Please use this information for the next three questions: Stephanie is a 10-year
ID: 3464526 • Letter: P
Question
Please use this information for the next three questions: Stephanie is a 10-year-old girl who, for the last several years has received very poor grades in school. Her teachers say she is extremely talkative in class (she shouts out answers before she is supposed to). Both her parents and teachers agree that she is generally very bright, they also say she often seems "mentally somewhere else" and seems easily distracted. She recently received the lowest score in class on a math exam. Even though she got many of the questions she attempted correct, she missed several because of careless errors like accidentally circling the wrong answer. She also neglected to answer many of the questions because she failed to notice the test had a second page, even though the teacher instructed the class to flip the page over when they were done with the first side. Another issue is her performance on homework. She has a hard time with reading assignments, especially assignments in science, which she finds very boring. Even though she really likes her English and history lessons, she has poor grades in these subjects too because she often forgets to turn in assignments that she has completed. Her backpack and bedroom are a total mess, and she often can't find things she needs. She often uses other people's supplies at school because she has left hers at home. This forgetfulness also extends beyond school-related activities. For example, recently she made her mother a card, but was unable to figure out where she put it when it came time to give it to her on Mother's day 11. Based on this information, which disorder (if any) should Stephanie be diagnosed with? a. ADHD: predominantly inattentive presentation b. ADHD: predominantly hyperactive-impulsive presentation c. ADHD: combined presentation d. Intellectual Disability 12. Of the following, which is most likely? a. Stephanie has normal peer relationships b. Stephanie is ambivalent about her peers c. Stephanie is neglected by her peers d. Either a. or b 13. Imagine Stephanie were not taken to a clinician at this time, but only went to see someone when she was 19. Could Stephanie be diagnosed with ADHD at that time? a. Yes, if she were still having similar issues b. Only if she had 5 additional symptoms c. No, she must be diagnosed before age 13 d. No, she must be diagnosed before age 18Explanation / Answer
11. c) ADHD: combined presentation
ADHD combined type is a category of ADHD which involves symptoms of both inattentive and hyperactive-impulsive presentation. Stephanie shows both symptoms- she is hyperactive as she answers enthusiastically before her turn and she also forgets things which is a symptom of inattentive presentation.
12. b) Stephanie is ambivalent about her peers.
13. a) Yes if she were having similar issues.