PMHNP Exam Reported Exam Questions
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What is dissemination? Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? Moderate cognitive impairment
What is Tegretol in the CYP450 system? Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal
What is a Type I research error? There IS a difference but you say there isn't a difference.
What is a Type II research error? There is NO difference but you say there is a difference.
What is pseudo-dementia? Cognitive impairment secondary to depression that clears when treated
in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar Yes.
grasp?
What is a drug 1/2 life? The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the HLAB-1502
risk of SJS?
When might you see toxic epidermal necrolysis? With worsening of SJS
How many generations do you include for a 1st degree - mother, father, siblings
genogram? 2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? Amino Acids
What is epigenetics? Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? Basal Ganglia
Occipito-Frontal
, What happens to the brain during adolescence? Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with 10-25 yo
schizophrenia?
When do females typically present with 25-35 yo
schizophrenia?
What does Erythromycin to trileptal? You will need to decreases the level because Trileptal(inducer) and
erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? Heart Failure
HTN
What are some psychiatric side effects seen with Leukotriene receptor agonists - singulair, accolade, zyflo =
some asthma drugs agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to CKMB
cardiac muscle damage?
What is the risk of a seriously elevated CKMB? Polymyositis
Rhabdo
What is a normal CKMB? 0.3 mcg/L
What psychoactives does Detrol interact with? Topamax
KCL
Zonegran
What CN are you assessing when you have the CN XI - Spinal Accessory
patient shrug their shoulders?
What do you see in labs with HIV & Dementia? CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Self-Report - 0-63
Inventory? 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? Helps rule-out disease = True Positive = Snout
What is specificity? Helps rule-in disease = True Negative = Spin
What does a sed rate measure? Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm
RBC's have descended in 1 hour.