LMR - Georgette's 2023 Qbank Georgette's PMHNP Certification Exam Review; Latest 2023

What drugs should be avoided with Kava Kava? correct answer: Alprazolam CNS depressants (e.g., phenobarbital, zolpidem) Cultural Formulation Interview perform what 3 functions? correct answer: Clarify meaning of illness Empower the patient Validate symptoms within cultural context What does a cultural formulation interview do? correct answer: cultural assessment What is the normal range for TSH? correct answer: 0.5 - 5.0 mu/L What are lab values in Hyperthyroidism correct answer: Decreased TSH Increased T4 and T3 What are labs in Hypothyroidism? correct answer: Increased TSH Decreased T4 and T3 What are 5 primary symptoms of Hyperthyroidism? correct answer: Heat intolerance Agitation, Anxiety, Irritability Tachycardia Mood swings Weight loss What are 4 primary symptoms of Hypothyroidism? correct answer: Cold intolerance Lethargy Weight gain Decreased libido Hypothyroidism mimics symptoms of what psychiatric disorder? correct answer: Depression Hyperthyroidism mimics symptoms of what psychiatric disorder? correct answer: Mania Valproic acid produces what teratogenic effect? correct answer: Spina bifida (neural tube defect) What is the primary organ where valproic acid is toxic? correct answer: Liver (hepatoxicity) What are 4 signs of hepatoxicity? correct answer: Abdominal pain in the URQ Reddish-brown urine Yellowing of the skin and sclera Fatigue Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera, and Fatigue are signs of correct answer: Hepatoxicity What is the therapeutic range for valproic acid? correct answer: 50-125 mcg/ml What is a toxic level of valproic acid? correct answer: >150 mcg/ml What are 4 signs of valproic acid toxicity? correct answer: Disorientation Lethargy Respiratory depression Nausea/vomiting Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms of toxicity with what drug? correct answer: Valproic acid With suspected toxicity with valproic acid, what labs should be drawn? correct answer: DC drug Check drug level Obtain LFTs Obtain ammonia level What is the major side effect with Kava Kava? correct answer: Liver damage What herbal supplement is sued for anxiety, stress, and insomnia? correct answer: Kava Kava What are 5 symptoms of Stephen's Johnson Syndrome? correct answer: Fever Body aches Severe red rash Peeling skin Facial and tongue swelling Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are symptoms of correct answer: Stephen's Johnson Syndrome Which mood stabilizer causes the least weight gain? correct answer: Lamotrigine (Lamictal) Which 3 SGAs cause the least weight gain? correct answer: Lurasidone (Latuda) Aripiprazole (Abilify)