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Paeds Casesgrowth-development-and-behaviour

Paeds Cases · growth-development-and-behaviour

Attention-deficit hyperactivity disorder — OSCE

OSCE station: ADHD assessment counselling and shared decision-making for multimodal care.

osce communication and management station1 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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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

  1. Open with child voice and reframe “medication today” into structured assessment. [1]
  2. Screen sleep, senses, multi-setting function and comorbidity. [1] [20]
  3. Explain diagnosis criteria without stigma and without over-promising. [1] [12]
  4. Agree a multimodal plan and monitoring if medication is later indicated. [1] [3] [15]
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References5ShowHide
  1. [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
  2. [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
  3. [12]Kazda L Overdiagnosis of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: A Systematic Scoping Review. JAMA network open, 2021.PMID 33843998
  4. [15]Cooper WO ADHD drugs and serious cardiovascular events in children and young adults. The New England journal of medicine, 2011.PMID 22043968
  5. [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
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