Rotations 2.0 Episode 79 Substance Use Disorder

Episode 79 Substance Use Disorder

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

Outro Music: Heroic 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 78 ADHD

Question 1

A 68-year-old man presents with complaints of lifelong difficulty staying organized, managing finances, and completing tasks. He reports that these issues have been present since childhood but have worsened in impact since retirement. He denies progressive memory loss. Physical exam is unremarkable, and Mini-Mental State Examination (MMSE) score is normal. Which of the following is the most appropriate next step in management?

C. Obtain a detailed developmental history focusing on childhood symptoms

Question 2

A 72-year-old woman with newly diagnosed ADHD is being considered for pharmacologic treatment. She has a history of hypertension and is currently taking three antihypertensive medications. Which of the following is the most appropriate initial pharmacologic approach?

B. Initiate low-dose stimulant therapy with careful titration

Question 3

A 66-year-old patient with ADHD reports difficulty adhering to medication regimens for multiple chronic conditions. He frequently forgets doses and misses appointments. His physician decides to incorporate non-pharmacologic strategies. Which of the following interventions is most appropriate?

C. Cognitive-behavioral therapy focused on organizational skills

Paper for next week:

Schneider, Julie A. “Neuropathology of Common Age-Related Dementing Disorders.” Continuum (Minneapolis, Minn.) 28, no. 3 (June 2022): 834–851. https://doi.org/10.1212/CON.0000000000001137.

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