FITZGERALD POST-TEST REVIEW: PMHNP BOARD REVIEW 150QS
ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS
Terms in this set (149)
Hannah, 48, mild-moderate depression >2 Paroxetine 20 mg QD
years, no prior treatment, starting low-dose
antidepressant. Most appropriate first-line
choice?
Hannah 1-week follow-up after starting "Have you experienced any increase in suicidal ideation?"
antidepressant. Most important question to
ask?
Hannah 5 weeks on low-dose Increase the dose of medication and return in 4 weeks.
antidepressant, PHQ-9 from 14 to 11,
tolerating well, partial response. Next best
action?
37-year-old man with bipolar disorder on Lithium.
quetiapine after suicide attempt; consider
adding which medication?
19-year-old woman with bulimia nervosa Rebound edema and weight gain will likely occur but will resolve in 1-2 weeks.
discontinuing diuretics. Key counseling
point?
Initiating lithium for mood stabilization. In 5 days.
When should serum lithium level be
checked?
27-year-old woman on SSRI for GAD, has Ibuprofen.
weekly migraines. What to recommend for
acute migraine?
Bipolar I woman with moderate-severe Lurasidone.
bipolar depression; which is FDA-approved
for bipolar depression?
Lanugo is most often associated with which Anorexia.
disorder?
Counseling woman discontinuing long- Only benzodiazepines with a short half-life require tapering regimens.
term benzodiazepines for panic disorder.
Incorrect statement to tell her?
Best candidate for fluoxetine therapy? A 35-year-old with a history of poor medication adherence.
31-year-old man on venlafaxine 8 months, At least 6 months following remission of symptoms.
depression in remission 3 months, BDI = 10.
How long to continue?
Jessica starting lithium for bipolar I; Nausea and vomiting.
anticipated adverse effect to counsel
about?
Jessica on lithium with level 0.4 mEq/L, mild The dose should be increased.
thirst only. Best action?
Panic disorder evaluation: which symptom Vertigo.
is least likely during a panic attack?
, DSM-5 diagnosis of depression requires Loss of interest or pleasure.
depressed mood and/or what?
Light touch to face with eyes closed tests V.
which cranial nerve?
In acute mania, which finding is least Binge eating.
expected?
Citalopram in adults ≥60: maximum 20 mg
recommended daily dose?
Residual phase of schizophrenia is best Follows the active phase; Predominated by negative symptoms.
described by which two?
Bupropion is least appropriate in which An 18-year-old with bulimia nervosa and mild depression.
patient?
Characteristics consistent with dementia Cognitive dysfunction is irreversible; Can last months to years.
(two)?
Schizophrenia: least appropriate PMHNP Repeating to the patient that the hallucination is not real until it passes.
response to auditory hallucination?
42-year-old woman on sertraline 100 mg Switch to bupropion.
with sexual dysfunction. Best
recommendation?
Cholinesterase inhibitor for early Sedation.
Alzheimer's: which adverse effect is NOT
expected?
Mary with alcohol abuse saying "I don't Precontemplation.
have a problem." Prochaska stage?
Chronic alcohol abuse: which lab result Elevated MCV.
most likely?
Mary fearful of alcohol withdrawal; what to Clonidine.
prescribe to manage withdrawal
symptoms?
OCD patient with time-consuming checking Duloxetine.
rituals; first-line pharmacologic treatment?
GAD patient with chronic hepatitis B: which Duloxetine.
agent should be avoided?
Moderate depression with some suicidal Nortriptyline.
thoughts: which antidepressant should be
avoided?
Low-level depression for 3 years, Persistent depressive disorder.
decreased appetite, fatigue, hypersomnia.
Most likely diagnosis?
GAD patient with past substance abuse, Buspirone.
failed citalopram. Best choice?
Which does NOT qualify as an advance Testimony from his wife of 55 years.
directive?
Social anxiety patient who loses voice Conversion.
before speaking; defense mechanism?
ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS
Terms in this set (149)
Hannah, 48, mild-moderate depression >2 Paroxetine 20 mg QD
years, no prior treatment, starting low-dose
antidepressant. Most appropriate first-line
choice?
Hannah 1-week follow-up after starting "Have you experienced any increase in suicidal ideation?"
antidepressant. Most important question to
ask?
Hannah 5 weeks on low-dose Increase the dose of medication and return in 4 weeks.
antidepressant, PHQ-9 from 14 to 11,
tolerating well, partial response. Next best
action?
37-year-old man with bipolar disorder on Lithium.
quetiapine after suicide attempt; consider
adding which medication?
19-year-old woman with bulimia nervosa Rebound edema and weight gain will likely occur but will resolve in 1-2 weeks.
discontinuing diuretics. Key counseling
point?
Initiating lithium for mood stabilization. In 5 days.
When should serum lithium level be
checked?
27-year-old woman on SSRI for GAD, has Ibuprofen.
weekly migraines. What to recommend for
acute migraine?
Bipolar I woman with moderate-severe Lurasidone.
bipolar depression; which is FDA-approved
for bipolar depression?
Lanugo is most often associated with which Anorexia.
disorder?
Counseling woman discontinuing long- Only benzodiazepines with a short half-life require tapering regimens.
term benzodiazepines for panic disorder.
Incorrect statement to tell her?
Best candidate for fluoxetine therapy? A 35-year-old with a history of poor medication adherence.
31-year-old man on venlafaxine 8 months, At least 6 months following remission of symptoms.
depression in remission 3 months, BDI = 10.
How long to continue?
Jessica starting lithium for bipolar I; Nausea and vomiting.
anticipated adverse effect to counsel
about?
Jessica on lithium with level 0.4 mEq/L, mild The dose should be increased.
thirst only. Best action?
Panic disorder evaluation: which symptom Vertigo.
is least likely during a panic attack?
, DSM-5 diagnosis of depression requires Loss of interest or pleasure.
depressed mood and/or what?
Light touch to face with eyes closed tests V.
which cranial nerve?
In acute mania, which finding is least Binge eating.
expected?
Citalopram in adults ≥60: maximum 20 mg
recommended daily dose?
Residual phase of schizophrenia is best Follows the active phase; Predominated by negative symptoms.
described by which two?
Bupropion is least appropriate in which An 18-year-old with bulimia nervosa and mild depression.
patient?
Characteristics consistent with dementia Cognitive dysfunction is irreversible; Can last months to years.
(two)?
Schizophrenia: least appropriate PMHNP Repeating to the patient that the hallucination is not real until it passes.
response to auditory hallucination?
42-year-old woman on sertraline 100 mg Switch to bupropion.
with sexual dysfunction. Best
recommendation?
Cholinesterase inhibitor for early Sedation.
Alzheimer's: which adverse effect is NOT
expected?
Mary with alcohol abuse saying "I don't Precontemplation.
have a problem." Prochaska stage?
Chronic alcohol abuse: which lab result Elevated MCV.
most likely?
Mary fearful of alcohol withdrawal; what to Clonidine.
prescribe to manage withdrawal
symptoms?
OCD patient with time-consuming checking Duloxetine.
rituals; first-line pharmacologic treatment?
GAD patient with chronic hepatitis B: which Duloxetine.
agent should be avoided?
Moderate depression with some suicidal Nortriptyline.
thoughts: which antidepressant should be
avoided?
Low-level depression for 3 years, Persistent depressive disorder.
decreased appetite, fatigue, hypersomnia.
Most likely diagnosis?
GAD patient with past substance abuse, Buspirone.
failed citalopram. Best choice?
Which does NOT qualify as an advance Testimony from his wife of 55 years.
directive?
Social anxiety patient who loses voice Conversion.
before speaking; defense mechanism?
