GEORGETTE REVIEW PMHNP EXAM QUIZZES
WITH ACTUAL ANSWERS | GRADED A+ .
When many answers are remarkably similar, they are usually _____________ - correct Answers
-wrong
Interprofessional collaboration is encouraged. - correct Answers -Collaborate is usually right.
Delegate is usually wrong.
ADPIER - correct Answers -Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium - correct Answers -Normal 0.6-1.2
Lithium toxicity occurs at levels - correct Answers -> 1.5
Signs of Lithium toxicity - correct Answers -severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - correct Answers -MANIA
Lithium has evidence shown to - correct Answers -reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - correct Answers -Ebstein anomaly
(congenital heart defect)
dehydration and hyponatremia cause lithium levels to - correct Answers -rise
,Baseline labs before initiation of lithium - correct Answers -TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - correct Answers -hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - correct Answers -staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - correct Answers -50-125
Depakote toxicity level - correct Answers -greater than 150
Teratogenic effects of Depakote - correct Answers -spina bifida
Adverse effects of depakote - correct Answers -alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of
skin or eyes, fatigue
,Signs of Depakote toxicity - correct Answers -disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity - correct Answers -DC med
check level
LFT
ammonia
MAOI + tyramine causes - correct Answers -hypertensive crisis
Symptoms of hypertensive crisis - correct Answers -elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - correct Answers -MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - correct Answers -DC offending agent
Administer PHENTOLAMINE
, Teratogenic effects of benzos - correct Answers -floppy baby, cleft palate
Teratogenic effects of tegratol - correct Answers -neural tube defect
teratogenic effects of lithium - correct Answers -ebstein anomaly (heart defect) (avoid, especially
1st trimester)
teratogenic effects of depakote - correct Answers -neural tube defects/spina bifida
Adverse reaction to Lamictal - correct Answers -Steven Johnson's Syndrome
Signs of SJS - correct Answers -FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely to cause - correct Answers -sedation or weight gain
Carbamazepine (tegretol) black box warning - correct Answers -agranulocytosis (decrease
WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOA)
WITH ACTUAL ANSWERS | GRADED A+ .
When many answers are remarkably similar, they are usually _____________ - correct Answers
-wrong
Interprofessional collaboration is encouraged. - correct Answers -Collaborate is usually right.
Delegate is usually wrong.
ADPIER - correct Answers -Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium - correct Answers -Normal 0.6-1.2
Lithium toxicity occurs at levels - correct Answers -> 1.5
Signs of Lithium toxicity - correct Answers -severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait
Lithium is gold standard for - correct Answers -MANIA
Lithium has evidence shown to - correct Answers -reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - correct Answers -Ebstein anomaly
(congenital heart defect)
dehydration and hyponatremia cause lithium levels to - correct Answers -rise
,Baseline labs before initiation of lithium - correct Answers -TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - correct Answers -hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
Pt education for lithimum - correct Answers -staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - correct Answers -50-125
Depakote toxicity level - correct Answers -greater than 150
Teratogenic effects of Depakote - correct Answers -spina bifida
Adverse effects of depakote - correct Answers -alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of
skin or eyes, fatigue
,Signs of Depakote toxicity - correct Answers -disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity - correct Answers -DC med
check level
LFT
ammonia
MAOI + tyramine causes - correct Answers -hypertensive crisis
Symptoms of hypertensive crisis - correct Answers -elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - correct Answers -MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - correct Answers -DC offending agent
Administer PHENTOLAMINE
, Teratogenic effects of benzos - correct Answers -floppy baby, cleft palate
Teratogenic effects of tegratol - correct Answers -neural tube defect
teratogenic effects of lithium - correct Answers -ebstein anomaly (heart defect) (avoid, especially
1st trimester)
teratogenic effects of depakote - correct Answers -neural tube defects/spina bifida
Adverse reaction to Lamictal - correct Answers -Steven Johnson's Syndrome
Signs of SJS - correct Answers -FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least likely to cause - correct Answers -sedation or weight gain
Carbamazepine (tegretol) black box warning - correct Answers -agranulocytosis (decrease
WBCs)
aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOA)
