GEORGETTE PMHNP ACTUAL EXAM
PAPER 2026 FULL 388 QUESTIONS AND
VERIFIED ANSWERS GRADED A+
⩥ clozaril wbc+anc. Answer: If less than 950 discontinue the medication
and get a repeat level, 1000 is the cutoff
1.5-2 cbc biweekly
1-1.5 hold, cbc q dayx 3 weeks
less than 1- Stop medication
12.5initial, target 300-900mg/d once or bid
schizophenrenia/pscyhosis
agranulocytosis, seizures, myocarditis (inflammed heart muscle -chest
pain,diff breath)
wg, increase lipids/glucose
REMS pharmacy need clozaril registry to dispense
to start: WBC must be >_3500 and ANC >_2000
WBC + ANC weekly q6months, then every 2w q6months, then monthly
⩥ Labs for rheumatoid arthritis. Answer: . ESR erythrocyte
sedimentation rate elevation. Synovial fluid analysis. X ray of joints.
Rheumatoid factor titer, CRP, Hgb
⩥ PTSD nightmares. Answer: prazosin
, ⩥ adjustment disorder. Answer: reaction to a specific life event
(identified stressor), symtoms within 3 monhts but no more than 6
months. Think about a patient move
⩥ Norepinephrine (NE). Answer: Synthesized in locus coeruleus arousal
and other functions like mood, hunger, and sleep
⩥ locus coeruleus. Answer: a small nucleus in the reticular formation
that is involved in directing attention
⩥ 5HT. Answer: raphe nucleus
⩥ raphe nuclei. Answer: a string of nuclei in the midline of the midbrain
and brainstem that contain most of the serotonergic neurons of the brain
⩥ substantia nigra. Answer: midbrain structure where dopamine is
produced; involved in control of movement
⩥ dopamine production. Answer: substantia nigra and ventral tegmental
area
⩥ ventral tegmental area (VTA). Answer: midbrain structure where
dopamine is produced: associated with mood, reward, and addiction
PAPER 2026 FULL 388 QUESTIONS AND
VERIFIED ANSWERS GRADED A+
⩥ clozaril wbc+anc. Answer: If less than 950 discontinue the medication
and get a repeat level, 1000 is the cutoff
1.5-2 cbc biweekly
1-1.5 hold, cbc q dayx 3 weeks
less than 1- Stop medication
12.5initial, target 300-900mg/d once or bid
schizophenrenia/pscyhosis
agranulocytosis, seizures, myocarditis (inflammed heart muscle -chest
pain,diff breath)
wg, increase lipids/glucose
REMS pharmacy need clozaril registry to dispense
to start: WBC must be >_3500 and ANC >_2000
WBC + ANC weekly q6months, then every 2w q6months, then monthly
⩥ Labs for rheumatoid arthritis. Answer: . ESR erythrocyte
sedimentation rate elevation. Synovial fluid analysis. X ray of joints.
Rheumatoid factor titer, CRP, Hgb
⩥ PTSD nightmares. Answer: prazosin
, ⩥ adjustment disorder. Answer: reaction to a specific life event
(identified stressor), symtoms within 3 monhts but no more than 6
months. Think about a patient move
⩥ Norepinephrine (NE). Answer: Synthesized in locus coeruleus arousal
and other functions like mood, hunger, and sleep
⩥ locus coeruleus. Answer: a small nucleus in the reticular formation
that is involved in directing attention
⩥ 5HT. Answer: raphe nucleus
⩥ raphe nuclei. Answer: a string of nuclei in the midline of the midbrain
and brainstem that contain most of the serotonergic neurons of the brain
⩥ substantia nigra. Answer: midbrain structure where dopamine is
produced; involved in control of movement
⩥ dopamine production. Answer: substantia nigra and ventral tegmental
area
⩥ ventral tegmental area (VTA). Answer: midbrain structure where
dopamine is produced: associated with mood, reward, and addiction
