PMHS Pediatric Primary Care Mental Health
Specialist 2026 Exam Study guide 100% Pass
contraindications to methylphenidate - ANSWER-marked anxiety
glaucoma
use of MAO within 2 weeks
caution with tic or tourette
Methylphenidate - ANSWER-dose range 0.3-1.0 mg/kg/dose
using amphetamines - ANSWER-start with Adderall 5mg transition to
Adderall xr 10mg. Max dose 1.5 mg/kg/day or 30 mg/day
alpha-2 agonist mechanism of action - ANSWER-increase basal activity
of the locus coeruleus noradrenergic cell bodies in patients with adhd
may decrease the response of the PFC
intuniv (extended release guanfacine) - ANSWER-binds to receptors in
prefrontal cortex
improves executive function
takes one to two weeks to see effects
,off label use
not as helpful for inattention
treatment for mild depression - ANSWER-support and monitoring for
initial 6-8 weeks
moderate depression - ANSWER-
baumrinds parenting styes - ANSWER-authoritarian
authoritative
permissive
rejecting/neglecting
authoritarian parenting - ANSWER-Demanding and directive, but not
responsive
status oriented
They want obedient children that follow orders
parents provide orderly environment
May cause children to internalize probs, low self-esteem. Kids can be
withdrawn and distrustful.
authoritative parenting - ANSWER-both demanding and responsive
,Directs child with rationale
children are competent, well- adjusted self-reliant
permissive parenting - ANSWER-style of parenting in which parent
makes few, if any demands on a child's behavior
children of permissive parents are least self-reliant
rejecting-neglecting parenting - ANSWER-a disengaged parenting style
that is low in both responsiveness and demandingness. Rejecting-
neglecting parents do not set limits for or monitor their children's
behavior, are not supportive of them, and sometimes are rejecting or
neglectful. They tend to be focused on their own needs rather than
their children's needs.
rejecting-neglecting parenting may cause low self-esteem
SBIRT - ANSWER-Screening, Brief Intervention, and Referral to
Treatment
Thomas and Stella Chess - ANSWER-temperament
three most widely used screening tools in pediatric primary care -
ANSWER-Ages and Stages Questionnaire (ASQ)
Parents' Evaluation of Developmental Status (PEDS)
, M-CHAT
ASQ - ANSWER-More accurate than PEDS in children over 30 mos.
ASQ-3 - ANSWER-2-60 mos
ASQ-3 - ANSWER-communication
gross motor
fine motor
problem solving
personal social
ASQ-SE - ANSWER-Ages and Stages Questionnaire: Social Emotional
7 categories - self-regulation, compliance communication, adaptive
functioning, autonomy, affect, interaction with people
Pediatric Symptom Checklist - ANSWER-broad emotional and behavioral
screening tool
Time: completed by parents, youth, or staff in 5-10 m
Cost: Free
Features: Specificity and sensitivity of 0.95 using cutoff scores
Designed to evaluate the psycho-social functioning of children ages 4-16
Specialist 2026 Exam Study guide 100% Pass
contraindications to methylphenidate - ANSWER-marked anxiety
glaucoma
use of MAO within 2 weeks
caution with tic or tourette
Methylphenidate - ANSWER-dose range 0.3-1.0 mg/kg/dose
using amphetamines - ANSWER-start with Adderall 5mg transition to
Adderall xr 10mg. Max dose 1.5 mg/kg/day or 30 mg/day
alpha-2 agonist mechanism of action - ANSWER-increase basal activity
of the locus coeruleus noradrenergic cell bodies in patients with adhd
may decrease the response of the PFC
intuniv (extended release guanfacine) - ANSWER-binds to receptors in
prefrontal cortex
improves executive function
takes one to two weeks to see effects
,off label use
not as helpful for inattention
treatment for mild depression - ANSWER-support and monitoring for
initial 6-8 weeks
moderate depression - ANSWER-
baumrinds parenting styes - ANSWER-authoritarian
authoritative
permissive
rejecting/neglecting
authoritarian parenting - ANSWER-Demanding and directive, but not
responsive
status oriented
They want obedient children that follow orders
parents provide orderly environment
May cause children to internalize probs, low self-esteem. Kids can be
withdrawn and distrustful.
authoritative parenting - ANSWER-both demanding and responsive
,Directs child with rationale
children are competent, well- adjusted self-reliant
permissive parenting - ANSWER-style of parenting in which parent
makes few, if any demands on a child's behavior
children of permissive parents are least self-reliant
rejecting-neglecting parenting - ANSWER-a disengaged parenting style
that is low in both responsiveness and demandingness. Rejecting-
neglecting parents do not set limits for or monitor their children's
behavior, are not supportive of them, and sometimes are rejecting or
neglectful. They tend to be focused on their own needs rather than
their children's needs.
rejecting-neglecting parenting may cause low self-esteem
SBIRT - ANSWER-Screening, Brief Intervention, and Referral to
Treatment
Thomas and Stella Chess - ANSWER-temperament
three most widely used screening tools in pediatric primary care -
ANSWER-Ages and Stages Questionnaire (ASQ)
Parents' Evaluation of Developmental Status (PEDS)
, M-CHAT
ASQ - ANSWER-More accurate than PEDS in children over 30 mos.
ASQ-3 - ANSWER-2-60 mos
ASQ-3 - ANSWER-communication
gross motor
fine motor
problem solving
personal social
ASQ-SE - ANSWER-Ages and Stages Questionnaire: Social Emotional
7 categories - self-regulation, compliance communication, adaptive
functioning, autonomy, affect, interaction with people
Pediatric Symptom Checklist - ANSWER-broad emotional and behavioral
screening tool
Time: completed by parents, youth, or staff in 5-10 m
Cost: Free
Features: Specificity and sensitivity of 0.95 using cutoff scores
Designed to evaluate the psycho-social functioning of children ages 4-16
