5. Interpretation (Intermediate) – QuizQbUser Interpretation (Intermediate) - Quiz Congratulations! You have successfully passed the quiz! Your account is now activated. You are now qualified to both administer QbTest to patients as well as retrieve patient reports from the QAT and interpret the results.Get your certificateDisclaimer: QbTest is for professional use only. Professionals are defined for this purpose as individuals with relevant qualifications, licences, authorisation or similar, working with those being identified, assessed or treated for ADHD. It is the responsibility of the user to ensure that QbTest is utilised in accordance with its indications.Main Menu1. Please review both the Standard and Detailed report for this 10-year-old boy. Choose the answer(s) below that correctly describe(s) the profile: * a) Compared to other boys of the same age, this boy makes a lot of commission errors in the beginning of the test b) Taken together, the individual activity parameters show that this boy was slightly hyperactive during the test c) The individual parameters measuring attention in the Standard report are consistent with the QbInattention Cardinal parameterStandard Report Detailed ReportIncorrect - Please try again.Congratulations - you got that one right.Several activity parameters in the Standard Report are Slightly Atypical: Distance (1.3), Microevents (1.2), and Area (1.6). These are in agreement with the cardinal parameter QbActivity, which is Slightly Atypical (1.1). If anything, the activity level for this boy has been slightly underestimated due to the brief obscuring of the marker. The parameters measuring inattention (Omission Errors, Reaction Time and Reaction Time Variation) all show clearly Atypical Q-scores (>1.5) in the Standard Report which is in agreement with the cardinal parameter QbInattention in the Detailed Report (3.6). Although the graph for Attention and Impulse Control (in the Standard Report) shows that this boy performs several Commission Errors during the beginning of the test, the graph and the Q-scores during quartile 1 and 2 in the detailed report show that this is a normal performance for a boy of this age (Q-score<1)2. Please review both the Standard and Detailed report for this 15-year-old girl. Select the answer(s) that correctly describe(s) the QbTest profile: * a) The patient adapted quickly to the test b) The patient’s activity decreased during quartile 4 c) The test is valid d) None of the aboveStandard Report Detailed ReportIncorrect - Please try again.Congratulations - you got that one right.This patient took a long time to adjust to the test which can be seen from the high number of Commission Errors during quartile 1. She stopped performing the test in the beginning of quartile 4 and the test is therefore not valid. The low activity Q-score in quartile 4 in the Detailed Report is invalid since the patient is not performing the test during that period. Since it is clear from the both the graphs on the Standard Report, but not from the Detailed Report, that the child stopped responding in Q4, it is important to review both reports. The test is not valid since the child did not complete the test.3. Please review both the Standard and Detailed report for this 17-year-old girl. Choose the answer(s) that correctly describe(s) the QbTest profile: * a) When evaluating this test taker’s results, the Q-scores in the Standard report provide useful additional information to the QbInattention cardinal parameter in the Detailed report b) The Q-score for QbActivity is above the Atypical range cut off c) This test taker exhibits more symptoms of inattention compared to impulsivity symptoms d) None of the aboveStandard Report Detailed ReportIncorrect - Please try again.Congratulations - you got that one right.By only looking at the Q-scores in the Standard Report it seems as though the impulsivity and inattention parameters show similar results and that they are within normal range. However, the QbInattention graph in the Detailed Report clearly show that the patient’s performance with respect to Reaction Time Variation is much better during the first half of the test. Given that the cardinal parameter QbInattention is based on the second half of the test, the patient’s deterioration in attention over time was better captured in the Detailed Report. The Q-score for the cardinal QbInattention was 1.2 (Slightly Atypical) indicating that this person may have problems with attention. The Q-score for the cardinal parameter QbImpulsivity was below 1.0, indicating that impulsivity is less of a problem than inattention during the test. The Q-score for QbActivity was 0.8 which is within the normal performance range (<1.0).4. Please review both the Standard and Detailed report for this 18-year-old adolescent girl. Choose the answer(s) that correctly describe(s) the QbTest profile: * a) Activity level is in the Atypical range b) Activity level seems to be related to the inattentive problems c) The QbInattention Cardinal Q-score is low relative to other individual attention parametersStandard Report Detailed ReportIncorrect - Please try again.Congratulations - you got that one right.The number of Omission Errors during this test is clearly outside of the normal range with a Q-score of 2.5 on the Standard Report. However, the Reaction Time is relatively fast with a normal Reaction Time Variation. Therefore, the cardinal parameter QbInattention is artificially low because this parameter takes Omission Errors, Reaction Time and Reaction Time Variation into account. Thus, in this case, the individual parameters for inattention on the Standard Report yield more detailed and accurate information than the cardinal parameter QbInattention. The activity level, with a Q-score of 1.4 for the cardinal parameter QbActivity, falls in the Slightly Atypical range (1.1–1.5).5. Please go through the Treatment report below, showing results pre-and post- treatment with medication. Taking into consideration the Cardinal Q-scores for each symptom domain, which of the following correctly describes how the patient, a 16-year-old adolescent girl, has responded to treatment? * a) There has been a significant response to treatment in all three areas, and symptoms appear controlled b) There has been slight response to treatment in all three areas, and symptoms could be better controlled c) There has been no response to treatment in any of the areas, and symptoms are still in the Atypical range d) There have been variable responses to treatment depending on the domain; some appear controlled, and others show room for improvementView ReportIncorrect - Please try again.Congratulations - you got that one right.The Treatment Report shows that pre-treatment, QbActivity and QbImpulsivity were in the Atypical range (2.0 and 2.4, respectively) and QbInattention was in the normal range (0.0). Post-treatment, the Q-scores in all domains improved by more than 0.5 (which is considered clinically significant) and are all now within the Normal or Better than normal performance ranges, indicating that symptoms appear to be well controlled.6. Please go through the Treatment Report below, showing results pre-and post-treatment with medication. Which of the following correctly describes how the patient, an 8-year old boy has responded to treatment? * a) Variable response to medication including worsening of symptoms b) The patient is a non-responder - patient has not responded to medication in any of the core areas c) Good response across all domains and patient’s symptoms are all well controlledView ReportIncorrect - Please try again.Congratulations - you got that one right.There is a marginal change on the QbActivity score from 0.7 to 0.5, and this remains within the normal range. Although the QbImpulsivity score gets significantly worse from 0.2 to 0.7, it also remains within the normal range. The QbInattention score does improve significantly from 2.1 to 1.4, but two factors to consider are 1) the post-treatment Q-score still remains within the Slightly Atypical range which indicates that symptoms may not be well controlled and 2) although there appears to be an overall improvement on pre- and post-treatment QbInattention scores, when evaluating the individual parameters for Inattention, we see that Reaction Time Variation and Omission errors Q-scores actually increase, while Reaction Time Q-score decreases. This sample case illustrates the importance of considering all the information provided on the report about a patient’s performance, including the cardinal parameters as well as the individual parameters that make up those cardinal scores.7. Please go through the Treatment report below, showing results pre-and post- treatment with medication. Which of the following correctly describes how the patient, a 9-year-old boy, has responded to treatment? * a) Variable response to medication; improvements in some areas, no change in others b) Significant response to medication across all symptom domains c) The patient is a non-responder- patient has not responded to medication in any of the core areas d) The patient is potentially overmedicatedView ReportIncorrect - Please try again.Congratulations - you got that one right.This patient shows a significant improvement in attention after medicine as measured by the individual parameters Omission Errors and Reaction Time Variation as well as by the cardinal parameter QbInattention (from 1.5 to -0.4). However, there is no change after treatment on impulsivity according to the cardinal parameter QbImpulsivity (Q-score is 1.9 at both time points). Regarding the patient’s activity level, there has also been a significant change in this domain from -0.2 to -1.7, but this now places the patient’s activity levels within the Extreme Performance range, which may indicate hypoactivity and/or the patient being overmedicated.8. Please go through the Treatment Report below, showing results pre-and post- treatment with medication. Which of the following correctly describes how the patient, a 9-year-old girl, has responded to treatment. * a) Significant response to medication across all symptom domains b) Poor response to medication in all areas; no significant changes c) Partial response to medication; symptoms appear controlled in some areas, but extreme performance in others d) The patient is a non-responder- patient has not responded to medication in any of the core areasView ReportIncorrect - Please try again.Congratulations - you got that one right.This patient was markedly inattentive at baseline, as measured by the individual attention parameters and the cardinal parameter QbInattention (Q-score 3.3). After medical treatment, attention was normalized according to the cardinal parameter QbInattention (Q-score 0.2). Her QbActivity score at follow-up is significantly lower, but in the extreme performance range (Q-score= -2.1) suggesting a hypoactive locomotor effect of medication.User DetailsPlease enter your user details below so the answers to your quiz can be submitted. Username * User Email * First Name * Last Name * Clinic Name * Clinic ID * If you are human, leave this field blank. Submit