LMR PMHNP STUDY LATEST QUESTIONS AND
ANSWERS SURE A+
✔✔What is first line treatment for MDD? - ✔✔SSRIs
✔✔What are the 2 antidepressants of choice in a depressed patient with cancer? -
✔✔Citalopram (Celexa), Escitalopram (Lexapro)
✔✔What is the antidepressant of choice in a depressed patient with sexual dysfunction?
- ✔✔Bupropion
✔✔What is the antidepressant of choice in a depressed patient with decreased energy?
- ✔✔Bupropion
✔✔What are 3 treatments for depressed patients with neuropathic pain? - ✔✔SNRI
(safety), TCA, Gabapentin
✔✔Which SSRI is most likely to cause insomnia? - ✔✔Fluoxetine (Prozac)
✔✔What question is important to ask in the social history with a depressed patient? -
✔✔Alcohol intake (self-medicating)
✔✔What BBW do all antidepressants have? - ✔✔Suicidal ideation (<24 yrs.)
✔✔Suicidal ideation for children, adolescents, and young adults <24 years is a BBW
with what medications? - ✔✔Antidepressants
✔✔What question should all adolescent patients be asked at each visit? - ✔✔Self-harm
(frequency and severity)
✔✔Which 2 groups is it especially important to ask about SI at each visit? -
✔✔Adolescents, Schizophrenics
,✔✔Why do children have a decreased placebo response with antidepressants? -
✔✔Few evidence-based studies
✔✔What is the onset of schizophrenia in males? - ✔✔18-25
✔✔What is the onset of schizophrenia in females? - ✔✔25-35
✔✔What question should you ask schizophrenic patients at each visit? - ✔✔SI
✔✔What is the most likely diagnosis in a patient with homicidal ideation? - ✔✔Antisocial
Personality Disorder
✔✔What would you expect to see on an MRI/PET scan in a patient with schizophrenia?
- ✔✔All structures decreased except ventricles
✔✔Which class of agents should be avoided in patients with schizophrenia? -
✔✔Stimulants (increased DA)
✔✔What is Assertive Community Treatment (ACT)? - ✔✔Form of rehabilitation post
hospitalization for SMI, Case management approach
✔✔Patients with SMI who are discharged from the hospital should be referred to: -
✔✔Assertive Community Treatment (ACT)
✔✔Can patients receive Assertive Community Treatment (ACT) while in the hospital? -
✔✔No
✔✔Which services can be provided in the home for SMI patients? - ✔✔Assertive
Community Treatment (ACT)
✔✔What is the best treatment program for SMI patients with poor medication
adherence? - ✔✔Assertive Community Treatment (ACT)
✔✔Social skills training in a schizophrenic patient is what type of prevention? -
✔✔Tertiary
✔✔What are 3 benefits of aerobic exercise in schizophrenic patients? - ✔✔Increased
cognition, Quality of Life, Long-term health
✔✔How do you convert oral Haldol to IM (depot form)? - ✔✔20 x daily dose
✔✔When converting oral Haldol to depot form, what maximum dose should you
administer? - ✔✔>100 mg (administer weekly if necessary)
, ✔✔What is a delusion? - ✔✔A firm belief despite contrary evidence
✔✔A firm belief despite contrary evidence is: - ✔✔Delusion
✔✔How often is Haldol Decanoate typically administered? - ✔✔Monthly
✔✔How do you conduct a MSE in a preschooler (3-5 yo)? - ✔✔Clinical observation
(listen/observe)
✔✔What is thought content? - ✔✔SI/HI, plan
✔✔What are the 5 components of the MMSE (Folstein's)? -
✔✔Concentration/attention/calculation, Orientation, Registration/ability to learn new
material, Recall/memory, Fund of Knowledge
✔✔What pharmacologic characteristic makes SGAs unique? - ✔✔5-HT2A antagonism
✔✔What is responsible for the decreased incidence of EPS with SGAs? - ✔✔5HT2
antagonism
✔✔What antipsychotic should you give to a patient with their first psychotic episode? -
✔✔SGA (IM)
✔✔Which 4 SGAs are available in IM form? - ✔✔Ziprasidone (Geodon), Olanzapine
(Zyprexa), Aripiprazole (Abilify), Paliperidone (Invega)
✔✔What agent other than antipsychotics increases prolactin? - ✔✔Metoclopramide
(Reglan)
✔✔What is a normal prolactin level in men? - ✔✔<20
✔✔What is a normal prolactin level in women? - ✔✔<25
✔✔What do you do if a patient is on olanzapine (Zyprexa) and stops smoking? -
✔✔Decrease olanzapine dose
✔✔What effect does tobacco have on CYP450? - ✔✔1A2 inducer
✔✔What class of drugs are primarily inhibitors? - ✔✔Antibiotics
✔✔How do erythromycin and clarithromycin affect CYP240? - ✔✔Inhibitors
ANSWERS SURE A+
✔✔What is first line treatment for MDD? - ✔✔SSRIs
✔✔What are the 2 antidepressants of choice in a depressed patient with cancer? -
✔✔Citalopram (Celexa), Escitalopram (Lexapro)
✔✔What is the antidepressant of choice in a depressed patient with sexual dysfunction?
- ✔✔Bupropion
✔✔What is the antidepressant of choice in a depressed patient with decreased energy?
- ✔✔Bupropion
✔✔What are 3 treatments for depressed patients with neuropathic pain? - ✔✔SNRI
(safety), TCA, Gabapentin
✔✔Which SSRI is most likely to cause insomnia? - ✔✔Fluoxetine (Prozac)
✔✔What question is important to ask in the social history with a depressed patient? -
✔✔Alcohol intake (self-medicating)
✔✔What BBW do all antidepressants have? - ✔✔Suicidal ideation (<24 yrs.)
✔✔Suicidal ideation for children, adolescents, and young adults <24 years is a BBW
with what medications? - ✔✔Antidepressants
✔✔What question should all adolescent patients be asked at each visit? - ✔✔Self-harm
(frequency and severity)
✔✔Which 2 groups is it especially important to ask about SI at each visit? -
✔✔Adolescents, Schizophrenics
,✔✔Why do children have a decreased placebo response with antidepressants? -
✔✔Few evidence-based studies
✔✔What is the onset of schizophrenia in males? - ✔✔18-25
✔✔What is the onset of schizophrenia in females? - ✔✔25-35
✔✔What question should you ask schizophrenic patients at each visit? - ✔✔SI
✔✔What is the most likely diagnosis in a patient with homicidal ideation? - ✔✔Antisocial
Personality Disorder
✔✔What would you expect to see on an MRI/PET scan in a patient with schizophrenia?
- ✔✔All structures decreased except ventricles
✔✔Which class of agents should be avoided in patients with schizophrenia? -
✔✔Stimulants (increased DA)
✔✔What is Assertive Community Treatment (ACT)? - ✔✔Form of rehabilitation post
hospitalization for SMI, Case management approach
✔✔Patients with SMI who are discharged from the hospital should be referred to: -
✔✔Assertive Community Treatment (ACT)
✔✔Can patients receive Assertive Community Treatment (ACT) while in the hospital? -
✔✔No
✔✔Which services can be provided in the home for SMI patients? - ✔✔Assertive
Community Treatment (ACT)
✔✔What is the best treatment program for SMI patients with poor medication
adherence? - ✔✔Assertive Community Treatment (ACT)
✔✔Social skills training in a schizophrenic patient is what type of prevention? -
✔✔Tertiary
✔✔What are 3 benefits of aerobic exercise in schizophrenic patients? - ✔✔Increased
cognition, Quality of Life, Long-term health
✔✔How do you convert oral Haldol to IM (depot form)? - ✔✔20 x daily dose
✔✔When converting oral Haldol to depot form, what maximum dose should you
administer? - ✔✔>100 mg (administer weekly if necessary)
, ✔✔What is a delusion? - ✔✔A firm belief despite contrary evidence
✔✔A firm belief despite contrary evidence is: - ✔✔Delusion
✔✔How often is Haldol Decanoate typically administered? - ✔✔Monthly
✔✔How do you conduct a MSE in a preschooler (3-5 yo)? - ✔✔Clinical observation
(listen/observe)
✔✔What is thought content? - ✔✔SI/HI, plan
✔✔What are the 5 components of the MMSE (Folstein's)? -
✔✔Concentration/attention/calculation, Orientation, Registration/ability to learn new
material, Recall/memory, Fund of Knowledge
✔✔What pharmacologic characteristic makes SGAs unique? - ✔✔5-HT2A antagonism
✔✔What is responsible for the decreased incidence of EPS with SGAs? - ✔✔5HT2
antagonism
✔✔What antipsychotic should you give to a patient with their first psychotic episode? -
✔✔SGA (IM)
✔✔Which 4 SGAs are available in IM form? - ✔✔Ziprasidone (Geodon), Olanzapine
(Zyprexa), Aripiprazole (Abilify), Paliperidone (Invega)
✔✔What agent other than antipsychotics increases prolactin? - ✔✔Metoclopramide
(Reglan)
✔✔What is a normal prolactin level in men? - ✔✔<20
✔✔What is a normal prolactin level in women? - ✔✔<25
✔✔What do you do if a patient is on olanzapine (Zyprexa) and stops smoking? -
✔✔Decrease olanzapine dose
✔✔What effect does tobacco have on CYP450? - ✔✔1A2 inducer
✔✔What class of drugs are primarily inhibitors? - ✔✔Antibiotics
✔✔How do erythromycin and clarithromycin affect CYP240? - ✔✔Inhibitors
