PMHNP Exam Reported Questions and Answers Latest 2022 Test with complete solutions

What is dissemination? Correct Answer- 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? Correct Answer- Moderate cognitive impairment What is Tegretol in the CYP450 system? Correct Answer- Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? Correct Answer- Inducer - will lower dose of Lamictal What is a Type I research error? Correct Answer- There IS a difference but you say there isn't a difference. What is a Type II research error? Correct Answer- There is NO difference but you say there is a difference. What is pseudo-dementia? Correct Answer- 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 grasp? Correct Answer- Yes. What is a drug 1/2 life? Correct Answer- The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? Correct Answer- Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? Correct Answer- Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? Correct Answer- HLAB-1502 When might you see toxic epidermal necrolysis? Correct Answer- With worsening of SJS How many generations do you include for a genogram? Correct Answer- 1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? Correct Answer- Amino Acids What is epigenetics? Correct Answer- Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? Correct Answer- Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? Correct Answer- Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? Correct Answer- 10-25 yo When do females typically present with schizophrenia? Correct Answer- 25-35 yo What does Erythromycin to trileptal? Correct Answer- You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? Correct Answer- Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs Correct Answer- Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? Correct Answer- Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? Correct Answer- CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? Correct Answer- CKMB What is the risk of a seriously elevated CKMB? Correct Answer- Polymyositis Rhabdo What is a normal CKMB? Correct Answer- 0.3 mcg/L What psychoactives does Detrol interact with? Correct Answer- Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? Correct Answer- CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? Correct Answer- CD4 <200 Viral Load is high <20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? Correct Answer- Self-Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? Correct Answer- Helps rule-out disease = True Positive = Snout What is specificity? Correct Answer- Helps rule-in disease = True Negative = Spin What does a sed rate measure? Correct Answer- Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. What is a normal sed rate or ESR? Correct Answer- 0-22 males 0-29 females What is a retic count? Correct Answer- Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow