Rotations 2.0 Episode 78 ADHD

Episode 78 ADHD

Shoot me any comments or questions @Rotation2ptoh  on X

Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: When Our Eyes Met by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 77 Insomnia

Question 1

A 52-year-old woman presents with a 6-month history of difficulty falling asleep and frequent nighttime awakenings. She reports fatigue and poor concentration during the day. She has no major medical or psychiatric comorbidities. She asks for medication to help her sleep. Which of the following is the most appropriate initial management?

 D. Initiate cognitive behavioral therapy for insomnia (CBT I)

Question 2

A 60-year-old man presents with chronic insomnia refractory to initial behavioral interventions. He reports snoring and witnessed apneas by his spouse. You are considering further evaluation. Which of the following is the most appropriate next step?

C. Order polysomnography

Question 3

A 68-year-old woman has chronic insomnia and has failed CBT I. You are considering pharmacologic therapy. Which of the following is most consistent with guideline recommendations?

C. Use of prolonged-release melatonin for up to 3 months

Paper for next week:

 Davis, Sarah, and Jun Zhu. “Substance Abuse and Neurotransmission.” In Reference Module in Biomedical Sciences. Elsevier, 2021.

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