PMHNP Exam Reported Questions -With Answers

PMHNP Exam Reported Questions -With Answers What is dissemination? - AnswersGetting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? - AnswersModerate cognitive impairment What is Tegretol in the CYP450 system? - AnswersInducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - AnswersInducer - will lower dose of Lamictal What is a Type I research error? - AnswersThere IS a difference but you say there isn't a difference. What is a Type II research error? - AnswersThere is NO difference but you say there is a difference. What is pseudo-dementia? - AnswersCognitive 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? - AnswersYes. What is a drug 1/2 life? - AnswersThe time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? - AnswersZyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? - AnswersSerotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? - AnswersHLAB-1502 When might you see toxic epidermal necrolysis? - AnswersWith worsening of SJS How many generations do you include for a genogram? - Answers1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? - AnswersAmino Acids What is epigenetics? - AnswersFactors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? - AnswersBasal Ganglia Occipito-Frontal What happens to the brain during adolescence? - AnswersDendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? - Answers10-25 yo When do females typically present with schizophrenia? - Answers25-35 yo What does Erythromycin to trileptal? - AnswersYou will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? - AnswersHeart Failure HTN What are some psychiatric side effects seen with some asthma drugs - AnswersLeukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? - AnswersAgranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? - AnswersCKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? - AnswersCKMB What is the risk of a seriously elevated CKMB? - AnswersPolymyositis Rhabdo What is a normal CKMB? - Answers0.3 mcg/L What psychoactives does Detrol interact with? - AnswersTopamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? - AnswersCN XI - Spinal Accessory What do you see in labs with HIV & Dementia? - AnswersCD4 <200 Viral Load is high <20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? - AnswersSelf-Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? - AnswersHelps rule-out disease = True Positive = Snout What is specificity? - AnswersHelps rule-in disease = True Negative = Spin What does a sed rate measure? - AnswersInflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. What is a normal sed rate or ESR? - Answers0-22 males 0-29 females What is a retic count? - AnswersMeasures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow. What does a decreased retic count indicate? - AnswersAnemia - acute or chronic bleeding What does an increased retic count indicate? - AnswersBone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? - AnswersDoesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? - AnswersIncrease tegretol levels. What happens if a pregnant women takes Accutane? - AnswersBirth defects. What labs do you get with RA? - AnswersSed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis. Where does the NP Code of Ethics come from? - AnswersANA When do you assume informed consent? - AnswersUnconscious Incompetent Life Threatening Situation What are the legal ramifications of treating w/o informed consent? - AnswersSame as with informed consent Who can declare a patient incompetent and appoint a guardian? - AnswersOnly a court Does impaired judgment mean one is incompetent? - AnswersNo. Can an advanced directive ever be revoked? - AnswersYes, at any time.