisocial activities.
Have no risk for increased antisocial activities over the course of development.
18. ADHD predisposes to: Help
Increased health concerns.
Risk for accidental injuries.
Accidental poisonings.
All of the above
19. In the UMASS study of ADHD in adults, specific problems with money management were found in which of the following areas? Help
Saving and putting money away for retirement
Impulse buying
Meeting financial deadlines
All of the above
20. In their driving histories, adults with ADHD are more likely to: Help
Have their licenses suspended or revoked.
Have crashed while driving.
Be cited for speeding.
All of the above
21. Research shows that the driving performance problems of adults with ADHD can be improved by: Help
Stimulants and atomoxetine.
Anti-anxiety and atypical antipsychotic drugs.
Anti-hypertensive drugs.
None of the above
22. A major implication of Barkley's research is that the impairments in Adults with ADHD: Help
Require a focused treatment approach to manage the ADHD symptoms.
Call for a variety of psychiatric, psychological, educational, and occupational interventions.
Can be treated with medication alone.
Can best be resolved through medication and family therapy.
23. The treatment plan for adults with ADHD needs to also be based on an assessment of: Help
Family dynamics.
Past failures.
Comorbid disorders such as anxiety and depression.
Social use of alcohol.
24. 'Point of performance', an important factor in planning treatment, refers to: Help
Using a behavioral chart with points earned for compliance.
Assisting the client in the natural environment for a particular behavior.
Making sure the client understands the reasoning for the treatment plan.
Scoring one's performance over time like a report card.



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