GEORGETTE'S LMR PMHNP CERTIFICATION EXAM |COMPLETE QUESTIONS WITH
100% RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
1. What drugs should be avoided with Kava Kava?: Alprazolam, CNS depressants (e.g., phenobarbital, zolpidem)
2. What are the 3 functions of a Cultural Formulation Interview?: Clarify meaning of illness, Empower the patient,
Validate symptoms within the cultural context
3. What does a cultural formulation interview do?: Cultural assessment
4. What is the normal range for TSH?: 0.5 - 5.0 mu/L
5. What are lab values in Hyperthyroidism?: Decreased TSH, Increased T4 and T3
6. What are lab values in Hypothyroidism?: Increased TSH, Decreased T4 and T3
7. What are 5 primary symptoms of Hyperthyroidism?: Heat intolerance, Agitation, Anxiety,
Irritability, Tachycardia, Mood swings, Weight loss
8. What are 4 primary symptoms of Hypothyroidism?: Cold intolerance, Lethargy, Weight gain, Decreased libido
9. Hypothyroidism mimics symptoms of what psychiatric disorder?: Depression
10. Hyperthyroidism mimics symptoms of what psychiatric disorder?: Mania
11. What teratogenic effect does Valproic acid produce?: Spina bifida (neural tube defect)
12. What is the primary organ where Valproic acid is toxic?: Liver (hepatotoxicity)
13. What are 4 signs of hepatotoxicity?: Abdominal pain in the RUQ, Reddish-brown urine, Yellowing
of the skin and sclera, Fatigue
14. What is the therapeutic range for Valproic acid?: 50-125 mcg/ml
15. What is a toxic level of Valproic acid?: >150 mcg/ml
,16. What are 4 signs of Valproic acid toxicity?: Disorientation, Lethargy, Respiratory depression,
Nausea/vomiting
17. With suspected toxicity from Valproic acid, what labs should be drawn?: D/C drug, Check drug level, Obtain
LFTs, Obtain ammonia level
18. What is the major side effect of Kava Kava?: Liver damage
19. What herbal supplement is used for anxiety, stress, and insomnia?: Kava Kava
20. What are 5 symptoms of Stephen's Johnson Syndrome?: Fever, Body aches, Severe red rash, Peeling skin, Facial
and tongue swelling
21. Which mood stabilizer causes the least weight gain?: Lamotrigine (Lamictal)
22. Which 3 SGAs cause the least weight gain?: Lurasidone (Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
23. Which SGA is the least sedating?: Aripiprazole (Abilify)
24 What are 3 hallmark symptoms of delirium?: Acute disturbance of LOC, Impaired cognition,
Inattention
25. How are agitation and psychotic symptoms treated in delirium?: Low dose Haldol
26. What 4 drugs can cause mania?: Steroids, Disulfiram (Antabuse), Isoniazid (INH), Antidepressants (in BPD)
27. What 6 drugs can induce depression?: Steroids, Beta blockers, Interferon, Isotretinoin (Accutane), Retroviral
drugs, Antineoplastic drugs, Benzodiazepines, Progesterone
28. Steroids can induce what 3 psychiatric states?: Mania, Depression, Psychosis
29. What medication used to treat acne can cause birth defects?: Isotretinoin (Accutane)
30. What is agranulocytosis?: <500 ANC
31. What is neutropenia?: <2000 PMNs (neutrophils)
,32. What ANC level should clozapine be stopped?: <1000 cells/µL
33. What are 4 symptoms of agranulocytosis?: Sudden fever, chills, sore throat, weakness
34. What does DIGFAST stand for?: Distractibility, Indiscretion, Grandiosity, Flight of Ideas, Activity increased,
Sleep decreased, Talkativeness
35. What are 5 neurological symptoms in Conversion Disorder?: Blindness, mutism, paralysis, paresthesia (glove
and stocking syndrome), seizures
36. When do symptoms typically begin with Conversion Disorder?: After a stressful experience (suddenly)
37. What are 5 stressful events in a child's life that can cause adjustment
disorder?: Family move, parent divorce/separation, loss of pet, birth of sibling, sudden or chronic illness
38. What symptoms may a child with adjustment disorder with disturbances of
conduct exhibit?: Not going to school, destroying property, driving recklessly, or fighting
39. What is the required duration of behavior for a DSM-5 diagnosis of Oppositional Defiant Disorder (ODD)?: 6
months
40. How many symptoms must a child with ODD display to meet DSM-5 criteria?: 4
41. What is the mainstay treatment of Oppositional Defiant Disorder (ODD)?: -
Therapy
42. What is the primary therapy used to treat Oppositional Defiant Disorder
(ODD)?: Child and parent problem-solving skills training
43 What is Conduct Disorder?: A repetitive and persistent pattern of behavior in which the rights of others or societal
norms or rules are violated.
44. What are 3 characteristics of Conduct Disorder?: Destruction of property, deceit or theft, lack of remorse
, 45. What 2 factors differentiate Conduct Disorder from ODD?: Severity, aggression 46. What are 4
pharmacologic treatments for Conduct Disorder?: Antipsychotics, mood stabilizers, SSRIs, alpha agonists
47. What is the mainstay treatment for Conduct Disorder?: Therapy
48. What type of therapy is used in the treatment of Conduct Disorder?: Behavioral therapy
49. What is Multisystemic family therapy?: Home-based model for youth with serious antisocial and criminal
offenses by empowering parents with resources and skills.
50. What is the goal of multisystemic family therapy (MFT)?: Reduce barriers to resources for youth with
problematic behavior
51. What is the moderate range for MMSE?: 10-20
52. What is the moderate range for SLUM?: 10-20
53. What is the moderate range for HAM-D?: 14-18
54. What is the moderate range for PHQ-9?: 10-14
55. What is the moderate range for BDI?: 19-29
56. What is the moderate range for HAM-A?: 18-24
57. What is the moderate range for GAD-7?: 10-14
58. What is the moderate range for COWS?: 13-24
59. If a patient's COWS score is between 5-12, what do you do?: Administer clonidine 60. If a patient's COWS score
is between 13-24, what do you do?: Administer buprenorphine (Suboxone)
61. When do you administer clonidine on the COWS?: Mild symptoms (>7)
62. When do you administer buprenorphine (Suboxone) on the COWS?: Moderate symptoms (13-24)
63. What is a moderate range on the CIWA?: 16-20
100% RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
1. What drugs should be avoided with Kava Kava?: Alprazolam, CNS depressants (e.g., phenobarbital, zolpidem)
2. What are the 3 functions of a Cultural Formulation Interview?: Clarify meaning of illness, Empower the patient,
Validate symptoms within the cultural context
3. What does a cultural formulation interview do?: Cultural assessment
4. What is the normal range for TSH?: 0.5 - 5.0 mu/L
5. What are lab values in Hyperthyroidism?: Decreased TSH, Increased T4 and T3
6. What are lab values in Hypothyroidism?: Increased TSH, Decreased T4 and T3
7. What are 5 primary symptoms of Hyperthyroidism?: Heat intolerance, Agitation, Anxiety,
Irritability, Tachycardia, Mood swings, Weight loss
8. What are 4 primary symptoms of Hypothyroidism?: Cold intolerance, Lethargy, Weight gain, Decreased libido
9. Hypothyroidism mimics symptoms of what psychiatric disorder?: Depression
10. Hyperthyroidism mimics symptoms of what psychiatric disorder?: Mania
11. What teratogenic effect does Valproic acid produce?: Spina bifida (neural tube defect)
12. What is the primary organ where Valproic acid is toxic?: Liver (hepatotoxicity)
13. What are 4 signs of hepatotoxicity?: Abdominal pain in the RUQ, Reddish-brown urine, Yellowing
of the skin and sclera, Fatigue
14. What is the therapeutic range for Valproic acid?: 50-125 mcg/ml
15. What is a toxic level of Valproic acid?: >150 mcg/ml
,16. What are 4 signs of Valproic acid toxicity?: Disorientation, Lethargy, Respiratory depression,
Nausea/vomiting
17. With suspected toxicity from Valproic acid, what labs should be drawn?: D/C drug, Check drug level, Obtain
LFTs, Obtain ammonia level
18. What is the major side effect of Kava Kava?: Liver damage
19. What herbal supplement is used for anxiety, stress, and insomnia?: Kava Kava
20. What are 5 symptoms of Stephen's Johnson Syndrome?: Fever, Body aches, Severe red rash, Peeling skin, Facial
and tongue swelling
21. Which mood stabilizer causes the least weight gain?: Lamotrigine (Lamictal)
22. Which 3 SGAs cause the least weight gain?: Lurasidone (Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
23. Which SGA is the least sedating?: Aripiprazole (Abilify)
24 What are 3 hallmark symptoms of delirium?: Acute disturbance of LOC, Impaired cognition,
Inattention
25. How are agitation and psychotic symptoms treated in delirium?: Low dose Haldol
26. What 4 drugs can cause mania?: Steroids, Disulfiram (Antabuse), Isoniazid (INH), Antidepressants (in BPD)
27. What 6 drugs can induce depression?: Steroids, Beta blockers, Interferon, Isotretinoin (Accutane), Retroviral
drugs, Antineoplastic drugs, Benzodiazepines, Progesterone
28. Steroids can induce what 3 psychiatric states?: Mania, Depression, Psychosis
29. What medication used to treat acne can cause birth defects?: Isotretinoin (Accutane)
30. What is agranulocytosis?: <500 ANC
31. What is neutropenia?: <2000 PMNs (neutrophils)
,32. What ANC level should clozapine be stopped?: <1000 cells/µL
33. What are 4 symptoms of agranulocytosis?: Sudden fever, chills, sore throat, weakness
34. What does DIGFAST stand for?: Distractibility, Indiscretion, Grandiosity, Flight of Ideas, Activity increased,
Sleep decreased, Talkativeness
35. What are 5 neurological symptoms in Conversion Disorder?: Blindness, mutism, paralysis, paresthesia (glove
and stocking syndrome), seizures
36. When do symptoms typically begin with Conversion Disorder?: After a stressful experience (suddenly)
37. What are 5 stressful events in a child's life that can cause adjustment
disorder?: Family move, parent divorce/separation, loss of pet, birth of sibling, sudden or chronic illness
38. What symptoms may a child with adjustment disorder with disturbances of
conduct exhibit?: Not going to school, destroying property, driving recklessly, or fighting
39. What is the required duration of behavior for a DSM-5 diagnosis of Oppositional Defiant Disorder (ODD)?: 6
months
40. How many symptoms must a child with ODD display to meet DSM-5 criteria?: 4
41. What is the mainstay treatment of Oppositional Defiant Disorder (ODD)?: -
Therapy
42. What is the primary therapy used to treat Oppositional Defiant Disorder
(ODD)?: Child and parent problem-solving skills training
43 What is Conduct Disorder?: A repetitive and persistent pattern of behavior in which the rights of others or societal
norms or rules are violated.
44. What are 3 characteristics of Conduct Disorder?: Destruction of property, deceit or theft, lack of remorse
, 45. What 2 factors differentiate Conduct Disorder from ODD?: Severity, aggression 46. What are 4
pharmacologic treatments for Conduct Disorder?: Antipsychotics, mood stabilizers, SSRIs, alpha agonists
47. What is the mainstay treatment for Conduct Disorder?: Therapy
48. What type of therapy is used in the treatment of Conduct Disorder?: Behavioral therapy
49. What is Multisystemic family therapy?: Home-based model for youth with serious antisocial and criminal
offenses by empowering parents with resources and skills.
50. What is the goal of multisystemic family therapy (MFT)?: Reduce barriers to resources for youth with
problematic behavior
51. What is the moderate range for MMSE?: 10-20
52. What is the moderate range for SLUM?: 10-20
53. What is the moderate range for HAM-D?: 14-18
54. What is the moderate range for PHQ-9?: 10-14
55. What is the moderate range for BDI?: 19-29
56. What is the moderate range for HAM-A?: 18-24
57. What is the moderate range for GAD-7?: 10-14
58. What is the moderate range for COWS?: 13-24
59. If a patient's COWS score is between 5-12, what do you do?: Administer clonidine 60. If a patient's COWS score
is between 13-24, what do you do?: Administer buprenorphine (Suboxone)
61. When do you administer clonidine on the COWS?: Mild symptoms (>7)
62. When do you administer buprenorphine (Suboxone) on the COWS?: Moderate symptoms (13-24)
63. What is a moderate range on the CIWA?: 16-20
