9-year-old Boy in Medicine / Internal Medicine — 9yo Child | Psychiatry | SMLE Q#1474

SMLE Question #1474

Medicine / Internal Medicine Psychiatry
Last updated: February 2026
A 9-year-old boy has had 2 years of poor attention in class, excessive fidgeting, and interrupting others. Symptoms occur at school and at home and have caused academic impairment and frequent teacher complaints. There is no history of tics, seizures, mood disorder, or significant medical illness. Physical and neurological examinations are normal. Behavioral interventions have provided limited benefit. What is the most appropriate pharmacologic management?

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