If you think the SAT is in any way shape or form an indicator of intelligence or skills you would be objectively wrong. Someone with ADHD is likely going to perform poorly on the SATs due to the test environment but that does not indicate how well they'll perform in a professional environment.

Similarly I can think of people in college who would abuse Adderall in order to get higher scores. Do you think those people are more or less intelligent? Should we consider the metrics before or after usage?

Americans seem so obsessed with the SAT. Why do test scores matter so much to people? My friends and I used to compete with one another by writing IQ tests and comparing the results. It was sort of fun, but its not like the results meant anything. Especially since the scores went up the more we wrote the silly things. Did we get smarter? Clearly.