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Georgette review for Boards Exam questions With Correct Answers

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substantia nigra - correct answersdopamine is produced here Aplastic anemia - correct answersTegretol side effect Serotonin discontinuation syndrome - correct answersSensory disturbance, sleeping disturbance, disequilibrium, flu like sx, dizzy, n/v Sign of fetal alcohol syndrome - correct answerssmall head, smooth palpebral fissure, inner epicanthal folds *sign of serotonin syndrome - correct answershyperthermia, shivering, anxiety, diaphoresis, diarrhea to get reluctant patient to engage use what - correct answersopen ended questions Rhett syndrome - correct answersa rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the child usually develops normally unitl about 6 to 18 months of age at which characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and disinterest in play activities Risk factor for serotonin syndrome - correct answersmore than 1 SSRI, St Johns wart, tramadol, demerol, Ultram State board of nursing, ANA, regulates what - correct answersScope of practice PHQ-9 over 20 - correct answersSevere depression Cranial nerve VII, sensory and motor - correct answersPuff cheeks Trichotillomania/OCD - correct answersPulling hair out Raphi Nuclei - correct answersSerotonergic neurons in the brain, produce serotonin "I don't know answers" - correct answersPseudo dementia, depression PANDAS associated with - correct answersStrep, Pediatric autoimmune neuropsychiatric disorder. If OCD, did they have strep recently Lyrica - correct answersPatient has neuropathic pain, gabapentin not helping. What med may Almost completely absorbed, 3 times more than gabapentin - correct answersWhy Lyrica works better for pain Conversion syndrome - correct answersPatient lost friend and now experiences paralysis. Repressed unconscious intrapsychic conflicts Tardive dyskinesia - correct answersa person with EPS will most likely experience Alpha 2 delta protein - correct answerspain is linked to ability to bind to what Double Serum Lithium level - correct answersNSAID and Ace inhibitors do what to lithium NMS labs - correct answersincreased creatinine kinase, WBC, LDH, LFT's (rhabdomyolysis due to muscle tremors and rigidity) Norepinephrine - correct answershelps control alertness and arousal, mood hunger and sleep This is synthesized in the Locus Coeruleus - correct answersNorepinephrine Identify NMS with these key features - correct answersRigidity, Autonomic instability, fever, change LOC, drooling Meningitis - correct answersnuchal rigidity, stiffness in cervical neck These can cause mania - correct answerssteroids, antabuse, isonaizid, antidepressants in bipolar MMSE - correct answerstest for abstract versus concrete operations MMSE 0-17 shows - correct answersSevere cognitive impairment MMSE 24-40 - correct answersNo cognitive impairment Dopamine and GABA - correct answersNeurotransmitters involved in alcoholism Dantrolene - correct answersMuscle relaxant for NMS Bromocriptine - correct answersDopamine receptor agonist, for NMS Phallic state age 3-6 - correct answersmasturbate is normal Primary prevention - correct answersClasses, education, modify environment, prevent and promote Secondary prevention - correct answersscreening and early detection, crisis hotline Tertiary prevention - correct answersRehab, day treatment, social skills, treat to prevent further deterioration Lithium toxicity hits at what value - correct answers1.5 with nausea and vomiting startle reflex (moro) - correct answerslast 5-6 months, if absent do an xray motivational interviewing is - correct answersnon-confrontational style, helps patients move further along the continuum of change, based on transtheoretical model of stages of change Ace and Arbs - correct answersTwo classes of meds shouldn't be used together Renal dysfunction - correct answersDon't give Ace and Arbs together because they cause this Anxiety - correct answersSSRI started in 65yr old can cause this. Expect increased side effects, do ekg Accutane - correct answersThis can cause depression and birth defect Congestive heart failure - correct answersDrugs known as ace inhibitors ending in "pril" can cause this Nucleus basal is of Meynert - correct answersThese are vulnerable in age related neurodegenerative disease such as Alzheimer's due to decreased acetylcholine in brain Hip disease - correct answersAbnormal trendelenberg test indicates Adjustment disorder - correct answersSymptoms within 3 months but not more than 6 months. Reaction to specific life event (stressor) Normal Tanner stage, start by 16 - correct answers14yr old no axillary hair no period Concern for rhabdomyalysis - correct answersAdolescent with substance abuse but works out and muscle aches. What may this indicate What does Erythromycin do to Tegretol - correct answersInhibitor, so it increases the level, you need to decrease the dose What is first line neuroprotective med for bipolar - correct answersLithium First symptom of metabolic syndrome - correct answersLarge waist circumference Flonase interacts with what mood stabilizer - correct answersTegretol Flonase has what in it - correct answersSteroids Steroids are an inhibitor and lead to increase in what level - correct answersTegretol Tegretol has a known risk for what, which means if you give it with steroid you do what to dosing - correct answersAgranulocytosis, decrease First sign of frontal lobe dementia - correct answersPersonality changes, social changes Patient with irritability, depression, edginess should be screened for what - correct answersBipolar if 7/13 bipolar likely How long does Parkinsonism take to develop - correct answersMonths How long does akathisia take to develop - correct answersDays How long does tardive dyskinesia take to decelop - correct answersYears Grade 2/5 hoarse systolic heart murmur indicates - correct answersAortic stenosis Most commonly used anxiety scale is what - correct answersHamilton Hamilton anxiety scale 14 indicates, 18-24 indicates, 25-30 indicates - correct answersLower is mild, over 25 severe Hamilton depression scale normal range is what - correct answers0-7 Hamilton depression scale mild is scored as what - correct answers8-13 Hamilton depression scale of 19-23 indicates what and what do you monitor for - correct answersSevere depression, suicide Health care policy is assess, cost, and what - correct answersQuality How does Tegretol interact with Cipro - correct answersCipro and erythromycin are inhibitors, decrease dose How you get paid for Medicare - correct answersCPT, current procedural terminology How does ibuprofen effect lithium - correct answersIncreases serum level of lithium to double Organization accountability focus on universal safety in healthcare to find error and what went wrong is defined as - correct answersJust culture What is quantitative data - correct answersIn numbers What is qualitative data - correct answersMeasures natural setting like observation Research like experimental design but uses naturally occurring groups rather than assigning subjects to groups - correct answersQuasi-experimental design Rare complication anorexia nervosa binge purge includes - correct answersDelayed gastric emptying and motility How To check for decreased gastric motility - correct answersMeasure stomach Delayed intervention of delayed gastric emptying can lead to - correct answersGastric necrosis, perforation, shock, death Male with more than 1 X chromosome (xxy) Little to no sperm, fertility treatment indicates - correct answersKlinefelter syndrome Keeping chronically mental ill in community is part of what therapy model - correct answersAssertive community therapy model (ACT) Labs for macrocyclic anemia - correct answersFolic avid, b12, ESR/CRP, HGB, MCV liver Labs for rheumatoid arthritis - correct answersESR elevation, synovial fluid analysis, X-ray joints, crp, hgb, Rheumatoid factor titer Labs on lithium - correct answersLeukocytes is, creatinine, BUN, NA, 4+ protein in urine Law makes sure people with mental health issues get same financial treatment - correct answersMental health parity act requires annual lifetime dollar limits be no lower than any medical surgical benefits. 1996 Pt with severe diarrhea, n/v, metallic taste, tremor, slurred speech, May be going through what - correct answersLithium toxicity What intervention for lithium toxicity and what level is emergent - correct answersGive fluids, 3 Tegretol strong inducer of what neurotransmitter - correct answers3A4 Tergretol (carbamazepine) induces Flonase so you need to do what to flonase - correct answersIncrease the Flonase How to test for fungal Infection - correct answersShavings of toes How to check for dementia - correct answersHave patient tell you risk/benefits and test capacity Involuntary, spasmodic, twitching, uncontrolled vocal sounds, inappropriate words indicates - correct answersTourette's What does Tagamet (cimetidine) do - correct answersPrevents acid from backing up into esophagus and causing heartburn


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Publié le
5 septembre 2023
Nombre de pages
19
Écrit en
2023/2024
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Examen
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