Neurology: ADHD: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Neurology: ADHD

Sample item

A 9-year-old has inattention, hyperactivity and impulsivity in school and at home for more than 1 year. After behavioural measures, which drug is first-line?

ADiazepamBImipramine as first choiceCHaloperidolDMethylphenidate

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Methylphenidate

ADHD is diagnosed on symptoms present before 12 years in two or more settings that impair function. Stimulants such as methylphenidate are first-line, and atomoxetine is a non-stimulant option. Behavioural therapy for the child and parent training are important.

Option by option

A. Diazepam
Benzodiazepines can worsen behaviour.
B. Imipramine as first choice
Tricyclics are a second-line option.
C. Haloperidol
Haloperidol is not first line.
D. Methylphenidate (correct)
Correct. Methylphenidate is first line.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Methylphenidate. ADHD is diagnosed on symptoms present before 12 years in two or more settings that impair function.

Why is "Diazepam" not the answer?

Benzodiazepines can worsen behaviour.

Why is "Imipramine as first choice" not the answer?

Tricyclics are a second-line option.

Why is "Haloperidol" not the answer?

Haloperidol is not first line.

What concept does this question test?

It tests Neurology: ADHD in Pediatrics. Stimulants such as methylphenidate are first-line, and atomoxetine is a non-stimulant option. Behavioural therapy for the child and parent training are important.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neurology: ADHD?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.