CCSH BOARD PREP STUDY GUIDE EXAM PREP QUESTIONS AND ANSWERS 2026

CCSH BOARD PREP STUDY GUIDE EXAM
PREP QUESTIONS AND ANSWERS 2026

◉ The proportion of REM sleep is greatest in the first sleep cycle and
dissipates over the course of the sleep period.


True or false?
Answer: False


◉ The propensity for REM sleep is highest in the early morning.


True or false?
Answer: True


◉ There are "forbidden zones" for sleep which are times in the
circadian phase when it is difficult to initiate sleep, such as in the 2-3
hours before the habitual sleep onset.


True or false?
Answer: True

,◉ There are "forbidden zones" for sleep which are times in Process S
when it is difficult to initiate sleep, such as in the 2-3 hours before
the habitual sleep onset.


True or false?
Answer: False


◉ Tricyclics
Answer: Tmax (Hrs) 2.5 -10
T1/2 (Hrs) 16-80
Sleep Latency v
Sleep Efficiency ^
%SWS ^
% REM v


◉ SSRIs/SNRIs
Answer: Tmax (Hrs) 2-7
T1/2 (Hrs) 5-50
Sleep Latency ^
Sleep Efficiency v
%SWS - v
% REM v

,Morning Sedation ^


◉ Fluvoxamine
Fluoxetine
Paroxetine
Sertraline
Venlafaxine
Citalopram
Escitalopram
Duloxetine


(drug class)
Answer: SSRIs/SNRIs


◉ Misc Antidepressant
Answer: Tmax (Hrs) 0.8 - 1.6
T1/2 (Hrs) 3-16
Sleep Latency v
Sleep Efficiency^
%SWS ^
% REM -
Morning Sedation ^v-

, ◉ Bupropion
Mirtazapine
Nefazodone
Trazodone
Ramelteon


(drug class)
Answer: Misc Antidepressant


◉ Antipsychotics
Answer: Tmax (Hrs) 1-3.5
T1/2 (Hrs) 3.2-33
Sleep Latency v
Sleep Efficiency ^
%SWS ^
% REM v
Morning Sedation ^


◉ Clozapine
Loxapine
Olanzapine