That's who lives in that region, almost exclusively.
Sure isn't.
I annihilated the SATs. My grades were only good in high school because I was just "gifted" enough to get As without studying. I do not have and never had ADHD. I also never learned how to study.
I almost failed out of college. I didn't know how to study. I didn't have the habits. I sure had a lot of fun in high school and college though.
Nah. There are plenty of intelligent students who don't have ADHD but are either lazy or rebellious enough to not care about conventional measures of academic success.