Paeds Cases · growth-development-and-behaviour
Attention-deficit hyperactivity disorder — OSCE
OSCE station: ADHD assessment counselling and shared decision-making for multimodal care.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Parent and 8-year-old attend after teacher email about inattention; parent wants medication today; sleep is short; no prior formal assessment.
Objectives
- Open with child voice and reframe “medication today” into structured assessment. [1]
- Screen sleep, senses, multi-setting function and comorbidity. [1] [20]
- Explain diagnosis criteria without stigma and without over-promising. [1] [12]
- Agree a multimodal plan and monitoring if medication is later indicated. [1] [3] [15]
References5ShowHide
- [1]Wolraich ML Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics, 2019.PMID 31570648
- [3]Cortese S Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis. Lancet Psychiatry, 2018.PMID 30097390
- [12]Kazda L Overdiagnosis of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: A Systematic Scoping Review. JAMA network open, 2021.PMID 33843998
- [15]Cooper WO ADHD drugs and serious cardiovascular events in children and young adults. The New England journal of medicine, 2011.PMID 22043968
- [20]Paruthi S Recommended Amount of Sleep for Pediatric Populations: A Consensus Statement of the American Academy of Sleep Medicine. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2016.PMID 27250809