LMR PMHNP CORRECT FINALS QUESTIONS AND
ANSWERS SURE A+
✔✔What does DIGFAST stand for? - ✔✔Distractibility, Indiscretion, Grandiosity, Flight
of Ideas, Activity increased, Sleep decreased, Talkativeness
✔✔What are 5 neurological symptoms in Conversion Disorder? - ✔✔Blindness, mutism,
paralysis, paresthesia (glove and stocking syndrome), seizures
✔✔When do symptoms typically begin with Conversion Disorder? - ✔✔After a stressful
experience (suddenly)
✔✔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
✔✔What symptoms may a child with adjustment disorder with disturbances of conduct
exhibit? - ✔✔Not going to school, destroying property, driving recklessly, or fighting
✔✔What is the required duration of behavior for a DSM-5 diagnosis of Oppositional
Defiant Disorder (ODD)? - ✔✔6 months
✔✔How many symptoms must a child with ODD display to meet DSM-5 criteria? - ✔✔4
✔✔What is the mainstay treatment of Oppositional Defiant Disorder (ODD)? -
✔✔Therapy
✔✔What is the primary therapy used to treat Oppositional Defiant Disorder (ODD)? -
✔✔Child and parent problem-solving skills training
✔✔What is Conduct Disorder? - ✔✔A repetitive and persistent pattern of behavior in
which the rights of others or societal norms or rules are violated.
,✔✔What are 3 characteristics of Conduct Disorder? - ✔✔Destruction of property, deceit
or theft, lack of remorse
✔✔What 2 factors differentiate Conduct Disorder from ODD? - ✔✔Severity, aggression
✔✔What are 4 pharmacologic treatments for Conduct Disorder? - ✔✔Antipsychotics,
mood stabilizers, SSRIs, alpha agonists
✔✔What is the mainstay treatment for Conduct Disorder? - ✔✔Therapy
✔✔What type of therapy is used in the treatment of Conduct Disorder? - ✔✔Behavioral
therapy
✔✔What is Multisystemic family therapy? - ✔✔Home-based model for youth with
serious antisocial and criminal offenses by empowering parents with resources and
skills.
✔✔What is the goal of multisystemic family therapy (MFT)? - ✔✔Reduce barriers to
resources for youth with problematic behavior
✔✔What is the moderate range for MMSE? - ✔✔10-20
✔✔What is the moderate range for SLUM? - ✔✔10-20
✔✔What is the moderate range for HAM-D? - ✔✔14-18
✔✔What is the moderate range for PHQ-9? - ✔✔10-14
✔✔What is the moderate range for BDI? - ✔✔19-29
✔✔What is the moderate range for HAM-A? - ✔✔18-24
✔✔What is the moderate range for GAD-7? - ✔✔10-14
✔✔What is the moderate range for COWS? - ✔✔13-24
✔✔If a patient's COWS score is between 5-12, what do you do? - ✔✔Administer
clonidine
✔✔If a patient's COWS score is between 13-24, what do you do? - ✔✔Administer
buprenorphine (Suboxone)
✔✔When do you administer clonidine on the COWS? - ✔✔Mild symptoms (>7)
,✔✔When do you administer buprenorphine (Suboxone) on the COWS? - ✔✔Moderate
symptoms (13-24)
✔✔What is a moderate range on the CIWA? - ✔✔16-20
✔✔When do you administer prn benzodiazepine on the CIWA? - ✔✔Mild symptoms (8
or greater)
✔✔When do you administer scheduled benzodiazepine on the CIWA? - ✔✔Moderate
symptoms (15 or higher)
✔✔How do you treat a patient with severe depression (over 18 on HAM-D)? -
✔✔Medication and/or therapy; assess for suicidal ideation
✔✔How do you treat a patient with moderate depression (14 - 18 on HAM-D)? -
✔✔Medication and/or therapy
✔✔How do you treat a patient with mild depression (<14 on HAM-D)? - ✔✔Therapy or
nothing
✔✔How do you treat a patient with mild anxiety (<18 on HAM-A)? - ✔✔Therapy or
nothing
✔✔How do you treat a patient with severe anxiety (>24 on HAM-A)? - ✔✔Medication
and/or therapy
✔✔How do you treat a patient with moderate anxiety (18-24 on HAM-A)? -
✔✔Medication and/or therapy
✔✔What are 4 areas in the brain that can cause aggression, impulsivity, and difficulty
with abstract thinking? - ✔✔Prefrontal cortex, amygdala, basal ganglia, hippocampus
✔✔What symptoms can abnormalities in the Prefrontal cortex, Amygdala, Basal
ganglia, and Hippocampus cause? - ✔✔Aggression, impulsivity, difficulty with abstract
thinking
✔✔What are 6 symptoms of neuroleptic malignant syndrome (NMS)? - ✔✔Extreme
muscular rigidity, mutism, elevated CPK, myoglobinuria, leukocytosis, elevated LFTs
✔✔What are 2 symptoms of Serotonin Syndrome? - ✔✔Hyperreflexia, myoclonic jerks
✔✔How do you treat NMS? - ✔✔D/C antipsychotic; bromocriptine or dantrolene
, ✔✔What does Dantrolene treat in NMS? - ✔✔Muscle rigidity
✔✔How do you treat Serotonin Syndrome? - ✔✔D/C antidepressant; cyproheptadine
✔✔What combination medications increase the risk of Serotonin Syndrome? -
✔✔Multiple antidepressants (SSRI/SNRI/TCA/MOAI)
✔✔When switching from an MAOI to SSRI/SNRI, how long should you wait? - ✔✔2
weeks
✔✔When switching from Prozac to an MAOI, how long should you wait? - ✔✔5-6 weeks
✔✔When switching from Prozac to any antidepressant (TCA, SNRA, or MAOI), how
long should you wait? - ✔✔5-6 weeks
✔✔When switching from an SSRI/SNRI to a MAOI, how long should you wait? - ✔✔2
weeks
✔✔What is the function of compulsions in OCD? - ✔✔Reduce subjective anxiety level
✔✔What is PANDAS? - ✔✔Pediatric Autoimmune Neuropsychiatric Disorder
Associated with Streptococcal infections in children
✔✔If a child has both intrusive thoughts and tics, what is the most likely diagnosis? -
✔✔OCD
✔✔If a child has multiple tics but no ruminating thoughts, what is the most likely
diagnosis? - ✔✔Tourette's
✔✔What 2 neurotransmitters are associated with OCD? - ✔✔Serotonin, norepinephrine
✔✔What is a childhood depressive disorder diagnosed in children older than 6 but
younger than 18? - ✔✔Disruptive Mood Dysregulation Disorder (DMDD)
✔✔What diagnosis is characterized by chronic dysregulated mood and frequent intense
temper outbursts? - ✔✔DMDD
✔✔What is the age criteria for a DSM-5 diagnosis of Disruptive Mood Dysregulation
Disorder (DMDD)? - ✔✔>6 and <18 (7-17 yrs.)
✔✔What diagnosis is likely for a child who is chronically 'moody'? - ✔✔DMDD
ANSWERS SURE A+
✔✔What does DIGFAST stand for? - ✔✔Distractibility, Indiscretion, Grandiosity, Flight
of Ideas, Activity increased, Sleep decreased, Talkativeness
✔✔What are 5 neurological symptoms in Conversion Disorder? - ✔✔Blindness, mutism,
paralysis, paresthesia (glove and stocking syndrome), seizures
✔✔When do symptoms typically begin with Conversion Disorder? - ✔✔After a stressful
experience (suddenly)
✔✔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
✔✔What symptoms may a child with adjustment disorder with disturbances of conduct
exhibit? - ✔✔Not going to school, destroying property, driving recklessly, or fighting
✔✔What is the required duration of behavior for a DSM-5 diagnosis of Oppositional
Defiant Disorder (ODD)? - ✔✔6 months
✔✔How many symptoms must a child with ODD display to meet DSM-5 criteria? - ✔✔4
✔✔What is the mainstay treatment of Oppositional Defiant Disorder (ODD)? -
✔✔Therapy
✔✔What is the primary therapy used to treat Oppositional Defiant Disorder (ODD)? -
✔✔Child and parent problem-solving skills training
✔✔What is Conduct Disorder? - ✔✔A repetitive and persistent pattern of behavior in
which the rights of others or societal norms or rules are violated.
,✔✔What are 3 characteristics of Conduct Disorder? - ✔✔Destruction of property, deceit
or theft, lack of remorse
✔✔What 2 factors differentiate Conduct Disorder from ODD? - ✔✔Severity, aggression
✔✔What are 4 pharmacologic treatments for Conduct Disorder? - ✔✔Antipsychotics,
mood stabilizers, SSRIs, alpha agonists
✔✔What is the mainstay treatment for Conduct Disorder? - ✔✔Therapy
✔✔What type of therapy is used in the treatment of Conduct Disorder? - ✔✔Behavioral
therapy
✔✔What is Multisystemic family therapy? - ✔✔Home-based model for youth with
serious antisocial and criminal offenses by empowering parents with resources and
skills.
✔✔What is the goal of multisystemic family therapy (MFT)? - ✔✔Reduce barriers to
resources for youth with problematic behavior
✔✔What is the moderate range for MMSE? - ✔✔10-20
✔✔What is the moderate range for SLUM? - ✔✔10-20
✔✔What is the moderate range for HAM-D? - ✔✔14-18
✔✔What is the moderate range for PHQ-9? - ✔✔10-14
✔✔What is the moderate range for BDI? - ✔✔19-29
✔✔What is the moderate range for HAM-A? - ✔✔18-24
✔✔What is the moderate range for GAD-7? - ✔✔10-14
✔✔What is the moderate range for COWS? - ✔✔13-24
✔✔If a patient's COWS score is between 5-12, what do you do? - ✔✔Administer
clonidine
✔✔If a patient's COWS score is between 13-24, what do you do? - ✔✔Administer
buprenorphine (Suboxone)
✔✔When do you administer clonidine on the COWS? - ✔✔Mild symptoms (>7)
,✔✔When do you administer buprenorphine (Suboxone) on the COWS? - ✔✔Moderate
symptoms (13-24)
✔✔What is a moderate range on the CIWA? - ✔✔16-20
✔✔When do you administer prn benzodiazepine on the CIWA? - ✔✔Mild symptoms (8
or greater)
✔✔When do you administer scheduled benzodiazepine on the CIWA? - ✔✔Moderate
symptoms (15 or higher)
✔✔How do you treat a patient with severe depression (over 18 on HAM-D)? -
✔✔Medication and/or therapy; assess for suicidal ideation
✔✔How do you treat a patient with moderate depression (14 - 18 on HAM-D)? -
✔✔Medication and/or therapy
✔✔How do you treat a patient with mild depression (<14 on HAM-D)? - ✔✔Therapy or
nothing
✔✔How do you treat a patient with mild anxiety (<18 on HAM-A)? - ✔✔Therapy or
nothing
✔✔How do you treat a patient with severe anxiety (>24 on HAM-A)? - ✔✔Medication
and/or therapy
✔✔How do you treat a patient with moderate anxiety (18-24 on HAM-A)? -
✔✔Medication and/or therapy
✔✔What are 4 areas in the brain that can cause aggression, impulsivity, and difficulty
with abstract thinking? - ✔✔Prefrontal cortex, amygdala, basal ganglia, hippocampus
✔✔What symptoms can abnormalities in the Prefrontal cortex, Amygdala, Basal
ganglia, and Hippocampus cause? - ✔✔Aggression, impulsivity, difficulty with abstract
thinking
✔✔What are 6 symptoms of neuroleptic malignant syndrome (NMS)? - ✔✔Extreme
muscular rigidity, mutism, elevated CPK, myoglobinuria, leukocytosis, elevated LFTs
✔✔What are 2 symptoms of Serotonin Syndrome? - ✔✔Hyperreflexia, myoclonic jerks
✔✔How do you treat NMS? - ✔✔D/C antipsychotic; bromocriptine or dantrolene
, ✔✔What does Dantrolene treat in NMS? - ✔✔Muscle rigidity
✔✔How do you treat Serotonin Syndrome? - ✔✔D/C antidepressant; cyproheptadine
✔✔What combination medications increase the risk of Serotonin Syndrome? -
✔✔Multiple antidepressants (SSRI/SNRI/TCA/MOAI)
✔✔When switching from an MAOI to SSRI/SNRI, how long should you wait? - ✔✔2
weeks
✔✔When switching from Prozac to an MAOI, how long should you wait? - ✔✔5-6 weeks
✔✔When switching from Prozac to any antidepressant (TCA, SNRA, or MAOI), how
long should you wait? - ✔✔5-6 weeks
✔✔When switching from an SSRI/SNRI to a MAOI, how long should you wait? - ✔✔2
weeks
✔✔What is the function of compulsions in OCD? - ✔✔Reduce subjective anxiety level
✔✔What is PANDAS? - ✔✔Pediatric Autoimmune Neuropsychiatric Disorder
Associated with Streptococcal infections in children
✔✔If a child has both intrusive thoughts and tics, what is the most likely diagnosis? -
✔✔OCD
✔✔If a child has multiple tics but no ruminating thoughts, what is the most likely
diagnosis? - ✔✔Tourette's
✔✔What 2 neurotransmitters are associated with OCD? - ✔✔Serotonin, norepinephrine
✔✔What is a childhood depressive disorder diagnosed in children older than 6 but
younger than 18? - ✔✔Disruptive Mood Dysregulation Disorder (DMDD)
✔✔What diagnosis is characterized by chronic dysregulated mood and frequent intense
temper outbursts? - ✔✔DMDD
✔✔What is the age criteria for a DSM-5 diagnosis of Disruptive Mood Dysregulation
Disorder (DMDD)? - ✔✔>6 and <18 (7-17 yrs.)
✔✔What diagnosis is likely for a child who is chronically 'moody'? - ✔✔DMDD
