An 8-year-old boy is brought to the family physician by his parents because of ongoing difficulty at school. His grade 3 teacher reports that he cannot stay seated, loses his belongings, interrupts others, and rarely finishes assignments; similar behaviour occurs at home. A full assessment using parent and teacher rating scales confirms attention-deficit/hyperactivity disorder (ADHD), combined presentation, with no learning disability, anxiety, or tic disorder. He takes no medications and has no allergies. There is no personal or family history of cardiac disease or sudden death. Height is 128 cm and weight is 26 kg, both near the 50th percentile; cardiac examination is normal.
| Heart rate | 84/min |
| Respiratory rate | 18/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 102/64 mm Hg |
Question 1 of 15
The family agrees to medication in addition to behavioural strategies at home and school. Which of the following are the most appropriate first-line medication options?
Select 2. (0 / 2 selected)
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