LMR GEORGETTE REVIEW PMHNP FINAL
STUDY SHEET 2026 QUESTIONS SOLUTIONS
GRADED A+
⩥ When you have Hypothyroidism Your tsh is.
Answer: Elevated, T3 and T4 are lower
⩥ Depakote can cause what birth defect.
Answer: Spina Bifida
⩥ What are signs of Depakote Hepatoxicity.
Answer: Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
⩥ What are normal Depakote levels.
Answer: 50-125
toxic over 150
⩥ What are the interventions for Depakote toxicity.
,Answer: d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
⩥ what is the signs of Depakote toxicity.
Answer: AMS
lethargic
Resp Depression
N/V
⩥ What are signs of pancreatitis caused by Depakote.
Answer: oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
⩥ Kava can cause.
Answer: liver damage; monitor liver enzymes
,⩥ Do NOT take Kava-kava with.
Answer: CNS suppressants - increases effects
MAOIs - increases effects
example -alprazolam
benzo "pam's"
phenobarbital
⩥ what mood stabilizer has least weight gain.
Answer: lamictal
⩥ what is black box warning for lamictal.
Answer: can cause Steven Johnson syndrome
⩥ what are signs of Steven Johnson syndrome.
Answer: fever
body aches
red rash
face and tongue swelling
⩥ Name 3 antipsychotics ZAL.
, Answer: Zeisprasidone
Abilify
Lurasidone
⩥ What is least sedating antipsychotic.
Answer: Abilify
⩥ Which antipsychotic is least likely to cause weight gain.
Answer: Lurasidone
⩥ If a patient gains weight on an antipsychotic what do you do.
Answer: exercise
nutritional counseling
bmi
hips to waist ratio
⩥ Carbamazepine black box warning.
Answer: aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
⩥ What meds can cause Agranulocytosis.
Answer: clozaril and carbamazepine
STUDY SHEET 2026 QUESTIONS SOLUTIONS
GRADED A+
⩥ When you have Hypothyroidism Your tsh is.
Answer: Elevated, T3 and T4 are lower
⩥ Depakote can cause what birth defect.
Answer: Spina Bifida
⩥ What are signs of Depakote Hepatoxicity.
Answer: Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
⩥ What are normal Depakote levels.
Answer: 50-125
toxic over 150
⩥ What are the interventions for Depakote toxicity.
,Answer: d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
⩥ what is the signs of Depakote toxicity.
Answer: AMS
lethargic
Resp Depression
N/V
⩥ What are signs of pancreatitis caused by Depakote.
Answer: oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
⩥ Kava can cause.
Answer: liver damage; monitor liver enzymes
,⩥ Do NOT take Kava-kava with.
Answer: CNS suppressants - increases effects
MAOIs - increases effects
example -alprazolam
benzo "pam's"
phenobarbital
⩥ what mood stabilizer has least weight gain.
Answer: lamictal
⩥ what is black box warning for lamictal.
Answer: can cause Steven Johnson syndrome
⩥ what are signs of Steven Johnson syndrome.
Answer: fever
body aches
red rash
face and tongue swelling
⩥ Name 3 antipsychotics ZAL.
, Answer: Zeisprasidone
Abilify
Lurasidone
⩥ What is least sedating antipsychotic.
Answer: Abilify
⩥ Which antipsychotic is least likely to cause weight gain.
Answer: Lurasidone
⩥ If a patient gains weight on an antipsychotic what do you do.
Answer: exercise
nutritional counseling
bmi
hips to waist ratio
⩥ Carbamazepine black box warning.
Answer: aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
⩥ What meds can cause Agranulocytosis.
Answer: clozaril and carbamazepine