A 10-year-old with a diagnosis of ADHD, has responded well to treatment with an amphetamine stimulant and his school grades have improved. His mother is concerned about the potential for him to develop a stimulant addiction. Which of the following statements would you include as part of your teaching?

Which of the following conditions is an absolute contraindication to stimulant use?

Mr. Stevens presents to your office for help stopping alcohol. He has tried to quit multiple times himself, with no success. He was just released from a detox unit and has not had a drink in 6 weeks, but has intense cravings. He states “I really need to quit this time, my doctor told me I have pretty bad cirrhosis and I’ll die if I don’t quit”. He has no other significant medical history. Which medication would you choose to start Mr. Stevens on?

You are providing a consult in the emergency room for a patient who presented with intense pain. You review the chart and see that the patient attends treatment at the Suboxone (buprenorphine/naloxone) clinic for a history of heroin abuse. On exam the patient is diaphoretic, pupils are dilated, he is complaining of nausea, and has tachycardia. His UDS is only positive for his prescribed Suboxone. You notice the patient has recent injection marks (track marks) on his arm. What may explain the patient’s symptoms?

A 25 year old female with a long standing history of ADHD presents to your office to establish care with a new provider. She is starting a new job and is worried about her ability to focus while learning about her new role. She also recently learned she is 8-weeks pregnant. Which of these is the best option for treatment for this patient?

Your patient, with a heroin addiction, calls to say he is experiencing withdrawal symptoms. Which of the following statements would you make to him?

Which of the following medications for ADHD is long acting and is not active until first metabolized by the liver?

Use the following ANOVA table to answer the question below: The p-value for the ANOVA table is omitted. Is the p-value from this ANOVA test greater than or less than 0.05?  

You are prescribing venlafaxine (Effexor) for the treatment of generalized anxiety disorder. Which of the following is a dose related adverse effect for Effexor?

James was diagnosed with bipolar disorder at age 18.  He is now 32 years old and has been maintained stable on lithium 900mg daily and lamotrigine (Lamictal) 100mg daily.  He recently had his wisdom teeth removed and has been taking 600mg of ibuprofen 3 times per day.  He suddenly experiences tremors, diarrhea, vomiting, and extreme sedation.  What could be the cause of these side effects?