PROPHECY ASSESSMENTS - CORE
MANDATORY PART I AND A+
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Amenorrhea.
Answer: Absence of menses
◍ Primary amenorrhea.
Answer: Absence of menses by age 14 with NO development of secondary
sexual characteristicsor.. Absence of menses by age 16 with NORMAL
development of secondary sexual characteristics
◍ Lithium labs.
Answer: level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
◍ Secondary amenorrhea.
Answer: Absence of regular cycles for 3 months, or irregular cycles for 6
months in females who previously menstruated
◍ P.
R. O.
M. .
Answer: Premature rupture of membranes
◍ bipolar meds: depression.
Answer: lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
◍ bipolar acute and mixed mania.
Answer: aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only),
, asenapine (10+)
◍ classic mood stabilizers.
Answer: Lamotrigine (excellent medication to use), lithium, Depakote
(avoid in females if possible due to PCOS and Pregnancy), Tegretol,
Trileptal (no evidence for true Bipolar disorder)
◍ anti-depressants.
Answer: class not used w/bipolar disorder
◍ lithium.
Answer: Anti-manic, antidepressant, anti-suicidal
◍ I.
U. G.
R. .
Answer: Intrauterine growth restriction
◍ Cervicitis.
Answer: Inflammation or infection of the cervix
◍ Chlamydia (Description, Therapeutic Management).
Answer: Description: May be asymptomatic, or inflammation of rectum and
lining of the eyeTherapeutic Management: Abx (doxycycline, azithromycin)
◍ Lithium side effects.
Answer: Frequent urination, increased thirst, weight gain, sedation
◍ Gonorrhea(Description, Therapeutic Management).
Answer: Description: May be asymptomatic, or dysuria/urinary
frequencyTherapeutic Management: Abx therapy
◍ lithium toxicity.
Answer: sudden onset tremors, N/V/D, muscle weakness, slurred speech,
confusion, seizures (slowing down, feel really out of it)
◍ Major Depressive Disorder Dx.
Answer: 5+ for at least a 2-week period; either #1 or 2 req1. Depressed
mood most of the day, nearly every day (can be irritability in children &
, adolescents)2. Diminished interest or pleasure in all, or almost all,
activities3. Change appetite/weight; kids not wt goalsInsomnia or
hypersomnia nearly every day4. Up or down Psychomotor 5. Fatigue or loss
of energy6. Worthlessness/excessive or inappropriate guilt7. Diminished
ability to think or concentrate, or indecisiveness (don't confuse with ADHD,
address mood first)8. Recurrent thoughts of death, thoughts of suicide, or
suicidal plan/intent: if hosp then 2 wk not req.
◍ SLAP.
Answer: Social supports; lethal; access to means; plan and previous attempt
◍ Suicide risk: IS PATH WARM.
Answer: Ideation, substance abuse, purpose to live gone; anxiety, trapped
feeling; hopelessness, w/d from soc supports, anger w/rage; reckless,
dramatic moods
◍ SIGECAPS.
Answer: Sleep, Interest, Guilt, Energy, Concentration, Appetite,
Psychomotor, Suicide
◍ Syphillis(Description, STAGES, Therapeutic Management).
Answer: Description: Bacterial infection caused by spirochete Treponema
pallidum; CURABLE4 Stages: - Primary: Chancre on the place of bacterial
entry- Secondary: Maculopapular rash, sore throat, lymphadenopathy,
flu-like symptoms- Latent: No symptoms, no longer contagious in late latent
stage- Tertiary: Neurosyphilis progression if left untreated; irreversible
Therapeutic Management: Benzathine penicillin G (IM), doxycycline if
allergic to penicillin (not given in pregnancy if possible; reevaluation with
serologic testing
◍ bipolar vs unipolar: look at bipolar if.
Answer: 1. family hx: 1st degree relatives2. Substance use: chasing high or
low3. Response to SSRI: no resp to multiple tries or evidence of mania with
use (not diagnostic)
◍ Bipolar I criteria.
, Answer: One manic episode required
◍ Mania.
Answer: elevated, expansive, energetic + 3, (unless irritablemood then
requires 4+)1. SX Lastat least one week-any duration if hosp2. Inflated
self-esteem, grandiosity 3. Decreased need for sleep 4. More talkative,
pressure to keep talking 5. Flight of ideas or racing thoughts 6.
Distractibility: r/o ADHD (constant) intermit w/BD7. Increase in
goal-directed activity 8. Risky, impulsive behaviors (sex, money, pot for
harm)
◍ hypomania vs mania.
Answer: a milder form of elevated mood that are less severe and cause less
impairment than ______ and (usually) don't require hospitalization
◍ Genital herpes(Description, TRANSMISSION, Therapeutic Management).
Answer: Description: Blister-like genital lesions, dysuria, fever, HA, muscle
aches; recurrent lifelong viral infectionTransmission: - Contact with mucous
membranes- Contact with breaks in skin with visible/nonvisible lesions-
Kissing/sexual contact/vaginal delivery (C-section needed if birthing parent
in active outbreak)Therapeutic Management: No cure; antiretroviral therapy
to reduce symptoms/shedding/recurrent episodes
◍ Mania impairment.
Answer: severe in work, social activities, or relationships or to necessitate
hosp or there are psychotic features
◍ Hypomania impairment.
Answer: cause a change in functioning but not severe
◍ Candidiasis (Maternal and Fetal Effects).
Answer: Maternal Effects: Resistant to tx during pregnancy; uncomfortable
localized genital itching, dischargeFetal Effects: Can acquire thrush in
mouth during birthing process if birthing parent infected
◍ Mood disorder r/o.
Answer: No symptoms can be due to a substance or general medical
MANDATORY PART I AND A+
CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Amenorrhea.
Answer: Absence of menses
◍ Primary amenorrhea.
Answer: Absence of menses by age 14 with NO development of secondary
sexual characteristicsor.. Absence of menses by age 16 with NORMAL
development of secondary sexual characteristics
◍ Lithium labs.
Answer: level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
◍ Secondary amenorrhea.
Answer: Absence of regular cycles for 3 months, or irregular cycles for 6
months in females who previously menstruated
◍ P.
R. O.
M. .
Answer: Premature rupture of membranes
◍ bipolar meds: depression.
Answer: lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
◍ bipolar acute and mixed mania.
Answer: aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only),
, asenapine (10+)
◍ classic mood stabilizers.
Answer: Lamotrigine (excellent medication to use), lithium, Depakote
(avoid in females if possible due to PCOS and Pregnancy), Tegretol,
Trileptal (no evidence for true Bipolar disorder)
◍ anti-depressants.
Answer: class not used w/bipolar disorder
◍ lithium.
Answer: Anti-manic, antidepressant, anti-suicidal
◍ I.
U. G.
R. .
Answer: Intrauterine growth restriction
◍ Cervicitis.
Answer: Inflammation or infection of the cervix
◍ Chlamydia (Description, Therapeutic Management).
Answer: Description: May be asymptomatic, or inflammation of rectum and
lining of the eyeTherapeutic Management: Abx (doxycycline, azithromycin)
◍ Lithium side effects.
Answer: Frequent urination, increased thirst, weight gain, sedation
◍ Gonorrhea(Description, Therapeutic Management).
Answer: Description: May be asymptomatic, or dysuria/urinary
frequencyTherapeutic Management: Abx therapy
◍ lithium toxicity.
Answer: sudden onset tremors, N/V/D, muscle weakness, slurred speech,
confusion, seizures (slowing down, feel really out of it)
◍ Major Depressive Disorder Dx.
Answer: 5+ for at least a 2-week period; either #1 or 2 req1. Depressed
mood most of the day, nearly every day (can be irritability in children &
, adolescents)2. Diminished interest or pleasure in all, or almost all,
activities3. Change appetite/weight; kids not wt goalsInsomnia or
hypersomnia nearly every day4. Up or down Psychomotor 5. Fatigue or loss
of energy6. Worthlessness/excessive or inappropriate guilt7. Diminished
ability to think or concentrate, or indecisiveness (don't confuse with ADHD,
address mood first)8. Recurrent thoughts of death, thoughts of suicide, or
suicidal plan/intent: if hosp then 2 wk not req.
◍ SLAP.
Answer: Social supports; lethal; access to means; plan and previous attempt
◍ Suicide risk: IS PATH WARM.
Answer: Ideation, substance abuse, purpose to live gone; anxiety, trapped
feeling; hopelessness, w/d from soc supports, anger w/rage; reckless,
dramatic moods
◍ SIGECAPS.
Answer: Sleep, Interest, Guilt, Energy, Concentration, Appetite,
Psychomotor, Suicide
◍ Syphillis(Description, STAGES, Therapeutic Management).
Answer: Description: Bacterial infection caused by spirochete Treponema
pallidum; CURABLE4 Stages: - Primary: Chancre on the place of bacterial
entry- Secondary: Maculopapular rash, sore throat, lymphadenopathy,
flu-like symptoms- Latent: No symptoms, no longer contagious in late latent
stage- Tertiary: Neurosyphilis progression if left untreated; irreversible
Therapeutic Management: Benzathine penicillin G (IM), doxycycline if
allergic to penicillin (not given in pregnancy if possible; reevaluation with
serologic testing
◍ bipolar vs unipolar: look at bipolar if.
Answer: 1. family hx: 1st degree relatives2. Substance use: chasing high or
low3. Response to SSRI: no resp to multiple tries or evidence of mania with
use (not diagnostic)
◍ Bipolar I criteria.
, Answer: One manic episode required
◍ Mania.
Answer: elevated, expansive, energetic + 3, (unless irritablemood then
requires 4+)1. SX Lastat least one week-any duration if hosp2. Inflated
self-esteem, grandiosity 3. Decreased need for sleep 4. More talkative,
pressure to keep talking 5. Flight of ideas or racing thoughts 6.
Distractibility: r/o ADHD (constant) intermit w/BD7. Increase in
goal-directed activity 8. Risky, impulsive behaviors (sex, money, pot for
harm)
◍ hypomania vs mania.
Answer: a milder form of elevated mood that are less severe and cause less
impairment than ______ and (usually) don't require hospitalization
◍ Genital herpes(Description, TRANSMISSION, Therapeutic Management).
Answer: Description: Blister-like genital lesions, dysuria, fever, HA, muscle
aches; recurrent lifelong viral infectionTransmission: - Contact with mucous
membranes- Contact with breaks in skin with visible/nonvisible lesions-
Kissing/sexual contact/vaginal delivery (C-section needed if birthing parent
in active outbreak)Therapeutic Management: No cure; antiretroviral therapy
to reduce symptoms/shedding/recurrent episodes
◍ Mania impairment.
Answer: severe in work, social activities, or relationships or to necessitate
hosp or there are psychotic features
◍ Hypomania impairment.
Answer: cause a change in functioning but not severe
◍ Candidiasis (Maternal and Fetal Effects).
Answer: Maternal Effects: Resistant to tx during pregnancy; uncomfortable
localized genital itching, dischargeFetal Effects: Can acquire thrush in
mouth during birthing process if birthing parent infected
◍ Mood disorder r/o.
Answer: No symptoms can be due to a substance or general medical
