LMR - Georgette's 2026 Qbank
Georgette's PMHNP Certification Exam
Review; Latest 2026
What drugs should be avoided with Kava Kava? - ANSWER-Alprazolam, CNS
depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Interview? - ANSWER-Clarify
meaning of illness, Empower the patient, Validate symptoms within the cultural
context
What does a cultural formulation interview do? - ANSWER-Cultural assessment
What is the normal range for TSH? - ANSWER-0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism? - ANSWER-Decreased TSH, Increased T4
and T3
What are lab values in Hypothyroidism? - ANSWER-Increased TSH, Decreased T4
and T3
What are 5 primary symptoms of Hyperthyroidism? - ANSWER-Heat intolerance,
Agitation, Anxiety, Irritability, Tachycardia, Mood swings, Weight loss
,What are 4 primary symptoms of Hypothyroidism? - ANSWER-Cold intolerance,
Lethargy, Weight gain, Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - ANSWER-
Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - ANSWER-
Mania
What teratogenic effect does Valproic acid produce? - ANSWER-Spina bifida
(neural tube defect)
What is the primary organ where Valproic acid is toxic? - ANSWER-Liver
(hepatotoxicity)
What are 4 signs of hepatotoxicity? - ANSWER-Abdominal pain in the RUQ,
Reddish-brown urine, Yellowing of the skin and sclera, Fatigue
What is the therapeutic range for Valproic acid? - ANSWER-50-125 mcg/ml
What is a toxic level of Valproic acid? - ANSWER->150 mcg/ml
What are 4 signs of Valproic acid toxicity? - ANSWER-Disorientation, Lethargy,
Respiratory depression, Nausea/vomiting
,With suspected toxicity from Valproic acid, what labs should be drawn? -
ANSWER-D/C drug, Check drug level, Obtain LFTs, Obtain ammonia level
What is the major side effect of Kava Kava? - ANSWER-Liver damage
What herbal supplement is used for anxiety, stress, and insomnia? - ANSWER-Kava
Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - ANSWER-Fever, Body
aches, Severe red rash, Peeling skin, Facial and tongue swelling
Which mood stabilizer causes the least weight gain? - ANSWER-Lamotrigine
(Lamictal)
Which 3 SGAs cause the least weight gain? - ANSWER-Lurasidone (Latuda),
Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? - ANSWER-Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - ANSWER-Acute disturbance of LOC,
Impaired cognition, Inattention
How are agitation and psychotic symptoms treated in delirium? - ANSWER-Low
dose Haldol
, What 4 drugs can cause mania? - ANSWER-Steroids, Disulfiram (Antabuse),
Isoniazid (INH), Antidepressants (in BPD)
What 6 drugs can induce depression? - ANSWER-Steroids, Beta blockers,
Interferon, Isotretinoin (Accutane), Retroviral drugs, Antineoplastic drugs,
Benzodiazepines, Progesterone
Steroids can induce what 3 psychiatric states? - ANSWER-Mania, Depression,
Psychosis
What medication used to treat acne can cause birth defects? - ANSWER-
Isotretinoin (Accutane)
What is agranulocytosis? - ANSWER-<500 ANC
What is neutropenia? - ANSWER-<2000 PMNs (neutrophils)
What ANC level should clozapine be stopped? - ANSWER-<1000 cells/µL
What are 4 symptoms of agranulocytosis? - ANSWER-Sudden fever, chills, sore
throat, weakness
What does DIGFAST stand for? - ANSWER-Distractibility, Indiscretion, Grandiosity,
Flight of Ideas, Activity increased, Sleep decreased, Talkativeness
Georgette's PMHNP Certification Exam
Review; Latest 2026
What drugs should be avoided with Kava Kava? - ANSWER-Alprazolam, CNS
depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Interview? - ANSWER-Clarify
meaning of illness, Empower the patient, Validate symptoms within the cultural
context
What does a cultural formulation interview do? - ANSWER-Cultural assessment
What is the normal range for TSH? - ANSWER-0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism? - ANSWER-Decreased TSH, Increased T4
and T3
What are lab values in Hypothyroidism? - ANSWER-Increased TSH, Decreased T4
and T3
What are 5 primary symptoms of Hyperthyroidism? - ANSWER-Heat intolerance,
Agitation, Anxiety, Irritability, Tachycardia, Mood swings, Weight loss
,What are 4 primary symptoms of Hypothyroidism? - ANSWER-Cold intolerance,
Lethargy, Weight gain, Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - ANSWER-
Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - ANSWER-
Mania
What teratogenic effect does Valproic acid produce? - ANSWER-Spina bifida
(neural tube defect)
What is the primary organ where Valproic acid is toxic? - ANSWER-Liver
(hepatotoxicity)
What are 4 signs of hepatotoxicity? - ANSWER-Abdominal pain in the RUQ,
Reddish-brown urine, Yellowing of the skin and sclera, Fatigue
What is the therapeutic range for Valproic acid? - ANSWER-50-125 mcg/ml
What is a toxic level of Valproic acid? - ANSWER->150 mcg/ml
What are 4 signs of Valproic acid toxicity? - ANSWER-Disorientation, Lethargy,
Respiratory depression, Nausea/vomiting
,With suspected toxicity from Valproic acid, what labs should be drawn? -
ANSWER-D/C drug, Check drug level, Obtain LFTs, Obtain ammonia level
What is the major side effect of Kava Kava? - ANSWER-Liver damage
What herbal supplement is used for anxiety, stress, and insomnia? - ANSWER-Kava
Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - ANSWER-Fever, Body
aches, Severe red rash, Peeling skin, Facial and tongue swelling
Which mood stabilizer causes the least weight gain? - ANSWER-Lamotrigine
(Lamictal)
Which 3 SGAs cause the least weight gain? - ANSWER-Lurasidone (Latuda),
Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? - ANSWER-Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - ANSWER-Acute disturbance of LOC,
Impaired cognition, Inattention
How are agitation and psychotic symptoms treated in delirium? - ANSWER-Low
dose Haldol
, What 4 drugs can cause mania? - ANSWER-Steroids, Disulfiram (Antabuse),
Isoniazid (INH), Antidepressants (in BPD)
What 6 drugs can induce depression? - ANSWER-Steroids, Beta blockers,
Interferon, Isotretinoin (Accutane), Retroviral drugs, Antineoplastic drugs,
Benzodiazepines, Progesterone
Steroids can induce what 3 psychiatric states? - ANSWER-Mania, Depression,
Psychosis
What medication used to treat acne can cause birth defects? - ANSWER-
Isotretinoin (Accutane)
What is agranulocytosis? - ANSWER-<500 ANC
What is neutropenia? - ANSWER-<2000 PMNs (neutrophils)
What ANC level should clozapine be stopped? - ANSWER-<1000 cells/µL
What are 4 symptoms of agranulocytosis? - ANSWER-Sudden fever, chills, sore
throat, weakness
What does DIGFAST stand for? - ANSWER-Distractibility, Indiscretion, Grandiosity,
Flight of Ideas, Activity increased, Sleep decreased, Talkativeness
