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Exam Review

Key Facts: CMP Psiquiatría Exam

6 Nov 2026

Online exam (LXXXIV Promoción), starting at 08:00

CMP Convocatoria

23 Oct 2026

Registration deadline (no extension)

CMP Convocatoria

MXN 5,000

Certification fee (non-refundable)

CMP — Certificación

32 topics

Topics in the official theoretical-exam study guide

CMP Guía de estudios

5 years

Certification renewal cycle

CMP

The CMP exam is the CONACEM-recognized board certification exam for psychiatry in Mexico. The next sitting is online on 6 November 2026 (deadline 23 October, fee MXN 5,000), and certification is renewed every 5 years.

Sample CMP Psiquiatría Practice Questions

Try these sample questions to review concepts for the CMP Psiquiatría exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 106+ question experience with AI tutoring.

1A 23-year-old man is brought to the clinic by his family due to progressive social withdrawal, erratic behavior, and auditory hallucinations commanding him to stay indoors. Symptoms began insidiously 7 months ago, with overt persecutory delusions and disorganized speech present for the past 6 weeks. Medical and substance workups are negative. According to DSM-5-TR, which duration criterion confirms the diagnosis of schizophrenia?
A.Continuous signs of disturbance persisting for at least 6 months, including at least 1 month of active-phase symptoms
B.Active-phase psychotic symptoms persisting continuously for at least 12 months with mood episodes
C.Presence of psychotic symptoms for at least 2 weeks with complete absence of negative symptoms
D.Social or occupational dysfunction lasting at least 3 months following an acute 1-week psychotic episode
Explanation: DSM-5-TR Criterion C for schizophrenia requires continuous signs of disturbance for at least 6 months. This 6-month period must include at least 1 month of active-phase symptoms (or less if successfully treated) meeting Criterion A (delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, or negative symptoms), and may include periods of prodromal or residual symptoms.
2A 29-year-old woman with chronic schizophrenia has persistent persecutory delusions, auditory hallucinations, and severe functional deterioration. Over the past 3 years, she completed adequate trials of risperidone (6 mg/day for 8 weeks) and olanzapine (20 mg/day for 10 weeks) with verified adherence and therapeutic plasma levels, yet experienced minimal clinical improvement. Which intervention is the standard next line of treatment?
A.Initiating combination therapy with haloperidol and aripiprazole
B.Initiating an evidence-based trial of clozapine monotherapy
C.Adding a selective serotonin reuptake inhibitor to olanzapine
D.Switching to high-dose quetiapine monotherapy at 1,000 mg/day
Explanation: Treatment-resistant schizophrenia is defined by persistent moderate-to-severe symptoms despite at least two adequate trials of different antipsychotics (at therapeutic doses for at least 6 weeks with confirmed adherence). Clozapine is the only antipsychotic with demonstrated superior efficacy for treatment-resistant schizophrenia and is the guideline-endorsed choice.
3A 34-year-old man with treatment-resistant schizophrenia is receiving clozapine 350 mg/day. During routine hematologic surveillance at week 14, his complete blood count reveals a white blood cell count of 2,400/μL and an absolute neutrophil count (ANC) of 850/μL. He is afebrile and asymptomatic. According to the clozapine prescribing information, what is the immediate action?
A.Reduce clozapine dose by 50% and repeat the complete blood count in 7 days
B.Continue clozapine at the current dose and administer filgrastim (G-CSF) outpatient
C.Interrupt clozapine, check the ANC daily until it is ≥ 1,000/μL (then three times weekly until ≥ 1,500/μL), and obtain hematology consultation
D.Switch from clozapine to olanzapine immediately without hematological consultation
Explanation: In the clozapine labeling, an ANC of 500–999/μL in the general population is moderate neutropenia (below 500/μL is severe). The recommended response is to interrupt clozapine for suspected clozapine-induced neutropenia and obtain hematology consultation. ANC is checked daily until it is ≥1,000/μL, then three times weekly until ≥1,500/μL, and the patient is watched for infection. Clozapine may be resumed once the ANC is ≥1,000/μL. The US Clozapine REMS was removed in June 2025, but the labeled ANC monitoring frequencies and thresholds did not change. Patients with benign ethnic neutropenia (BEN) follow a separate, lower set of thresholds.
4A 26-year-old woman is admitted with mutism, immobility, waxy flexibility, negativism, and staring. Her vital signs are stable. Physical examination confirms catalepsy and posturing, with a Bush-Francis Catatonia Rating Scale score of 18. What is the first-line diagnostic and therapeutic intervention?
A.Intramuscular haloperidol 5 mg
B.Intravenous valproic acid 1,000 mg
C.Oral risperidone 2 mg plus benztropine 1 mg
D.Intravenous lorazepam 1 to 2 mg challenge test
Explanation: The lorazepam challenge test (1 to 2 mg IV or IM) is the first-line diagnostic and therapeutic intervention for catatonia. A positive response (marked reduction in catatonic signs within 10 to 30 minutes) confirms the diagnosis and initiates definitive treatment with scheduled benzodiazepines. Antipsychotics must be avoided because they can exacerbate catatonia and precipitate neuroleptic malignant syndrome.
5A 42-year-old man treated with high-dose haloperidol for acute psychosis develops hyperthermia (39.4°C), severe generalized 'lead-pipe' muscle rigidity, mutism, autonomic instability (blood pressure fluctuating from 170/100 to 90/60 mmHg), diaphoresis, hyporeflexia, and an elevated serum creatine kinase of 14,000 U/L. Which pathophysiological feature and physical sign best distinguish this condition from serotonin syndrome?
A.Dopamine receptor blockade with hyporeflexia and lead-pipe rigidity rather than hyperreflexia and clonus
B.Serotonergic hyperstimulation with prominent spontaneous ankle clonus and ocular clonus
C.GABAergic deficiency causing hyperreflexia, hyperactive bowel sounds, and myoclonus
D.Histaminergic receptor upregulation with localized facial angioedema and flaccid paralysis
Explanation: The clinical presentation is classic for Neuroleptic Malignant Syndrome (NMS), caused by severe central dopamine D2 receptor blockade. NMS is characterized by lead-pipe rigidity, hyporeflexia, elevated CK, and gradual onset (over days). In contrast, serotonin syndrome presents rapidly (within 24 hours), with neuromuscular hyperreactivity featuring hyperreflexia, spontaneous or inducible clonus, and shivering.
6A 21-year-old male college student exhibits progressive emotional flattening, poverty of speech, profound apathy, and complete loss of motivation to engage in social relationships or coursework. He denies hearing voices or feeling suspicious. Which term best encompasses this domain of schizophrenia psychopathology?
A.Positive psychotic symptoms
B.Negative symptoms (avolition, alogia, anhedonia, asociality, affective blunting)
C.Catatonic excitement syndrome
D.Dissociative fugue state
Explanation: Negative symptoms represent a deficit in normal emotional and social functioning, classified into five primary constructs: avolition (lack of motivation), alogia (poverty of speech), anhedonia (inability to experience pleasure), asociality (social withdrawal), and affective blunting (restricted emotional expression). They are linked to mesocortical hypodopaminergia.
7A 31-year-old man with refractory schizophrenia was started on clozapine 3 weeks ago, currently titrated to 250 mg/day. He presents to the emergency room with fever (38.5°C), persistent resting tachycardia (124 bpm), chest tightness, and shortness of breath on mild exertion. Electrocardiogram reveals sinus tachycardia with non-specific ST-segment changes. High-sensitivity troponin I and C-reactive protein are significantly elevated, and complete blood count shows peripheral eosinophilia. What is the most likely diagnosis?
A.Acute viral pericarditis unrelated to medication
B.Pulmonary embolism secondary to catatonia immobility
C.Clozapine-induced acute myocarditis
D.Antipsychotic-induced malignant arrhythmia from QTc prolongation
Explanation: Clozapine-induced myocarditis is a life-threatening, idiosyncratic hypersensitivity reaction that typically occurs within the first 4 to 8 weeks of therapy. Cardinal manifestations include persistent unexplained tachycardia, fever, chest pain, dyspnea, elevated cardiac troponins, elevated CRP, and eosinophilia. Clozapine must be discontinued immediately and permanently.
8A 48-year-old accountant has been convinced for the past 6 months that his supervisor is surreptitiously intercepting his personal financial files. Despite this conviction, he continues to perform his job competently, maintains appropriate hygiene, has no hallucinations or thought disorganization, and his interpersonal relationships outside this specific topic are intact. What is the most appropriate DSM-5-TR diagnosis?
A.Schizophrenia, paranoid subtype
B.Schizotypal personality disorder
C.Brief psychotic disorder
D.Delusional disorder, persecutory type
Explanation: DSM-5-TR diagnostic criteria for Delusional Disorder require the presence of one or more delusions persisting for at least 1 month, without meeting Criterion A for schizophrenia (no prominent hallucinations, disorganized speech, or negative symptoms), and functioning is not markedly impaired outside the impact of the delusion.
9A 35-year-old woman with bipolar I disorder is admitted with severe catatonic stupor, immobility, and autonomic instability (temperature 38.8°C, tachycardia 130 bpm, labile blood pressure). Over the past 48 hours, high-dose intravenous lorazepam (up to 16 mg/day) failed to produce clinical improvement, and she refuses oral intake. What is the definitive treatment of choice?
A.Urgent bilateral electroconvulsive therapy (ECT)
B.High-dose intramuscular fluphenazine decanoate
C.Intravenous infusion of dexmedetomidine in the intensive care unit
D.Oral cariprazine titrated to 6 mg/day via nasogastric tube
Explanation: Malignant catatonia (characterized by fever, autonomic instability, and stupor) or catatonia refractory to high-dose benzodiazepines is an absolute medical emergency. Electroconvulsive therapy (ECT), specifically bilateral application, is the definitive and life-saving treatment of choice, with response rates exceeding 80-90%.
10A 28-year-old woman receiving risperidone 4 mg/day for psychotic illness develops amenorrhea, galactorrhea, and decreased bone mineral density. Laboratory testing reveals a serum prolactin of 92 ng/mL. Blockade of dopamine D2 receptors in which central nervous system pathway is responsible for this adverse effect?
A.Mesocortical pathway
B.Tuberoinfundibular pathway
C.Nigrostriatal pathway
D.Mesolimbic pathway
Explanation: Dopamine released from the arcuate nucleus of the hypothalamus acts as prolactin-inhibiting factor (PIF) via D2 receptors on anterior pituitary lactotrophs through the tuberoinfundibular pathway. Antipsychotic antagonism of D2 receptors in this tract disinhibits prolactin secretion, leading to hyperprolactinemia, galactorrhea, amenorrhea, and long-term osteopenia.

About the CMP Psiquiatría Exam

Independent study practice by OpenExamPrep for the certification exam of the Consejo Mexicano de Psiquiatría, A.C. (CMP), a CONACEM-recognized specialty council. The LXXXIV Promoción exam is held online on 6 November 2026 (registration deadline 23 October 2026, fee MXN 5,000); the CMP does not publish the item count, duration, or pass mark. This bank is an independent English-language MCQ study adaptation built on the CMP study-guide topics, current international guidelines, and Mexican mental health law; it is not an official translation or simulation of the Spanish-language CMP exam.

Exam sponsor: Consejo Mexicano de Psiquiatría, A.C. (CMP). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The CMP certification exam for the LXXXIV Promoción is taken online on Friday 6 November 2026, starting at exactly 08:00. Candidates register and upload documents through the Sistema de Gestión de Médicos Especialistas (SIGME), pay the MXN 5,000 fee, and send two diploma photographs to the CMP office by the 23 October 2026 deadline. The CMP does not publish the item count, duration, or pass mark. The official study guide lists 32 topics.

Time Limit

Not published (starts 08:00)

Passing Score

not-published

Exam / Certification Fees

MXN 5,000

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

Weight not published

Psicopatología y Trastornos Psicóticos

Schizophrenia spectrum, schizoaffective and delusional disorders, catatonia, clozapine (ANC monitoring, myocarditis, hypomotility), antipsychotic adverse effects, and neuroleptic malignant syndrome

Weight not published

Trastornos del Estado de Ánimo

Major depressive and bipolar disorders, treatment-resistant depression (augmentation, esketamine, ECT), lithium monitoring and toxicity (EXTRIP), valproate teratogenicity, and suicide risk assessment and prevention

Weight not published

Trastornos de Ansiedad, TOC y Relacionados con Trauma

Panic disorder, agoraphobia, GAD, social anxiety, OCD and related disorders, PTSD and acute stress disorder (VA/DoD 2023), and illness anxiety and separation anxiety disorders

Weight not published

Trastornos por Uso de Sustancias y Urgencias Psiquiátricas

Alcohol withdrawal and delirium tremens, Wernicke encephalopathy, relapse prevention, opioid overdose and buprenorphine or methadone treatment, stimulant and cannabinoid toxicity, agitation and rapid tranquilization, and benzodiazepine tapering

Weight not published

Psiquiatría de Enlace, Gerontopsiquiatría, Personalidad y Marco Legal

Delirium, dementias and BPSD, decision-making capacity, post-stroke depression, personality disorders, and the Mexican legal framework (Ley General de Salud Articles 75 and 75 Bis as reformed in 2022; NOM-025-SSA2-2014)

Weight not published

Áreas Complementarias de la Guía

Child psychiatry (ADHD), eating disorders, sleep disorders, sexual dysfunction, dissociative disorders, and research methods (diagnostic test accuracy)

Preparing for the CMP Psiquiatría Exam

What You Need to Know

  • Passing score: not-published
  • Assessment: The CMP certification exam for the LXXXIV Promoción is taken online on Friday 6 November 2026, starting at exactly 08:00. Candidates register and upload documents through the Sistema de Gestión de Médicos Especialistas (SIGME), pay the MXN 5,000 fee, and send two diploma photographs to the CMP office by the 23 October 2026 deadline. The CMP does not publish the item count, duration, or pass mark. The official study guide lists 32 topics.
  • Time limit: Not published (starts 08:00)
  • Exam / certification fees: MXN 5,000 Official sources

Using Our Practice Resources

  • Work through all 106 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

CMP Psiquiatría: Suggested Study Strategy

1Use the 32-topic CMP study guide as your checklist; do not skip smaller topics such as forensic psychiatry, psychological tests, EEG and imaging, history, and ethics.
2Know clozapine safety in detail: ANC thresholds (moderate neutropenia 500–999/μL means interrupting treatment), myocarditis in the first weeks, and prophylaxis against gastrointestinal hypomotility.
3Review lithium levels (0.8–1.2 mEq/L acute, 0.6–0.8 mEq/L maintenance), the EXTRIP criteria for dialysis, and drug interactions such as NSAIDs.
4Study Mexico's 2022 mental health reform of the Ley General de Salud (internment is voluntary, a last resort, and in general hospitals; consent and presumed capacity) alongside NOM-025-SSA2-2014.
5Practice differentiating neuroleptic malignant syndrome, serotonin syndrome, malignant catatonia, and anticholinergic delirium from bedside findings.

Frequently Asked Questions

What is the Consejo Mexicano de Psiquiatría (CMP) certification exam?

It is the specialty certification exam for psychiatrists administered by the CMP, a specialty council recognized by CONACEM. The CMP also certifies child and adolescent psychiatry and sleep medicine, which require current certification in psychiatry. Certification must be renewed every 5 years.

When is the next CMP exam and how do I register?

The LXXXIV Promoción exam is held online on Friday 6 November 2026, starting at exactly 08:00. Registration and document upload are done in SIGME, two diploma photographs must reach the CMP office, and the deadline is Friday 23 October 2026 with no extension. The CMP also held a sitting on 13 March 2026.

What does the exam cost, and how many questions does it have?

The certification fee is MXN 5,000 and is non-refundable. The CMP does not publish the number of items, the duration, or the passing score.

What does the CMP study guide cover?

The 'Guía de estudios para la presentación del examen teórico' lists 32 topics: research fundamentals, ICD-10 and DSM-5 classifications, biological and social aspects, diagnosis, psychopathology, emergencies, child and adolescent psychiatry, geriatric and forensic psychiatry, the major diagnostic groups, biological and psychological treatments, general-hospital psychiatry, neurology, imaging and EEG, psychological tests, history of psychiatry, and ethics.

Why is this practice bank in English, and is it an official CMP resource?

The CMP exam is conducted in Spanish. This OpenExamPrep bank is an independent English-language MCQ study adaptation for self-assessment; it is not an official translation or simulation of the CMP exam, and it is not affiliated with or endorsed by the CMP or CONACEM.