DIAGNOSIS AND MANAGEMENT IN
PSYCHIATRIC MENTAL EXAMPREP STUDY
GUIDE 2026 PRACTICE QUESTIONS AND
SOLUTIONS
◉ What does a 17 on MMSE mean? Answer: Moderate cognitive
impairment
◉ What is Tegretol in the CYP450 system? Answer: Inducer -->will
lower dose of Lamictal and BCP's
◉ What do BCP's do to Lamictal? Answer: Inducer - will lower dose
of Lamictal
◉ What is a Type I research error? Answer: There IS a difference but
you say there isn't a difference.
◉ What is a Type II research error? Answer: There is NO difference
but you say there is a difference.
◉ What is pseudo-dementia? Answer: Cognitive impairment
secondary to depression that clears when treated in the elderly.
Dementia won't improve.
,◉ Is it normal for a 1 month old to have a palmar grasp? Answer:
Yes.
◉ What is a drug 1/2 life? Answer: The time it takes for 50% of a
drug to be eliminated from the body.
◉ What 3 atypicals can be used with teens? Answer: Zyprexa, Abilify,
Seroquel - low doses
◉ What is a risk of using Tramadol? Answer: Serotonin Syndrome as
it is very serotonergic.
◉ What is the allele seen in Asians that increase the risk of SJS?
Answer: HLAB-1502
◉ When might you see toxic epidermal necrolysis? Answer: With
worsening of SJS
◉ How many generations do you include for a genogram? Answer:
1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
,◉ What does messenger RNA code for? Answer: Amino Acids
◉ What is epigenetics? Answer: Factors that affect genes -
environmental, smoking, stress, etc...
◉ What part of the brain is involved with OCD? Answer: Basal
Ganglia
Occipito-Frontal
◉ What happens to the brain during adolescence? Answer: Dendritic
pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
◉ When do males typically present with schizophrenia? Answer: 10-
25 yo
◉ When do females typically present with schizophrenia? Answer:
25-35 yo
◉ What does Erythromycin to trileptal? Answer: You will need to
decreases the level because Trileptal(inducer) and erythromycin is a
inhibitor
, ◉ ACE Inhibitors are the drug of choice for what? Answer: Heart
Failure
HTN
◉ What are some psychiatric side effects seen with some asthma
drugs Answer: Leukotriene receptor agonists - singulair, accolade,
zyflo = agitation, aggression, anxiety, hallucinations, depression,
insomnia, SI, tremor
◉ What should you watch for with Tegretol? Answer:
Agranulocytosis and Hyponatremia
◉ What are the 3 CK muscle enzyme tests? Answer: CKBB, CKMM,
CKMB
◉ Which one of the 3 muscle enzymes are related to cardiac muscle
damage? Answer: CKMB
◉ What is the risk of a seriously elevated CKMB? Answer:
Polymyositis
Rhabdo
◉ What is a normal CKMB? Answer: 0.3 mcg/L
PSYCHIATRIC MENTAL EXAMPREP STUDY
GUIDE 2026 PRACTICE QUESTIONS AND
SOLUTIONS
◉ What does a 17 on MMSE mean? Answer: Moderate cognitive
impairment
◉ What is Tegretol in the CYP450 system? Answer: Inducer -->will
lower dose of Lamictal and BCP's
◉ What do BCP's do to Lamictal? Answer: Inducer - will lower dose
of Lamictal
◉ What is a Type I research error? Answer: There IS a difference but
you say there isn't a difference.
◉ What is a Type II research error? Answer: There is NO difference
but you say there is a difference.
◉ What is pseudo-dementia? Answer: Cognitive impairment
secondary to depression that clears when treated in the elderly.
Dementia won't improve.
,◉ Is it normal for a 1 month old to have a palmar grasp? Answer:
Yes.
◉ What is a drug 1/2 life? Answer: The time it takes for 50% of a
drug to be eliminated from the body.
◉ What 3 atypicals can be used with teens? Answer: Zyprexa, Abilify,
Seroquel - low doses
◉ What is a risk of using Tramadol? Answer: Serotonin Syndrome as
it is very serotonergic.
◉ What is the allele seen in Asians that increase the risk of SJS?
Answer: HLAB-1502
◉ When might you see toxic epidermal necrolysis? Answer: With
worsening of SJS
◉ How many generations do you include for a genogram? Answer:
1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
,◉ What does messenger RNA code for? Answer: Amino Acids
◉ What is epigenetics? Answer: Factors that affect genes -
environmental, smoking, stress, etc...
◉ What part of the brain is involved with OCD? Answer: Basal
Ganglia
Occipito-Frontal
◉ What happens to the brain during adolescence? Answer: Dendritic
pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
◉ When do males typically present with schizophrenia? Answer: 10-
25 yo
◉ When do females typically present with schizophrenia? Answer:
25-35 yo
◉ What does Erythromycin to trileptal? Answer: You will need to
decreases the level because Trileptal(inducer) and erythromycin is a
inhibitor
, ◉ ACE Inhibitors are the drug of choice for what? Answer: Heart
Failure
HTN
◉ What are some psychiatric side effects seen with some asthma
drugs Answer: Leukotriene receptor agonists - singulair, accolade,
zyflo = agitation, aggression, anxiety, hallucinations, depression,
insomnia, SI, tremor
◉ What should you watch for with Tegretol? Answer:
Agranulocytosis and Hyponatremia
◉ What are the 3 CK muscle enzyme tests? Answer: CKBB, CKMM,
CKMB
◉ Which one of the 3 muscle enzymes are related to cardiac muscle
damage? Answer: CKMB
◉ What is the risk of a seriously elevated CKMB? Answer:
Polymyositis
Rhabdo
◉ What is a normal CKMB? Answer: 0.3 mcg/L
