PMHNP 2027 ANSWERS AND QUESTIONS SET A+
✔✔Menopausal woman - ✔✔Hormone therapy and replacement
✔✔Patient on antidepressants for 3 weeks and attempted Suicide - ✔✔Stop medication
immediately
✔✔You want to decrease seclusion on your unit who considered the primary change
agent - ✔✔Unit staff
✔✔You are a lead NP over other NPs in a rural setting how would you go about the
change - ✔✔Make online form and have them vote on it
✔✔16 year old refuse treatment - ✔✔Send to psych specialist for acting out kids
✔✔Positive Trendelenburg Sign - ✔✔Refer to Ortho/specialist
Pelvis drops to when patient raises one foot off the floor.
✔✔Drug affects Flonase - ✔✔Zantac (Histamine 2 Blocker) Antagonist
✔✔Little boy wet his sheets, What kind of therapy would you suggest - ✔✔Behavior
therapy
✔✔DDVAP acts in much the same manner as antidiuretic hormone. - ✔✔Makes less
urine
✔✔Lithium level 1.2u what are you concerned with - ✔✔4+ Ketones
✔✔What does depakote do to Lamictal - ✔✔Increase laminate 200%
✔✔Inducers of Cytochrome P450 (CYP450) - ✔✔Barbiturates, phenytoin,
carbamazepine, rifampin, St. John's Wort
A substance that speeds up a chemical reaction
,✔✔Inhibitor - ✔✔A substance that slows down or stops a chemical reaction
✔✔cytochrome p450 inhibitors - ✔✔CRACK AMIGOS
Cimetidine
Ritonavir
Acute Alcohol
Ciprofloxacin
Ketoconazole
Amiodarone
Macrolides
Isoniazid
Grapefruit juice
Omeprazol
Sulfonamides
✔✔Carb and Barb - ✔✔decrease INR
✔✔Deapkote and Disulfruram - ✔✔Increase INR
✔✔GAL-Renall metabolized - ✔✔Gabapentin Acamprostate Lithium
✔✔Grapefruit juice - ✔✔One glass can reduce absorption by 47%
Blood levels will be Increased
✔✔Trazodone (Desyrel) - ✔✔Get EKG.
✔✔Trazodone (Desyrel) - ✔✔Get an eye exam can cause Glaucoma
✔✔Grapefruit juice or grapefruit - ✔✔Increase trazodone
✔✔PICOT - ✔✔Patient population of interest
Intervention of interest
Comparison of interest
Outcome
Time
✔✔limbic system - ✔✔A doughnut-shaped system of neural structures at the border of
the brainstem and cerebral hemispheres; associated with emotions such as fear and
aggression and drives such as those for food and sex. Includes the hippocampus,
amygdala, and hypothalamus.
✔✔Amygdala - ✔✔A limbic system structure involved in memory and emotion, anxiety,
particularly fear and aggression.
, ✔✔PANDAS - ✔✔Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptococcal infections
OCD
✔✔Mental Health Parity Act 1996 - ✔✔ensure equal coverage for mental and physical
illness
equal life time and annual limits
✔✔charge of DEA - ✔✔state and federal
✔✔Stereogenesis - ✔✔identify an object without sight
a sense that allows a person to recognize the size, shape, and texture of an object
✔✔Sterogenesis abnormality in - ✔✔parietal lobe
✔✔Clozaril (Clozapine) - ✔✔WBC-2500
ANC LESS than 1000 (950) dc medication
✔✔how treat child with depression - ✔✔Zoloft and therapy
✔✔3 year old masturbates, plays with self, says naught things - ✔✔normal for Piaget
✔✔NMS treatment - ✔✔Dantrolene: MUSCLE RELAXTION
D2 agonists (e.g., bromocriptine).
For NMS, think FEVER:
Fever
Encephalopathy
Vitals unstable
Elevated enzymes
Rigidity of muscles
✔✔mesolimbic system - ✔✔POSITIVE symptoms of schizophrenia due to high
dopamine
✔✔negative symptoms of schizophrenia - ✔✔the absence of appropriate behaviors
(expressionless faces, rigid bodies)
✔✔negative symptoms of schizophrenia - ✔✔mesocorticol pathway
✔✔mesocortical pathway - ✔✔VTA to prefrontal cortex
negative symptoms
✔✔Nigrostriatal pathway - ✔✔EPS DUE TO LOW DOPAMINE IN THIS AREA
✔✔Menopausal woman - ✔✔Hormone therapy and replacement
✔✔Patient on antidepressants for 3 weeks and attempted Suicide - ✔✔Stop medication
immediately
✔✔You want to decrease seclusion on your unit who considered the primary change
agent - ✔✔Unit staff
✔✔You are a lead NP over other NPs in a rural setting how would you go about the
change - ✔✔Make online form and have them vote on it
✔✔16 year old refuse treatment - ✔✔Send to psych specialist for acting out kids
✔✔Positive Trendelenburg Sign - ✔✔Refer to Ortho/specialist
Pelvis drops to when patient raises one foot off the floor.
✔✔Drug affects Flonase - ✔✔Zantac (Histamine 2 Blocker) Antagonist
✔✔Little boy wet his sheets, What kind of therapy would you suggest - ✔✔Behavior
therapy
✔✔DDVAP acts in much the same manner as antidiuretic hormone. - ✔✔Makes less
urine
✔✔Lithium level 1.2u what are you concerned with - ✔✔4+ Ketones
✔✔What does depakote do to Lamictal - ✔✔Increase laminate 200%
✔✔Inducers of Cytochrome P450 (CYP450) - ✔✔Barbiturates, phenytoin,
carbamazepine, rifampin, St. John's Wort
A substance that speeds up a chemical reaction
,✔✔Inhibitor - ✔✔A substance that slows down or stops a chemical reaction
✔✔cytochrome p450 inhibitors - ✔✔CRACK AMIGOS
Cimetidine
Ritonavir
Acute Alcohol
Ciprofloxacin
Ketoconazole
Amiodarone
Macrolides
Isoniazid
Grapefruit juice
Omeprazol
Sulfonamides
✔✔Carb and Barb - ✔✔decrease INR
✔✔Deapkote and Disulfruram - ✔✔Increase INR
✔✔GAL-Renall metabolized - ✔✔Gabapentin Acamprostate Lithium
✔✔Grapefruit juice - ✔✔One glass can reduce absorption by 47%
Blood levels will be Increased
✔✔Trazodone (Desyrel) - ✔✔Get EKG.
✔✔Trazodone (Desyrel) - ✔✔Get an eye exam can cause Glaucoma
✔✔Grapefruit juice or grapefruit - ✔✔Increase trazodone
✔✔PICOT - ✔✔Patient population of interest
Intervention of interest
Comparison of interest
Outcome
Time
✔✔limbic system - ✔✔A doughnut-shaped system of neural structures at the border of
the brainstem and cerebral hemispheres; associated with emotions such as fear and
aggression and drives such as those for food and sex. Includes the hippocampus,
amygdala, and hypothalamus.
✔✔Amygdala - ✔✔A limbic system structure involved in memory and emotion, anxiety,
particularly fear and aggression.
, ✔✔PANDAS - ✔✔Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptococcal infections
OCD
✔✔Mental Health Parity Act 1996 - ✔✔ensure equal coverage for mental and physical
illness
equal life time and annual limits
✔✔charge of DEA - ✔✔state and federal
✔✔Stereogenesis - ✔✔identify an object without sight
a sense that allows a person to recognize the size, shape, and texture of an object
✔✔Sterogenesis abnormality in - ✔✔parietal lobe
✔✔Clozaril (Clozapine) - ✔✔WBC-2500
ANC LESS than 1000 (950) dc medication
✔✔how treat child with depression - ✔✔Zoloft and therapy
✔✔3 year old masturbates, plays with self, says naught things - ✔✔normal for Piaget
✔✔NMS treatment - ✔✔Dantrolene: MUSCLE RELAXTION
D2 agonists (e.g., bromocriptine).
For NMS, think FEVER:
Fever
Encephalopathy
Vitals unstable
Elevated enzymes
Rigidity of muscles
✔✔mesolimbic system - ✔✔POSITIVE symptoms of schizophrenia due to high
dopamine
✔✔negative symptoms of schizophrenia - ✔✔the absence of appropriate behaviors
(expressionless faces, rigid bodies)
✔✔negative symptoms of schizophrenia - ✔✔mesocorticol pathway
✔✔mesocortical pathway - ✔✔VTA to prefrontal cortex
negative symptoms
✔✔Nigrostriatal pathway - ✔✔EPS DUE TO LOW DOPAMINE IN THIS AREA
