PMHS Exam (Pediatric Primary
Care Mental Health Specialist
2026 Edition)
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 Kids can be withdrawn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
There is a youth (>age 11) self-report version of the PSC
PSC 35 Cutoff Scoring
Pediatric Symptom Checklist (PSC) - ANSWER-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
Care Mental Health Specialist
2026 Edition)
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
There is a youth (>age 11) self-report version of the PSC
PSC 35 Cutoff Scoring
Pediatric Symptom Checklist (PSC) - ANSWER-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
