LMR GEORGETTE’S PMHNP CERTIFICATION EXAM
LATEST 2024 QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS) | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What does ADPIE stand for? Answer: Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up screaming in the middle of the
night? Answer: Ask her if it's happened before to assess for sleep issue patterns
What do you do if a patient comes in with fungus on their toenail? Answer: Scrape nail and
send for testing
What do you do if a patient on lithium has dark brown urine? Answer: Check renal function
What do you do if a patient presents with fever while on Clozaril? Answer: Check ANC level to
assess for agranulocytosis
What can cause serotonin syndrome? Answer: Antidepressants, St. John's Wort, Same-E, Kava
Kava, and Tryptophan
What labs are indicative of NMS? Answer: Elevated WBC (over 11,000) and elevated CPK
S/S of NMS Answer: muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered
mental status, cherry colored urine
What should you do if a patient presents with cherry colored urine? Answer: Check for rhabdo
with CPK
s/s of serotonin syndrome Answer: hyperreflexia, muscle spasms, myoclonus (involuntary
muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? Answer: bromocriptine (Parlodel)- D2 agonist
dantrolene- muscle relaxer
What medication to give during SS? Answer: cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
What is the onset and typical length of NMS? Answer: Slow onset (1-2 weeks after changing or
starting therapy) and resolves within 9-14 days
What is the onset of SS? Answer: Within 24 hours of starting/changing medication and resolves
within a few days
How do you distinguish between NMS and acute dystonia? Answer: NMS has a slower onset
while acute dystonia occurs within hours
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
LATEST 2024 QUESTIONS AND CORRECT
ANSWERS(VERIFIED ANSWERS) | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What does ADPIE stand for? Answer: Assessment
Diagnosis
Planning
Implementation
Evaluation
What should you do when a mother reports her child woke up screaming in the middle of the
night? Answer: Ask her if it's happened before to assess for sleep issue patterns
What do you do if a patient comes in with fungus on their toenail? Answer: Scrape nail and
send for testing
What do you do if a patient on lithium has dark brown urine? Answer: Check renal function
What do you do if a patient presents with fever while on Clozaril? Answer: Check ANC level to
assess for agranulocytosis
What can cause serotonin syndrome? Answer: Antidepressants, St. John's Wort, Same-E, Kava
Kava, and Tryptophan
What labs are indicative of NMS? Answer: Elevated WBC (over 11,000) and elevated CPK
S/S of NMS Answer: muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered
mental status, cherry colored urine
What should you do if a patient presents with cherry colored urine? Answer: Check for rhabdo
with CPK
s/s of serotonin syndrome Answer: hyperreflexia, muscle spasms, myoclonus (involuntary
muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give with NMS? Answer: bromocriptine (Parlodel)- D2 agonist
dantrolene- muscle relaxer
What medication to give during SS? Answer: cyproheptadine (Periactin)- 5HT-2A receptor
antagonist
What is the onset and typical length of NMS? Answer: Slow onset (1-2 weeks after changing or
starting therapy) and resolves within 9-14 days
What is the onset of SS? Answer: Within 24 hours of starting/changing medication and resolves
within a few days
How do you distinguish between NMS and acute dystonia? Answer: NMS has a slower onset
while acute dystonia occurs within hours
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
