PMHNP: PSYCHOPHARMACOLOGY
PRESCRIPTION VALIDATION; THE
ESSENTIAL GUIDE FOR 2026 ADVANCED
PRACTICE PROFICIENCY.
⫸ Signs of fetal alcohol syndrome. Answer: small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
⫸ Rhett Syndrome. Answer: a rare disorder found virtually
exclusively in girls, is a neurodevelopmental disorder in which the
child usually develops normally unitl about 6 to 18 months of age at
which characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated
head growth, and disinterest in play activities
⫸ EPS types. Answer: Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia
(days)
⫸ Where do EPS originate. Answer: nigrostiatal tract.
⫸ How does tegretol interact with cipro. Answer: cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black
box warning
,⫸ Tegretol side effects. Answer: Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
⫸ nuchal rigidity. Answer: stiffness in cervical neck area, meningitis
⫸ ACE inhibitors. Answer: -pril, CHF
⫸ signs of serotonin syndrome. Answer: -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature,
vital sign instability, encephalopathy, restlessness, sweating
⫸ Serotonin Discontinuation Syndrome. Answer: syndrome caused
by abrupt withdrawal of an antidepressant drug, resulting in sensory
disturbances, sleeping disturbances, disequilibrium, flu-like
symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting,
and gastrointestinal effects
⫸ NMS. Answer: neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
, *A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white
blood cell count/cpk, rigidity
⫸ Levels of Prevention. Answer: Primary: prevent/promotion,
classes, safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
⫸ Risk factors for serotonin syndrome. Answer: more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
⫸ Grade 2/5 hoarse systolic heart murmur. Answer: aortic stenosis
⫸ Woman with GAD advise on medication. Answer: stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue
buspar
⫸ What to give to agitated pt in seclusion. Answer: IM Geodon
⫸ Labs for macrocytic anemia. Answer: Folic acid, vitamin B12,
ESR/CRP, HGB, MCV (liver)
PRESCRIPTION VALIDATION; THE
ESSENTIAL GUIDE FOR 2026 ADVANCED
PRACTICE PROFICIENCY.
⫸ Signs of fetal alcohol syndrome. Answer: small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
⫸ Rhett Syndrome. Answer: a rare disorder found virtually
exclusively in girls, is a neurodevelopmental disorder in which the
child usually develops normally unitl about 6 to 18 months of age at
which characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated
head growth, and disinterest in play activities
⫸ EPS types. Answer: Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia
(days)
⫸ Where do EPS originate. Answer: nigrostiatal tract.
⫸ How does tegretol interact with cipro. Answer: cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black
box warning
,⫸ Tegretol side effects. Answer: Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
⫸ nuchal rigidity. Answer: stiffness in cervical neck area, meningitis
⫸ ACE inhibitors. Answer: -pril, CHF
⫸ signs of serotonin syndrome. Answer: -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature,
vital sign instability, encephalopathy, restlessness, sweating
⫸ Serotonin Discontinuation Syndrome. Answer: syndrome caused
by abrupt withdrawal of an antidepressant drug, resulting in sensory
disturbances, sleeping disturbances, disequilibrium, flu-like
symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting,
and gastrointestinal effects
⫸ NMS. Answer: neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
, *A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white
blood cell count/cpk, rigidity
⫸ Levels of Prevention. Answer: Primary: prevent/promotion,
classes, safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
⫸ Risk factors for serotonin syndrome. Answer: more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
⫸ Grade 2/5 hoarse systolic heart murmur. Answer: aortic stenosis
⫸ Woman with GAD advise on medication. Answer: stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue
buspar
⫸ What to give to agitated pt in seclusion. Answer: IM Geodon
⫸ Labs for macrocytic anemia. Answer: Folic acid, vitamin B12,
ESR/CRP, HGB, MCV (liver)
