LMR GEORGETTE’S PMHNP CERTIFICATION EXAM V2 |COMPLETE
QUESTIONS WITH EXPERT SOLUTION | 2026 LATEST UPDATED GET A+
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)
QUESTIONS WITH EXPERT SOLUTION | 2026 LATEST UPDATED GET A+
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)
