A 32-Year-Old Man Comes to the Office for Evaluation of Attention-Deficit

question 171

Multiple Choice

A 32-year-old man comes to the office for evaluation of attention-deficit hyperactivity disorder (ADHD) .  Although never treated, he had behavioral problems starting in kindergarten, frequently getting into trouble both at school and at home for not listening, talking out of turn, and inability to sit still.  Many of these difficulties persisted throughout high school and college.  The patient continues to struggle with distractibility, forgetfulness, disorganization, and impulsivity.  He is concerned that ADHD is affecting his relationships and work performance and mentions that he has been passed over for promotion several times.  The patient has a history of alcohol and cocaine use disorder from age 18-24 and a family history of alcohol and opioid abuse in his father and paternal uncle.  The patient does not use alcohol or any illicit drugs.  He hopes that medication can help but is concerned about taking anything addictive.  Which of the following is the most appropriate next step in management of this patient?

• A)Atomoxetine
• B)Clonidine
• C)Cognitive-behavioral therapy
• D)Desipramine
• E)Dextroamphetamine
• F)Methylphenidate
• G)Modafinil

---

Definitions:

Model Significant

A measure of the likelihood that the relationships observed in the data occur due to something other than chance.

Correlation Coefficient

A metric that evaluates how closely related the movements of two variables are.

Linear Relationship

A relationship between two variables where a change in one variable is associated with a proportional change in the other variable, often represented by a straight line when graphed.

Regression Analysis

A statistical process for estimating the relationships among variables.