PSYCHIATRIC MENTAL HEALTH BOARD
CERTIFICATION PRACTICE EXAM 2026
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
◉ Pediatric Pharmacology Equation Answer: 50th percentile weight
(kilogram) = (age x 2) + 9
◉ Normal Therapeutic Range for Lithium Answer: 0.6 to 1.4 mEq/L
◉ Mild Toxicity Level for Lithium Answer: 1.5 to 2.5 mEq/L
◉ Severe Toxicity Answer: greater than 2.5 mEq/L
◉ Thrombocytopenia Answer: unexplained bruising, petechiae,
bleeding
must discontinue drugs
◉ Agranculocytosis Answer: decrease in white blood cells
(neutrophils) count
,lead to fatal infections
◉ Positive Targeted Symptoms Answer: excessive of normal function
- mainly affect psychotic thinking processes and disorganization of
speech, motor movements, and social behaviors
delusions, hallucinations, incoherence, catatonic motor movements,
unacceptable social behavior
◉ Negative Targeted Symptoms Answer: reduction of normal
function - affect mood, cognition, and socialization
flat affect, reduction in thought/speech, inability to
focus/experience pleasure, or apathy
◉ Neuroleptic Malignant Syndrome Answer: high fever, tachycardia,
diaphoresis, rigid muscles, shaking, incontinence, confusion,
decreased consciousness, renal failure, increased CPK levels
treated with dantrolene or bromocriptine (d/c antipsychotic)
◉ St. John's Wort Answer: contraindicated with birth control pills,
statins, protease inhibitors, antineoplastic, SSRIs, anticonvulsants,
theophylline, anticoagulants (coumadin)
, ◉ Blood Dyscrasia Answer: sore throat, bruising, bleeding
◉ Delirium Answer: Change in level of consciousness, inability to
focus, disorientation, memory disturbances, rambling speech,
inability to carry normal conversation, or inability to recognize
familiar objects
abrupt onset and symptoms develop over short period of time
(fluctuate at different times)
◉ Passive-Aggressive Answer: very argumentative and often
complain of being appreciated for everything they do
resentful/negative attitude and don't meet obligations
◉ Depressive Answer: very bleak and pessimistic outlook
gloomy and very critical of themselves as well as others
◉ Dystonia Answer: Spasm of large muscle groups of head, neck,
back (may complain of thick tongue or stiff neck)
CERTIFICATION PRACTICE EXAM 2026
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
◉ Pediatric Pharmacology Equation Answer: 50th percentile weight
(kilogram) = (age x 2) + 9
◉ Normal Therapeutic Range for Lithium Answer: 0.6 to 1.4 mEq/L
◉ Mild Toxicity Level for Lithium Answer: 1.5 to 2.5 mEq/L
◉ Severe Toxicity Answer: greater than 2.5 mEq/L
◉ Thrombocytopenia Answer: unexplained bruising, petechiae,
bleeding
must discontinue drugs
◉ Agranculocytosis Answer: decrease in white blood cells
(neutrophils) count
,lead to fatal infections
◉ Positive Targeted Symptoms Answer: excessive of normal function
- mainly affect psychotic thinking processes and disorganization of
speech, motor movements, and social behaviors
delusions, hallucinations, incoherence, catatonic motor movements,
unacceptable social behavior
◉ Negative Targeted Symptoms Answer: reduction of normal
function - affect mood, cognition, and socialization
flat affect, reduction in thought/speech, inability to
focus/experience pleasure, or apathy
◉ Neuroleptic Malignant Syndrome Answer: high fever, tachycardia,
diaphoresis, rigid muscles, shaking, incontinence, confusion,
decreased consciousness, renal failure, increased CPK levels
treated with dantrolene or bromocriptine (d/c antipsychotic)
◉ St. John's Wort Answer: contraindicated with birth control pills,
statins, protease inhibitors, antineoplastic, SSRIs, anticonvulsants,
theophylline, anticoagulants (coumadin)
, ◉ Blood Dyscrasia Answer: sore throat, bruising, bleeding
◉ Delirium Answer: Change in level of consciousness, inability to
focus, disorientation, memory disturbances, rambling speech,
inability to carry normal conversation, or inability to recognize
familiar objects
abrupt onset and symptoms develop over short period of time
(fluctuate at different times)
◉ Passive-Aggressive Answer: very argumentative and often
complain of being appreciated for everything they do
resentful/negative attitude and don't meet obligations
◉ Depressive Answer: very bleak and pessimistic outlook
gloomy and very critical of themselves as well as others
◉ Dystonia Answer: Spasm of large muscle groups of head, neck,
back (may complain of thick tongue or stiff neck)
