PMHS EXAM TEST BANK (Pediatric Primary Care Mental Health Specialist 2026 Edition)| PMHS Exam Study guide, PMHS, PMHS, PMHS| Complete questions and 100% verified answers| Newest Update

PMHS EXAM TEST BANK (Pediatric Primary Care Mental Health Specialist 2026 Edition)| PMHS Exam Study guide, PMHS, PMHS, PMHS| Complete questions and 100% verified answers| Newest Update contraindications to methylphenidate marked anxiety glaucoma use of MAO within 2 weeks caution with tic or tourette Methylphenidate dose range 0.3-1.0 mg/kg/dose using amphetamines 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 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) 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 support and monitoring for initial 6-8 weeks moderate depression baumrinds parenting styes authoritarian authoritative permissive rejecting/neglecting authoritarian parenting 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 Kids can be withdrawn and distrustful.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 both demanding and responsive Directs child with rationale children are competent, well- adjusted self-reliant permissive parenting 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 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 Screening, Brief Intervention, and Referral to Treatment Thomas and Stella Chess temperament three most widely used screening tools in pediatric primary care Ages and Stages Questionnaire (ASQ) Parents' Evaluation of Developmental Status (PEDS) M-CHAT ASQ More accurate than PEDS in children over 30 mos. ASQ-3 2-60 mos ASQ-3 communication gross motor fine motor problem solving personal social ASQ-SE Ages and Stages Questionnaire: Social Emotional 7 categories - self-regulation, compliance communication, adaptive functioning, autonomy, affect, interaction with people Pediatric Symptom Checklist 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 There is a youth (age 11) self‐report version of the PSC PSC 35 Cutoff Scoring Pediatric Symptom Checklist (PSC) for children ages 6-18, score greater than 27 impaired for younger children , score greater than 24 impaired PSC-Y scores of 30 or higher Screening for Drug and alcohol use CRAFFT (car, relax, alone, forget, friends trouble) (12-18 years) BASTD (Brief Screener for Tobacco, Alcohol and other Drugs ) CRAFFT 12-18 years DepressionScreener Mood and Feeling Questionnaire (MFQ-SI) 7-17 years PHQ-Adolescent Version PHQ-9 assessment that evaluates degree of depression 0-4 no depression 5-9 minimal symptoms 10-14 possible dysthymia, mild depression 15-19 consistent with major depression /= 20 severe major depression major depressive disorder 5 or more of the following symptom for 2 weeks with at least one of the symptoms being depressed or diminished interest in all activities depressed mood most of the day diminished interest in activities significant wt loss insomnia or hypersomnia most days psychomotor agitation nearly every day fatigue or loss of energy feeling of worthlessnessdecreased ability to think or concentrate/indecisiveness recurrent thoughts of death or suicidal ideation moderate depression in children Prozac (fluoxetine) Prozac Fluoxetine (SSRI) longest half life first line treatment for depression in kids over 8 Fluoxetine (Prozac) for ages 8 and up dose 10 mg/day up to 10 mg per day do not take with MAO Side effects of SSRIs GI distress, sexual dysfunction (anorgasmia and decreased libido) serotonin syndrome treatment for children with depression and ocd fluoxetine Prozac longest half life takes 2-4 weeks to achieve steady state assessment of family functioning in a child Family Management Measure (FaMM) Columbia Impairment Scale (CIS) Children Global Assessment Scale (C-GAS) Children Global Assessment Scale (C-GAS) 100-91 superior functioning 50-41 moderate degree of interference in functioning 10-1 needs constant supervision Suicide Screening ASQ (Suicide Screening Questions) Columbia Suicide Severity Rating Scale (C-SSRS) Mood and Feeling Questionnaire (MFQ) PHQ-9 PHQ-9 (Patient Health Questionnaire) Dx: Any population Assesses severity of depression, aap use in( 11-21 years old)depressive disorder Domain: Body Structure and Fxn eating disorders screening tools scoff eating attitude test-26 EDE questionnaire - not validated in female or adolescent population. Female Athletic Screening Tool (FAST) Eating Disorders Examination Questionnaire (EDE-Q) - gold standard Connors scale evaluates: executive functioning, learning problems, defiance/aggression, hyperactivity/impulsivity, peer relations, inattention age range 6-18 for teacher and parent report 8-18 self report t score: 70+ very elevated 57-63 borderline 40-59 average concern landau-kleffner syndrome you will see language regression screening for developmental delay at 9, 18 and 30 months PEDS, ASQ Global Developmental Delay significant delay in 2 or more domains usually reserved for children younger than 5 5 and older can be assessed using IQ Hypotonia there or new weakness is central in origin may relflect muscular disease think CK to r/o muscular dystrophy SMA screen at 9, 18, 30 and 48 months Early motor delays screen at 9, 18, 30 and 48 mos 9 month developmental milestones