PMHNP Boards Updated Exam Bank
and Answers (A+ Guaranteed)
• autosomal dominant -✓✓genetic inheritance. will present in more than one generation.
50/50 chance of passing on trait (Huningtons)
• autosomal recessive -✓✓two copies must be present (cystic fibrosis
• prior to MSE -✓✓assessment includes ROS, VS, heart tone, lung sounds, neuro
exam, muscle tone, rigidity
• SLUMS -✓✓11 items. Max 30, 27-30 normal for high school education, 21-60 mild
neurocognitive disorder, 0-20 dementia
• MMSE -✓✓11 components. Max 30, no impairment 24-30
Delirium/dementia 18-23 mild, 0-7 severe
• SLAP -✓✓suicide assessment. Social support, Lethality, Access to means,
Plan/Previous attempt
• Hamilton Anxiety Rating scale -✓✓most popular anxiety scale
• Vanderbilt Assessment Scale -✓✓free ADHD assessment tool
• Abnormal Involuntary Movement Scale (AIMS) -✓✓total score is less important than
monitoring areas of the body. 2 or more is positive. Question 7 examines trunk
movements
• WHODAS -✓✓36 item, measures six domains, understanding and communicating,
getting around, self care, getting along with people, life activities and participation with
society. 0=no disability, 100=full disability
• Metabolic syndrome -✓✓abdominal obesity and any two of the following: triglycerides
>150, HDL >40/50, BP >130/85, FSBS >100 or prior type 2 diabetes
• general screening labs -✓✓CBC, chemistry panel, thyroid labs, hepatic panel,
B12/folate and vitamin D
• PET scan -✓✓localizes mental activities, primarily as experimental basis and is very
expensive
• cranial nerves -✓✓olfactory=smell, sensory
,optic=vision, sensory
oculomotor=most EOM, motor
trochlear=downward and inward eye movement, motor
trigeminal=mastication muscles, sensation of face, both
abducens=lateral eye movmement, motor
facial=move face, close eyes, taste, saliva, tears, both
acoustic=hearing and balance, sensory
glossopharyngeal=phonation, gag, carotid, swallowing, taste, both
vagus=talk, swallow, carotid, both
spinal accessory=shrug shoulders, motor
hypoglossal=moves the tounge, motor
• tender lymph node -✓✓classic sign of infection
• rubbery lymph node -✓✓classic sign of lymphoma
• soft lymph node -✓✓insignificant
• nontender lymph node -✓✓classic sign of potential malignancy
• lymph node size -✓✓insignificant if less than 2cm, 3cm in axilla and inguinal. but if
supraclavicular fossa, >1cm is significant
• lasts longest in the urine -✓✓cannabis. 3 days to 4 weeks
• pneumococcal vaccine -✓✓give to 19-64 year old smoker or if have asthma
• Pap smear -✓✓every 3 years, HPV every 5 years. discontinue at age 65-70 if have 3
consecutive negative and no abnormal tests in 10 years
• prostate exam -✓✓digital begin at age 40 and PSA at age 40 if have family history of
prostate cancer or AA. ALL males 50 years and older should get screening
• colorectal screening -✓✓starting at 50 years old, annual fecal occult blood test, flex sig
every 5 years and colonoscopy every 10 years
• Medicare B screening coverage -✓✓for cervical, breast, prostate, colorectal cancer
• top 4 killers of adults in US -✓✓heart disease, cancer, lower resp disease, CVA
• lung cancer -✓✓highest cancer mortality in women and men,
• primary prevention -✓✓PROMOTES health PRIOR. healthy diet, exercise, avoiding
things
, • secondary prevention -✓✓focuses on early identification and treatment of existing
problems. includes REGULAR exams and screening like pap
• tertiary prevention -✓✓rehab and restoration of health
• hepatitis A vaccine -✓✓for military, travelers to endemic areas, men who have sex with
men
• diabetes screening -✓✓impaired if FSBS 100-125
diabetes if >126 on two separate occasions
• cholesterol screening -✓✓evaluate serum lipid levels
Total cholesterol <200
Triglycerides <150
HDL 40-60
LDL <100 (<70 if heart disease)
• Joint National Committee Classifications (JNC) to treat hypertension -✓✓AA start of
thiazide diuretics, Ca channel blockers
• mitral regurgitation -✓✓S3 at 5th ICS MCL, musical
• TSH >20 -✓✓weight gain is more likely
>4.2 indicates hypothyroid
• low T4 -✓✓indicates disease state is due to thyroid gland
• hyperthyroid -✓✓low TSH, high or normal T4
mimics mania
• hypothyroid -✓✓high TSH, low T4
mimics depression
• management of hypothyroid in adults -✓✓levothyroxine (synthroid) if less than 60,
generally healthy, start 100mcg or 1.7mcg/kg daily. geriatric start at 25mcg daily
• synthroid adjustments -✓✓monitor levels every 4-6 weeks and increase until
therapeutic
• HIV transmission via needle stick -✓✓1:350
• HIV screening -✓✓ELISA for initial screening
western blot is confirmatory
and Answers (A+ Guaranteed)
• autosomal dominant -✓✓genetic inheritance. will present in more than one generation.
50/50 chance of passing on trait (Huningtons)
• autosomal recessive -✓✓two copies must be present (cystic fibrosis
• prior to MSE -✓✓assessment includes ROS, VS, heart tone, lung sounds, neuro
exam, muscle tone, rigidity
• SLUMS -✓✓11 items. Max 30, 27-30 normal for high school education, 21-60 mild
neurocognitive disorder, 0-20 dementia
• MMSE -✓✓11 components. Max 30, no impairment 24-30
Delirium/dementia 18-23 mild, 0-7 severe
• SLAP -✓✓suicide assessment. Social support, Lethality, Access to means,
Plan/Previous attempt
• Hamilton Anxiety Rating scale -✓✓most popular anxiety scale
• Vanderbilt Assessment Scale -✓✓free ADHD assessment tool
• Abnormal Involuntary Movement Scale (AIMS) -✓✓total score is less important than
monitoring areas of the body. 2 or more is positive. Question 7 examines trunk
movements
• WHODAS -✓✓36 item, measures six domains, understanding and communicating,
getting around, self care, getting along with people, life activities and participation with
society. 0=no disability, 100=full disability
• Metabolic syndrome -✓✓abdominal obesity and any two of the following: triglycerides
>150, HDL >40/50, BP >130/85, FSBS >100 or prior type 2 diabetes
• general screening labs -✓✓CBC, chemistry panel, thyroid labs, hepatic panel,
B12/folate and vitamin D
• PET scan -✓✓localizes mental activities, primarily as experimental basis and is very
expensive
• cranial nerves -✓✓olfactory=smell, sensory
,optic=vision, sensory
oculomotor=most EOM, motor
trochlear=downward and inward eye movement, motor
trigeminal=mastication muscles, sensation of face, both
abducens=lateral eye movmement, motor
facial=move face, close eyes, taste, saliva, tears, both
acoustic=hearing and balance, sensory
glossopharyngeal=phonation, gag, carotid, swallowing, taste, both
vagus=talk, swallow, carotid, both
spinal accessory=shrug shoulders, motor
hypoglossal=moves the tounge, motor
• tender lymph node -✓✓classic sign of infection
• rubbery lymph node -✓✓classic sign of lymphoma
• soft lymph node -✓✓insignificant
• nontender lymph node -✓✓classic sign of potential malignancy
• lymph node size -✓✓insignificant if less than 2cm, 3cm in axilla and inguinal. but if
supraclavicular fossa, >1cm is significant
• lasts longest in the urine -✓✓cannabis. 3 days to 4 weeks
• pneumococcal vaccine -✓✓give to 19-64 year old smoker or if have asthma
• Pap smear -✓✓every 3 years, HPV every 5 years. discontinue at age 65-70 if have 3
consecutive negative and no abnormal tests in 10 years
• prostate exam -✓✓digital begin at age 40 and PSA at age 40 if have family history of
prostate cancer or AA. ALL males 50 years and older should get screening
• colorectal screening -✓✓starting at 50 years old, annual fecal occult blood test, flex sig
every 5 years and colonoscopy every 10 years
• Medicare B screening coverage -✓✓for cervical, breast, prostate, colorectal cancer
• top 4 killers of adults in US -✓✓heart disease, cancer, lower resp disease, CVA
• lung cancer -✓✓highest cancer mortality in women and men,
• primary prevention -✓✓PROMOTES health PRIOR. healthy diet, exercise, avoiding
things
, • secondary prevention -✓✓focuses on early identification and treatment of existing
problems. includes REGULAR exams and screening like pap
• tertiary prevention -✓✓rehab and restoration of health
• hepatitis A vaccine -✓✓for military, travelers to endemic areas, men who have sex with
men
• diabetes screening -✓✓impaired if FSBS 100-125
diabetes if >126 on two separate occasions
• cholesterol screening -✓✓evaluate serum lipid levels
Total cholesterol <200
Triglycerides <150
HDL 40-60
LDL <100 (<70 if heart disease)
• Joint National Committee Classifications (JNC) to treat hypertension -✓✓AA start of
thiazide diuretics, Ca channel blockers
• mitral regurgitation -✓✓S3 at 5th ICS MCL, musical
• TSH >20 -✓✓weight gain is more likely
>4.2 indicates hypothyroid
• low T4 -✓✓indicates disease state is due to thyroid gland
• hyperthyroid -✓✓low TSH, high or normal T4
mimics mania
• hypothyroid -✓✓high TSH, low T4
mimics depression
• management of hypothyroid in adults -✓✓levothyroxine (synthroid) if less than 60,
generally healthy, start 100mcg or 1.7mcg/kg daily. geriatric start at 25mcg daily
• synthroid adjustments -✓✓monitor levels every 4-6 weeks and increase until
therapeutic
• HIV transmission via needle stick -✓✓1:350
• HIV screening -✓✓ELISA for initial screening
western blot is confirmatory
