Georgette PMHNP Review 2026 | Latest Update 2026 |
100% Correct Answers | LMR & QBank | Actual
Certification Prep
1. Norepinephrine (NE) is produced in the medullary reticular formation and the
locus ceruleus, which are located in the Northeast (front left) region of the
brain.
TRUE
FALSE
2. Which part of the brain is responsible for increased or decreased
sleep/appetite, decreased energy and libido related to depression
hypothalamus
amygdala
cerebellum
frontal cortex
hippocampus
3. What are common symptoms of Steven-Johnson syndrome?
Eye problems
Rashes
Blisters
All of the above
4. Which pathway's increased blockade of dopamine is associated with
extrapyramidal symptoms (EPS)?
Tuberoinfundibular pathway
, Mesocortical pathway
Mesolimbic pathway
Nigrostriatal pathway
5. Describe the relationship between serotonin syndrome and the medications
that can cause it.
Serotonin syndrome is caused by a deficiency of serotonin in the
brain.
Serotonin syndrome occurs due to excessive serotonergic activity,
often triggered by certain medications.
Serotonin syndrome is unrelated to medication use.
Serotonin syndrome is a condition that only occurs in patients with
bipolar disorder.
6. Lithium exposure during pregnancy is most associated with the following
condition in the infant:
Cleft lip or palate
Neural tube defects
Developmental delays
Cardiac malformations
7. A patient presents with hyperreflexia, myoclonic jerks, and sweating after
starting a new antidepressant. What should be your immediate course of
action?
Discontinue the medication and assess for serotonin syndrome.
Increase the dosage of the medication.
Switch to a different class of antidepressants.
, Monitor the patient for 24 hours without intervention.
8. Of these antidepressants, this one has the highest risk of cardiovascular
effects:
fluoxetine
paroxetine
sertraline
venlafaxine
9. Describe the implications of Depakote toxicity on patient health and
treatment.
Depakote toxicity only affects mood stabilization.
Depakote toxicity primarily causes gastrointestinal discomfort.
Depakote toxicity can lead to serious health complications,
including liver damage and neurological issues.
Depakote toxicity has no significant health implications.
10. What is the name of the rating scale commonly used to assess akathisia?
Hamilton Anxiety Rating Scale
Barnes Akathisia Rating Scale
Beck Depression Inventory
Positive and Negative Syndrome Scale
11. What can occur when pregnant women take benzodiazepines within the first
trimester?
spontaneous abortion
, low birth weight
teratogenicity (birth defects)
12. Why is it important to check pregnancy status in child-bearing aged women
before prescribing mood stabilizers?
Pregnancy does not affect the metabolism of mood stabilizers.
Mood stabilizers are ineffective in women of child-bearing age.
Certain mood stabilizers can have teratogenic effects on a
developing fetus.
All mood stabilizers are safe during pregnancy.
13. What is the primary medication mentioned that is known to increase GABA
levels?
Benzodiazepines
Depakote
Lithium
Clozapine
14. What is the definition of pharmacokinetics?
The study of how drugs move through the body.
The study of drug interactions with neurotransmitters.
The study of the psychological effects of drugs.
The study of how drugs are synthesized.
15. Discuss how decreased protein binding in older adults affects drug toxicity
and medication efficacy.
100% Correct Answers | LMR & QBank | Actual
Certification Prep
1. Norepinephrine (NE) is produced in the medullary reticular formation and the
locus ceruleus, which are located in the Northeast (front left) region of the
brain.
TRUE
FALSE
2. Which part of the brain is responsible for increased or decreased
sleep/appetite, decreased energy and libido related to depression
hypothalamus
amygdala
cerebellum
frontal cortex
hippocampus
3. What are common symptoms of Steven-Johnson syndrome?
Eye problems
Rashes
Blisters
All of the above
4. Which pathway's increased blockade of dopamine is associated with
extrapyramidal symptoms (EPS)?
Tuberoinfundibular pathway
, Mesocortical pathway
Mesolimbic pathway
Nigrostriatal pathway
5. Describe the relationship between serotonin syndrome and the medications
that can cause it.
Serotonin syndrome is caused by a deficiency of serotonin in the
brain.
Serotonin syndrome occurs due to excessive serotonergic activity,
often triggered by certain medications.
Serotonin syndrome is unrelated to medication use.
Serotonin syndrome is a condition that only occurs in patients with
bipolar disorder.
6. Lithium exposure during pregnancy is most associated with the following
condition in the infant:
Cleft lip or palate
Neural tube defects
Developmental delays
Cardiac malformations
7. A patient presents with hyperreflexia, myoclonic jerks, and sweating after
starting a new antidepressant. What should be your immediate course of
action?
Discontinue the medication and assess for serotonin syndrome.
Increase the dosage of the medication.
Switch to a different class of antidepressants.
, Monitor the patient for 24 hours without intervention.
8. Of these antidepressants, this one has the highest risk of cardiovascular
effects:
fluoxetine
paroxetine
sertraline
venlafaxine
9. Describe the implications of Depakote toxicity on patient health and
treatment.
Depakote toxicity only affects mood stabilization.
Depakote toxicity primarily causes gastrointestinal discomfort.
Depakote toxicity can lead to serious health complications,
including liver damage and neurological issues.
Depakote toxicity has no significant health implications.
10. What is the name of the rating scale commonly used to assess akathisia?
Hamilton Anxiety Rating Scale
Barnes Akathisia Rating Scale
Beck Depression Inventory
Positive and Negative Syndrome Scale
11. What can occur when pregnant women take benzodiazepines within the first
trimester?
spontaneous abortion
, low birth weight
teratogenicity (birth defects)
12. Why is it important to check pregnancy status in child-bearing aged women
before prescribing mood stabilizers?
Pregnancy does not affect the metabolism of mood stabilizers.
Mood stabilizers are ineffective in women of child-bearing age.
Certain mood stabilizers can have teratogenic effects on a
developing fetus.
All mood stabilizers are safe during pregnancy.
13. What is the primary medication mentioned that is known to increase GABA
levels?
Benzodiazepines
Depakote
Lithium
Clozapine
14. What is the definition of pharmacokinetics?
The study of how drugs move through the body.
The study of drug interactions with neurotransmitters.
The study of the psychological effects of drugs.
The study of how drugs are synthesized.
15. Discuss how decreased protein binding in older adults affects drug toxicity
and medication efficacy.
