PMHNP-BC exam with correct answers

PMHNP-BC exam with correct answers Risk of Schizophrenia in monozygotic twins is? - Answer ️️ -46-50% Family hx risk of schizophrenia - Answer ️️ -10x risk with 1st degree relative brain changes in schizophrenia - Answer ️️ -increase in ventricular volume (enlarged cerebral ventricles) Hippocampus volume decrease, 4% smaller Decreased electrical activity in frontal lobes Decrease glutamate and GABA release. Decreased total brain volume functional neuroimaging findings of schizophrenia - Answer ️️ -Abnormal function of frontal cortical regions Including for solo lateral prefrontal and anterior cingulate cortices Maximum dose of Celexa - Answer ️️ -40mg/day as higher doses can cause abnormal electrical activity of the heart. Some experts still prescribe higher What class of medication is bupropion - Answer ️️ -NDRI boosts norepinephrine, noradrenaline, and dopamine neurotransmitters What hematologic change is associated with lithium? - Answer ️️ -Leukocytosis. Lithium raises WBC counts. Monitor CBC GABA in terms of anxiety disorders - Answer ️️ -Most abundant inhibitory neurotransmitter. Decreasing GABA would increase anxiety. Benzos are used to bind with GABA to potentiate the anxiolytic effects of GABA What to avoid while on Disulfiram - Answer ️️ -Anything containing alcohol (vinegar, mouthwash, aftershave, cough medicine). Avoid for 2 weeks after discontinuing disulfiram. Lab effected by disulfiram that requires monitoring - Answer ️️ -Disulfiram can elevate liver function tests A medication that can induce mania - Answer ️️ -Corticosteroids What finding would be associated with an acoustic neuroma? - Answer ️️ -Unilateral ringing in the ear (tinnitus) may be the first symptom of an acoustic neuroma