Pmhnp Boards Exam Questions And
Answers For Practice
What is true of interprofessionality?
b b b b
All health professionals have individual professional competencies
b b b b b b
What is the significance of an experimental p-value of 0.05
b b b b b b b b b
There is a 5% chance of a similar result occurring by chance alone b b b b b b b b b b b b
What percentage of children with oppositional defiance disorder will develop conduct disorder?
b b b b b b b b b b b
30%
In the DSM-5, selective mutism is now considered what type of disorder?
b b anxiety disorder
b b b b b b b b b b
Symptoms of selective mutism must persist for at least 1 month
b b b b b b b b b
Common competencies b
overlap more than one health care professional, although not necessarily all health care profes
b b b b b b b b b b b b b
sionals, and are competencies expected of all health care professionals
b b b b b b b b b
Complementary competencies enhance the qualities of other professions in provision of care
b b b b b b b b b b
Collaborative competencies b
those that each individual profession must possess to work with others, including those who p
b b b b b b b b b b b b b b
ractice within different specialties within a profession.
b b b b b b
Interpersonal collaboration is _______ centered patient b b b b
Cognitive therapy is recommended for patients that have
b negative cognitive distortions b b b b b b b b
irrational beliefs b
faulty conceptions b
Humanistic Therapy focuses on assisting patients with b self-actualization and self- b b b b b b b
directed growth b
Behavioral Therapy focuses on b b b
changing maladaptive behaviors through the use of behavioral modification techniques b b b b b b b b b
Existential therapy is for reflection on life b b b b b
confronting self b
120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce. 1
b b b b b b b b b b b b b b b b b b
60 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea?
b b b b b b b b b b b b b b b
6 ((120X160)/(80x40)) b
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested
b b b b b b b b b b b b
implementation a national campaign to reduce the stigma of seeking care b b b b b b b b b b
Focusing on promoting recovery and building resilience
b b b b b b
The efficacy of mental health treatments was found to be well documented in
b b b b b b b b b b b b
influential report issued by US Surgeon General in 1999 b b b b b b b b
State of high negative emotion and pessimism neuroticism
b b b b b b
Commonly known as an optimistic outlook on life They are are outgoing, like social interaction, resp
b b b b b b b b b b b b b b b
ond to external rewards, have more active dopamine networks, and are responsive to positive reinforc
b b b b b b b b b b b b b b
ement. Extraversion (high levels protect from psychiatric illness) b b b b b b
Introverts are more likely to be _______ motivated and more likely to respond to _______ reinforcem
b b b b b b b b b b b b b b b
ent internally
,negative (more likely to interact with internal motivation/self-image)
b b b b b b b
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at the e
b b b b b b b b b b b b b b b
xpense of self-assertion b Agreeableness b
Associated with self-control and a focused, organized approach to life. Are achievement-
b b b b b b b b b b b
oriented goal setters who can delay immediate gratification to obtain their long term desired outcome.
b b b b b b b b b b b b b b
They are considered responsible, reliable, and dependable. conscientiousness
b b b b b b b
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of behavior (F
b b b b b b b b b b b b b b b
AB). What is true about FAB?
b b b b b
FAB is concerned only with observable stimuli connected to operant behavior
b b b b b b b b b b
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and conseq
b b b b b b b b b b b b
uent stimuli)
b
The goal of FAB is modifying willful operant behavior
b b b b b b b b
Gestalt theory deals with _____, not _____ perceptual psychology
b b b b b b b
behavior
Medication that can delay ejaculation in patients with premature ejaculation
b b b b b b b b b
Paroxetine (and other SSRIs) b b b
(others include: b
Topical anesthetic b
Tramadol
Phosphodiesterase-5 inhibitors) b
First line treatment for lithium induced diabetes insipidus
b b b b b b b
Amiloride (K potassium diuretic) in addition to dc lithium when possible. b b b b b b b b b b
Ways to reduce polyuria associated with lithium toxicity
b b b b b b b
reduce lithium dose to minimum effective dose b b b b b b
take once daily at night (may be 5-30% lower than when given in divided doses over the day)
b b b b b b b b b b b b b b b b b
Encourage adequate fluid intake b b b
What is true about ECT in Parkinson's disease
b b b b b b b
it's more likely to cause transient delirium (worsened dyskinesias induced by l-dopa)
b b b b b b b b b b b
Lithium effects with Parkison's disease b may worsen tremor b b b b b
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________ l-
b b b b b b b b b b b b b
dopa products b
hypertensive crisis b
Selegiline is selective for MAO-B b b b
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds that increase se
b b b b b b b b b b b b b b b b b b
rotonin)
SSRI's can _______ Parkinsonism tremor
b worsen (and decrease 'off time')
b b b b b b b
Process describes the mechanism by which the hippocampus stores memories long-term potentiation
b b b b b b b b b b
loss of memory relating to a particular category of information (inability to recall important autobiogr
b b b b b b b b b b b b b b
aphical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forget
b b b b b b b b b b b b b b
ting) systematized amnesia b
Lack of memories from a circumscribed period of time, usually immediately following a traumatic ev
b b b b b b b b b b b b b b
ent localized amnesia b
Person can recall some but not all of events from a particular time period
b b selective amnesia b b b b b b b b b b b b
Lack of memory of the patient's entire life
b b generalized amnesia b b b b b b
The drugs that are FDA approved for GAD
b Paroxetine
b b b b b b
Citalopram
,Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if
b the pregnancy threatens her health or life
b b b b b b b b b b b b b
or
she is a genetic parent
b b b b
If the surrogate receives both ovum and sperm from couple, she loses the right to
b b b b b b b b b b b b b b
determine whether or not child will be aborted (this is up to the couple) b b b b b b b b b b b b b
Which medication is most effective for treating social phobia/social anxiety disorder, especially whe
b b b b b b b b b b b b
n refractory? Phenelzine
b
A 55-year-
b
old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but her lungs are cl
b b b b b b b b b b b b b b b b b b b
ear. Her ECG reveals 2nd degree heart block. Which of the following BP medications should be avoid
b b b b b b b b b b b b b b b b
ed? Calcium Channel Blockers b b
3 Contraindications to use a calcium channel blocker 1st or second degree heart block
b b b b b b b b b b b b
Bradycardia
CHF
4 Side effects of calcium channel blockers
b b Headache b b b b
Lower extremity edema b b
Bradycardia
Heart Block b
An NP is evaluating a 78 year old female with depression. She suspects the patient may have Parkinso
b b b b b b b b b b b b b b b b b
n's disease. Which of the following is consistent with that diagnosis? Postural instability
b b b b b b b b b b b
Pill-rolling tremor b
Shuffling Gait b
Difficulty initiating movement b b
Mask-like facies (difficulty initiating movement) b b b b
Writhing movements occur with Huntington's chorea
b b b b
10 Non-motor manifestations of Parkinsons Autonomic dysfunction
b b b b b
Gastrointestical dysfunction b
Rhinorrhea
Sleep disturbance b
Fatigue
Mood disorder b
Cognitive dysfunction b
Dementia
Psychosis
Hallucinations
What type of therapy is most useful in depressed HIV positive outpatients?
b b b b b b b b b b b
Interpersonal psychotherapy b
What type of therapy is most useful in patients with borderline personality disorder?
b b b b b b b b b b b b
Dialectical behavioral therapy b b
, The NP is caring for a patient dying of lymphoma. The pt's wife states that the pt has been mismanage
b b b b b b b b b b b b b b b b b b b
d and that another practitioner must be assigned to the patient for him to improve. This NP suspects th
b b b b b b b b b b b b b b b b b b
at this individual is in which stage of grief according to Elizabeth Kugler-Ross?
b b Bargaining b b b b b b b b b b
Involves resisting or refusing to remember information that has been supplied Denial
b b b b b b b b b b
Pica and spoon shaped nails are associated with
b b Iron-deficiency anemia (microcytic) b b b b b b b
2 common causes of microcytic anemia
b iron deficiency b b b b b
anemia of inflammation/chronic disease (TB, HIV, endocarditis, RA, Chrohn's DM, kidney disease,
b b b b b b b b b b b b
CA)
(Other causes: lead toxicity, alcohol/drug use, zinc excess (copper deficiency))
b b b b b b b b b
Initial symptoms of B12 deficiency Generalized weakness
b b b b b
Paresthesias
Possible ataxia b
Late symptoms of B12 deficiency
b Memory impairment b b b b
Depressed mood b
5 P's of Vitamin B12 deficiency
b b Pancytopenia
b b b
(Peripheral and Posterior spinal cord) neuropathy b b b b b
Pyramidal tract signs b b
Papillary atrophy of tongue (atrophic glossitis) b b b b b
2 causes of megaloblastic macrocytic anemias Vitamin B12 deficiency
b b b b b b b
Folate deficiency b
What neurotransmitter is thought to play the most significant role in social phobia? dopamine
b b b b b b b b b b b b
What neurotransmitter is thought to mediate social interest, gregariousness, confidence and sensitivit
b b b b b b b b b b b
y to rejection? dopamine
b b
According to Gonzalez-Jaimes and Turnbull- b b b b
Plaza (2003, which type of therapy with psychocorporal, cognitive, and neurolinguistic components
b b b b b b b b b b b b
and a holistic focus is significantly more effective in patients diagnosed with adjustment disorder?
b b b b b b b b b b b b b
mirror psychotherapy b
The ________ is part of the treatment to encourage a patient to accept his physical condition mirror
b b b b b b b b b b b b b b b
Discussing medical diagnoses and the reaction to it, as well as treatment modalities
b b b b b b b b b b b b
medical conversation b
Therapy that emphasizes personal responsibility, focusing on the individual's experience at the prese
b b b b b b b b b b b b
nt moment, the therapist-
b b b
patient relationship, the context of the person's life, and adjustments people make as a result of their o
b b b b b b b b b b b b b b b b b
verall situation Gestalt Therapy b b
PANDAs is associated with _________ infections and results in _______ symptoms Group A beta-
b b b b b b b b b b b b
hemolytic strep b
OCD
After camping trip, pt began to have a petechial rash on her legs/trunk, parts of which are turning dark
b b b b b b b b b b b b b b b b b b b
red and purple, temp 102.8, HR 1115, BP 88/50, mm pain, neck stiffness, severe HA. What is the dx?
b b b b b b b b b b b b b b b b b b
meningococcemia
1 mg of Xanax = _____ mg of Ativan 2
b b b b b b b b
1mg of Xanax = ____mg of phenobarbital
b b 30 b b b b
Answers For Practice
What is true of interprofessionality?
b b b b
All health professionals have individual professional competencies
b b b b b b
What is the significance of an experimental p-value of 0.05
b b b b b b b b b
There is a 5% chance of a similar result occurring by chance alone b b b b b b b b b b b b
What percentage of children with oppositional defiance disorder will develop conduct disorder?
b b b b b b b b b b b
30%
In the DSM-5, selective mutism is now considered what type of disorder?
b b anxiety disorder
b b b b b b b b b b
Symptoms of selective mutism must persist for at least 1 month
b b b b b b b b b
Common competencies b
overlap more than one health care professional, although not necessarily all health care profes
b b b b b b b b b b b b b
sionals, and are competencies expected of all health care professionals
b b b b b b b b b
Complementary competencies enhance the qualities of other professions in provision of care
b b b b b b b b b b
Collaborative competencies b
those that each individual profession must possess to work with others, including those who p
b b b b b b b b b b b b b b
ractice within different specialties within a profession.
b b b b b b
Interpersonal collaboration is _______ centered patient b b b b
Cognitive therapy is recommended for patients that have
b negative cognitive distortions b b b b b b b b
irrational beliefs b
faulty conceptions b
Humanistic Therapy focuses on assisting patients with b self-actualization and self- b b b b b b b
directed growth b
Behavioral Therapy focuses on b b b
changing maladaptive behaviors through the use of behavioral modification techniques b b b b b b b b b
Existential therapy is for reflection on life b b b b b
confronting self b
120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce. 1
b b b b b b b b b b b b b b b b b b
60 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea?
b b b b b b b b b b b b b b b
6 ((120X160)/(80x40)) b
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested
b b b b b b b b b b b b
implementation a national campaign to reduce the stigma of seeking care b b b b b b b b b b
Focusing on promoting recovery and building resilience
b b b b b b
The efficacy of mental health treatments was found to be well documented in
b b b b b b b b b b b b
influential report issued by US Surgeon General in 1999 b b b b b b b b
State of high negative emotion and pessimism neuroticism
b b b b b b
Commonly known as an optimistic outlook on life They are are outgoing, like social interaction, resp
b b b b b b b b b b b b b b b
ond to external rewards, have more active dopamine networks, and are responsive to positive reinforc
b b b b b b b b b b b b b b
ement. Extraversion (high levels protect from psychiatric illness) b b b b b b
Introverts are more likely to be _______ motivated and more likely to respond to _______ reinforcem
b b b b b b b b b b b b b b b
ent internally
,negative (more likely to interact with internal motivation/self-image)
b b b b b b b
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at the e
b b b b b b b b b b b b b b b
xpense of self-assertion b Agreeableness b
Associated with self-control and a focused, organized approach to life. Are achievement-
b b b b b b b b b b b
oriented goal setters who can delay immediate gratification to obtain their long term desired outcome.
b b b b b b b b b b b b b b
They are considered responsible, reliable, and dependable. conscientiousness
b b b b b b b
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of behavior (F
b b b b b b b b b b b b b b b
AB). What is true about FAB?
b b b b b
FAB is concerned only with observable stimuli connected to operant behavior
b b b b b b b b b b
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and conseq
b b b b b b b b b b b b
uent stimuli)
b
The goal of FAB is modifying willful operant behavior
b b b b b b b b
Gestalt theory deals with _____, not _____ perceptual psychology
b b b b b b b
behavior
Medication that can delay ejaculation in patients with premature ejaculation
b b b b b b b b b
Paroxetine (and other SSRIs) b b b
(others include: b
Topical anesthetic b
Tramadol
Phosphodiesterase-5 inhibitors) b
First line treatment for lithium induced diabetes insipidus
b b b b b b b
Amiloride (K potassium diuretic) in addition to dc lithium when possible. b b b b b b b b b b
Ways to reduce polyuria associated with lithium toxicity
b b b b b b b
reduce lithium dose to minimum effective dose b b b b b b
take once daily at night (may be 5-30% lower than when given in divided doses over the day)
b b b b b b b b b b b b b b b b b
Encourage adequate fluid intake b b b
What is true about ECT in Parkinson's disease
b b b b b b b
it's more likely to cause transient delirium (worsened dyskinesias induced by l-dopa)
b b b b b b b b b b b
Lithium effects with Parkison's disease b may worsen tremor b b b b b
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________ l-
b b b b b b b b b b b b b
dopa products b
hypertensive crisis b
Selegiline is selective for MAO-B b b b
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds that increase se
b b b b b b b b b b b b b b b b b b
rotonin)
SSRI's can _______ Parkinsonism tremor
b worsen (and decrease 'off time')
b b b b b b b
Process describes the mechanism by which the hippocampus stores memories long-term potentiation
b b b b b b b b b b
loss of memory relating to a particular category of information (inability to recall important autobiogr
b b b b b b b b b b b b b b
aphical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forget
b b b b b b b b b b b b b b
ting) systematized amnesia b
Lack of memories from a circumscribed period of time, usually immediately following a traumatic ev
b b b b b b b b b b b b b b
ent localized amnesia b
Person can recall some but not all of events from a particular time period
b b selective amnesia b b b b b b b b b b b b
Lack of memory of the patient's entire life
b b generalized amnesia b b b b b b
The drugs that are FDA approved for GAD
b Paroxetine
b b b b b b
Citalopram
,Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if
b the pregnancy threatens her health or life
b b b b b b b b b b b b b
or
she is a genetic parent
b b b b
If the surrogate receives both ovum and sperm from couple, she loses the right to
b b b b b b b b b b b b b b
determine whether or not child will be aborted (this is up to the couple) b b b b b b b b b b b b b
Which medication is most effective for treating social phobia/social anxiety disorder, especially whe
b b b b b b b b b b b b
n refractory? Phenelzine
b
A 55-year-
b
old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but her lungs are cl
b b b b b b b b b b b b b b b b b b b
ear. Her ECG reveals 2nd degree heart block. Which of the following BP medications should be avoid
b b b b b b b b b b b b b b b b
ed? Calcium Channel Blockers b b
3 Contraindications to use a calcium channel blocker 1st or second degree heart block
b b b b b b b b b b b b
Bradycardia
CHF
4 Side effects of calcium channel blockers
b b Headache b b b b
Lower extremity edema b b
Bradycardia
Heart Block b
An NP is evaluating a 78 year old female with depression. She suspects the patient may have Parkinso
b b b b b b b b b b b b b b b b b
n's disease. Which of the following is consistent with that diagnosis? Postural instability
b b b b b b b b b b b
Pill-rolling tremor b
Shuffling Gait b
Difficulty initiating movement b b
Mask-like facies (difficulty initiating movement) b b b b
Writhing movements occur with Huntington's chorea
b b b b
10 Non-motor manifestations of Parkinsons Autonomic dysfunction
b b b b b
Gastrointestical dysfunction b
Rhinorrhea
Sleep disturbance b
Fatigue
Mood disorder b
Cognitive dysfunction b
Dementia
Psychosis
Hallucinations
What type of therapy is most useful in depressed HIV positive outpatients?
b b b b b b b b b b b
Interpersonal psychotherapy b
What type of therapy is most useful in patients with borderline personality disorder?
b b b b b b b b b b b b
Dialectical behavioral therapy b b
, The NP is caring for a patient dying of lymphoma. The pt's wife states that the pt has been mismanage
b b b b b b b b b b b b b b b b b b b
d and that another practitioner must be assigned to the patient for him to improve. This NP suspects th
b b b b b b b b b b b b b b b b b b
at this individual is in which stage of grief according to Elizabeth Kugler-Ross?
b b Bargaining b b b b b b b b b b
Involves resisting or refusing to remember information that has been supplied Denial
b b b b b b b b b b
Pica and spoon shaped nails are associated with
b b Iron-deficiency anemia (microcytic) b b b b b b b
2 common causes of microcytic anemia
b iron deficiency b b b b b
anemia of inflammation/chronic disease (TB, HIV, endocarditis, RA, Chrohn's DM, kidney disease,
b b b b b b b b b b b b
CA)
(Other causes: lead toxicity, alcohol/drug use, zinc excess (copper deficiency))
b b b b b b b b b
Initial symptoms of B12 deficiency Generalized weakness
b b b b b
Paresthesias
Possible ataxia b
Late symptoms of B12 deficiency
b Memory impairment b b b b
Depressed mood b
5 P's of Vitamin B12 deficiency
b b Pancytopenia
b b b
(Peripheral and Posterior spinal cord) neuropathy b b b b b
Pyramidal tract signs b b
Papillary atrophy of tongue (atrophic glossitis) b b b b b
2 causes of megaloblastic macrocytic anemias Vitamin B12 deficiency
b b b b b b b
Folate deficiency b
What neurotransmitter is thought to play the most significant role in social phobia? dopamine
b b b b b b b b b b b b
What neurotransmitter is thought to mediate social interest, gregariousness, confidence and sensitivit
b b b b b b b b b b b
y to rejection? dopamine
b b
According to Gonzalez-Jaimes and Turnbull- b b b b
Plaza (2003, which type of therapy with psychocorporal, cognitive, and neurolinguistic components
b b b b b b b b b b b b
and a holistic focus is significantly more effective in patients diagnosed with adjustment disorder?
b b b b b b b b b b b b b
mirror psychotherapy b
The ________ is part of the treatment to encourage a patient to accept his physical condition mirror
b b b b b b b b b b b b b b b
Discussing medical diagnoses and the reaction to it, as well as treatment modalities
b b b b b b b b b b b b
medical conversation b
Therapy that emphasizes personal responsibility, focusing on the individual's experience at the prese
b b b b b b b b b b b b
nt moment, the therapist-
b b b
patient relationship, the context of the person's life, and adjustments people make as a result of their o
b b b b b b b b b b b b b b b b b
verall situation Gestalt Therapy b b
PANDAs is associated with _________ infections and results in _______ symptoms Group A beta-
b b b b b b b b b b b b
hemolytic strep b
OCD
After camping trip, pt began to have a petechial rash on her legs/trunk, parts of which are turning dark
b b b b b b b b b b b b b b b b b b b
red and purple, temp 102.8, HR 1115, BP 88/50, mm pain, neck stiffness, severe HA. What is the dx?
b b b b b b b b b b b b b b b b b b
meningococcemia
1 mg of Xanax = _____ mg of Ativan 2
b b b b b b b b
1mg of Xanax = ____mg of phenobarbital
b b 30 b b b b
