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Pediatrics · USMLE Step 2 CK

USMLE Step 2 CK Pediatrics: Behavioral and Developmental Disorders

ADHD, autism spectrum disorder screening, and other pediatric behavioral and developmental disorder management tested on USMLE Step 2 CK.

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According to DSM-5, ADHD symptoms must be present before age ____.
12
What is the minimum duration of symptoms required for a diagnosis of ADHD?
At least 6 months
In how many different settings must ADHD symptoms be present for diagnosis?
At least 2 settings (e.g., home and school)
What are the three DSM-5 presentations of ADHD?
Predominantly inattentive, predominantly hyperactive-impulsive, and combined
What is the first-line pharmacologic treatment class for ADHD in school-age children?
Stimulants (methylphenidate or amphetamine derivatives)
What is the first-line treatment for ADHD in children younger than 6 years?
Behavioral therapy (parent training in behavior management)
What common eating-related side effect occurs with stimulant medications used for ADHD?
Decreased appetite/weight loss
What common sleep-related side effect occurs with stimulant medications used for ADHD?
Insomnia
Name a non-stimulant medication used to treat ADHD.
Atomoxetine
What is the mechanism of action of atomoxetine?
Selective norepinephrine reuptake inhibitor
Which class of antihypertensive drugs can also treat ADHD, especially with comorbid tics?
Alpha-2 adrenergic agonists (clonidine, guanfacine)
What screening tool is recommended for autism spectrum disorder at 18 and 24 months?
M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised)
What are the two core diagnostic domains of autism spectrum disorder?
Persistent deficits in social communication/interaction, and restricted, repetitive patterns of behavior or interests
Autism spectrum disorder is more common in which sex?
Males
At what ages does the AAP recommend general developmental screening?
9, 18, and 30 months

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