LMR PMHNP CORE MAIN QUESTIONS AND
ANSWERS SURE A+
✔✔What is Factitious Disorder? - ✔✔Faking illness to get medical attention or sympathy
✔✔A patient who feigns illness to get sympathy or attention is most likely to have? -
✔✔Factitious disorder
✔✔A patient with factitious disorder is most likely to have what type of demographic? -
✔✔Unmarried healthcare worker
✔✔What is malingering? - ✔✔Feigning illness for secondary gain ($) (not a psychiatric
diagnosis)
✔✔A patient who claims disability or worker's comp when there is no injury is most
likely? - ✔✔Malingering (not a psychiatric diagnosis)
✔✔A child who has been neglected, abused, or comes from a foster home is most likely
to have what diagnosis? - ✔✔Reactive Attachment Disorder
✔✔A child who shows no emotion or is withdrawn may have what disorder? -
✔✔Reactive Attachment Disorder
✔✔A disorder that presents like PTSD, but symptoms last less than a month is most
likely to have? - ✔✔Acute Stress Disorder
✔✔What is the required duration for a DSM-5 diagnosis of GAD? - ✔✔6 months
✔✔How does a panic attack differ from panic disorder? - ✔✔Acute, impending doom
✔✔How does panic disorder differ from a panic attack? - ✔✔Chronic, recurrent,
unexpected
,✔✔How do you treat a patient with panic disorder who is taking albuterol for asthma? -
✔✔SSRI or benzodiazepine (don't give beta blocker)
✔✔What is the treatment of choice for acute symptoms of panic disorder? - ✔✔Beta
blocker (not addictive)
✔✔How do you treat test anxiety for maintenance therapy? - ✔✔SSRI
✔✔How do you treat test anxiety acutely? - ✔✔Beta blocker
✔✔What structure of the brain is involved with attention, executive function, and
cognitive processes that affects ADHD? - ✔✔Dorsolateral prefrontal cortex
✔✔Children with inattentive ADHD are most likely to have an abnormality in which part
of the cortex? - ✔✔Prefrontal
✔✔Dysfunction of the prefrontal cortex is most likely in what type of ADHD? -
✔✔Inattentive
✔✔What do you recommend to a mother of a child with ADHD as an aftercare plan on
admission? - ✔✔Brief supportive therapy (not after d/c)
✔✔If a patient presents with irritability, depression, and lability, which questionnaire do
you administer? - ✔✔Mood Disorder Questionnaire (MDQ)
✔✔When a patient presents with what 3 symptoms should you administer the Mood
Disorder Questionnaire (MDQ)? - ✔✔Irritability, depression, and lability
✔✔What disorder resembles bipolar disorder in children (7 and 17 years)? -
✔✔Disruptive Mood Dysregulation Disorder (DMDD)
✔✔A child with intense temper outbursts is most likely to have what DSM-5 diagnosis? -
✔✔Disruptive Mood Dysregulation Disorder (DMDD)
✔✔What should you assess initially in a child who presents with nightmares? - ✔✔If
other family members have the same problem
✔✔What are 2 key factors in the diagnosis of Autism Spectrum Disorder? -
✔✔Persistent deficits in social communication and social interaction across multiple
settings
, ✔✔A child with persistent deficits in social communication and social interaction across
multiple settings is most likely to have what DSM-5 diagnosis? - ✔✔Autism
✔✔A child that does not establish eye contact is likely to have? - ✔✔Autism Spectrum
Disorder
✔✔When is the only time you should give a benzodiazepine to a patient with delirium? -
✔✔Alcohol withdrawal
✔✔A patient in alcohol withdrawal who develops delirium should be administered? -
✔✔Benzodiazepine
✔✔An older female has delirium, and you suspect a UTI, what 2 labs should you order?
- ✔✔UA, C/S
✔✔An older patient who has had mental decline (>1 year) with chronic irritability and
personality changes should be assessed for? - ✔✔Dementia
✔✔What are 2 labs that should be obtained in an older patient suspected of having a
metabolic cause of dementia? - ✔✔B12, Folic acid
✔✔What is the initial treatment for a patient with dementia and psychosis? -
✔✔Nonpharmacologic treatment
✔✔If a patient with dementia does not respond to nonpharmacologic treatment, what do
you do? - ✔✔Administer SGA
✔✔What type of dementia is HIV-related? - ✔✔Subcortical
✔✔What are 3 early signs/symptoms of HIV-related dementia? - ✔✔Cognitive deficit,
Motor abnormalities (decreased coordination), Behavioral symptoms
✔✔A patient who presents with a cognitive deficit, decreased coordination, and
behavioral symptoms should be assessed for what type of dementia? - ✔✔HIV-related
✔✔In a patient with suspected HIV-related dementia, what is your initial action? -
✔✔Obtain HIV test
✔✔What is first-line pharmacologic treatment for a patient with HIV-related dementia? -
✔✔Antiretroviral treatment
ANSWERS SURE A+
✔✔What is Factitious Disorder? - ✔✔Faking illness to get medical attention or sympathy
✔✔A patient who feigns illness to get sympathy or attention is most likely to have? -
✔✔Factitious disorder
✔✔A patient with factitious disorder is most likely to have what type of demographic? -
✔✔Unmarried healthcare worker
✔✔What is malingering? - ✔✔Feigning illness for secondary gain ($) (not a psychiatric
diagnosis)
✔✔A patient who claims disability or worker's comp when there is no injury is most
likely? - ✔✔Malingering (not a psychiatric diagnosis)
✔✔A child who has been neglected, abused, or comes from a foster home is most likely
to have what diagnosis? - ✔✔Reactive Attachment Disorder
✔✔A child who shows no emotion or is withdrawn may have what disorder? -
✔✔Reactive Attachment Disorder
✔✔A disorder that presents like PTSD, but symptoms last less than a month is most
likely to have? - ✔✔Acute Stress Disorder
✔✔What is the required duration for a DSM-5 diagnosis of GAD? - ✔✔6 months
✔✔How does a panic attack differ from panic disorder? - ✔✔Acute, impending doom
✔✔How does panic disorder differ from a panic attack? - ✔✔Chronic, recurrent,
unexpected
,✔✔How do you treat a patient with panic disorder who is taking albuterol for asthma? -
✔✔SSRI or benzodiazepine (don't give beta blocker)
✔✔What is the treatment of choice for acute symptoms of panic disorder? - ✔✔Beta
blocker (not addictive)
✔✔How do you treat test anxiety for maintenance therapy? - ✔✔SSRI
✔✔How do you treat test anxiety acutely? - ✔✔Beta blocker
✔✔What structure of the brain is involved with attention, executive function, and
cognitive processes that affects ADHD? - ✔✔Dorsolateral prefrontal cortex
✔✔Children with inattentive ADHD are most likely to have an abnormality in which part
of the cortex? - ✔✔Prefrontal
✔✔Dysfunction of the prefrontal cortex is most likely in what type of ADHD? -
✔✔Inattentive
✔✔What do you recommend to a mother of a child with ADHD as an aftercare plan on
admission? - ✔✔Brief supportive therapy (not after d/c)
✔✔If a patient presents with irritability, depression, and lability, which questionnaire do
you administer? - ✔✔Mood Disorder Questionnaire (MDQ)
✔✔When a patient presents with what 3 symptoms should you administer the Mood
Disorder Questionnaire (MDQ)? - ✔✔Irritability, depression, and lability
✔✔What disorder resembles bipolar disorder in children (7 and 17 years)? -
✔✔Disruptive Mood Dysregulation Disorder (DMDD)
✔✔A child with intense temper outbursts is most likely to have what DSM-5 diagnosis? -
✔✔Disruptive Mood Dysregulation Disorder (DMDD)
✔✔What should you assess initially in a child who presents with nightmares? - ✔✔If
other family members have the same problem
✔✔What are 2 key factors in the diagnosis of Autism Spectrum Disorder? -
✔✔Persistent deficits in social communication and social interaction across multiple
settings
, ✔✔A child with persistent deficits in social communication and social interaction across
multiple settings is most likely to have what DSM-5 diagnosis? - ✔✔Autism
✔✔A child that does not establish eye contact is likely to have? - ✔✔Autism Spectrum
Disorder
✔✔When is the only time you should give a benzodiazepine to a patient with delirium? -
✔✔Alcohol withdrawal
✔✔A patient in alcohol withdrawal who develops delirium should be administered? -
✔✔Benzodiazepine
✔✔An older female has delirium, and you suspect a UTI, what 2 labs should you order?
- ✔✔UA, C/S
✔✔An older patient who has had mental decline (>1 year) with chronic irritability and
personality changes should be assessed for? - ✔✔Dementia
✔✔What are 2 labs that should be obtained in an older patient suspected of having a
metabolic cause of dementia? - ✔✔B12, Folic acid
✔✔What is the initial treatment for a patient with dementia and psychosis? -
✔✔Nonpharmacologic treatment
✔✔If a patient with dementia does not respond to nonpharmacologic treatment, what do
you do? - ✔✔Administer SGA
✔✔What type of dementia is HIV-related? - ✔✔Subcortical
✔✔What are 3 early signs/symptoms of HIV-related dementia? - ✔✔Cognitive deficit,
Motor abnormalities (decreased coordination), Behavioral symptoms
✔✔A patient who presents with a cognitive deficit, decreased coordination, and
behavioral symptoms should be assessed for what type of dementia? - ✔✔HIV-related
✔✔In a patient with suspected HIV-related dementia, what is your initial action? -
✔✔Obtain HIV test
✔✔What is first-line pharmacologic treatment for a patient with HIV-related dementia? -
✔✔Antiretroviral treatment
