ARJ
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A mother brings in her 9-year-old son who has been recently diagnosed with attention deficit hyperactivity disorder (ADHD). She is concerned that her 4 year old son might also have the disorder, as he is having difficulty interacting with other children at the local day care, is increasingly irritable, and was late in toilet training. She and her husband are also considering having another child, and they are worried about the possibility of having another child with ADHD. Which of the following should the physician advise this mother concerning her child's ADHD?
a)ADHD is a benign disorder and is self-limited to childhood
b)Her child with ADHD has a 50% risk of developing antisocial personality disorder
c)Her child with ADHD has an increased risk of developing schizophrenia, disorganized type
d)The level of her child's inattention will lessen during childhood and adolescence
e)The older her children get, the less likely that they will be to develop ADHD, as the prevalence of ADHD is estimated to decline as people age
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| phuluong2k
Forum Fanatic
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Go to B
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| kald
Forum Junior
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E Risk of ASPD is lesser than 50%. Inattention can increase with childhood and adolescence. Hyperactivity reduces. ADHD prevalence reportedly reduces
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| ARJ
Forum Guru
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The correct answer is
E. According to follow-up studies, the prevalence of ADHD is estimated to decline by 50 % every 5 years until the mid-20's. Therefore, it is acceptable to counsel this mother that the older her children get without symptoms of ADHD, the less likely they are to have the disorder. Choice A is incorrect, because adolescents and adults are also capable of being diagnosed with ADH
D. Choice B is incorrect, because children with ADHD have a 25% chance of developing antisocial personality disorder. Choice C is incorrect, because there is no known association between schizophrenia and ADHD, and no increased risk for schizophrenia beyond that of the general population. Choice D is incorrect because her child's impulsivity and hyperactivity will decrease as the child grows older, but not the level of inattention.
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| nycnew
Forum Senior
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good Q, I've seen it in somewhere in my step2
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