PMHNP-63 Exam Reported Questions with Complete Solutions

PMHNP-63 Exam Reported Questions with Complete Solutions What is dissemination? 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? Moderate cognitive impairment What is Tegretol in the CYP450 system? Inducer --will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? Inducer - will lower Lamictal effects What is a Type I research error? There IS a difference but you say there isn't a difference. What is a Type II research error? There is NO difference but you say there is a difference. What is pseudo-dementia? Cognitive impairment secondary to depression that clears when treated in the elderly. Tx depression Is it normal for a 1 month old to have a palmar grasp? Yes. What is a drug 1/2 life? The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? HLAB-1502 How many generations do you include for a genogram? 3 What does messenger RNA code for? Amino Acids What is epigenetics? Factors that affect genes - environmental, smoking, stress What part of the brain is involved with OCD? Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? 18-25 When do females typically present with schizophrenia? 25-35 yo What does Trileptal and tegretol do to EES? Trileptal (inducer) Erythromycin (inhibitor) Decreases the effects of EES Erythromycin interferes with liver microsomal metabolism of carbamazepine, causing Decreased carbamazepine clearance, an elevated serum carbamazepine level, and clinical toxicity What are some psychiatric side effects seen with some asthma drugs agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? Agranulocytosis and Hyponatremia Which one of the 3 muscle enzymes are related to cardiac muscle damage? CKMB What is the risk of a seriously elevated CKMB? Polymyositis & Rhabdo What is a normal CKMB? 0.3 mcg/L What psychoactives does Detrol interact with? Topamax What CN are you assessing when you have the patient shrug their shoulders? CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? CD4 200 Viral Load is high 20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? (Self-Report - 0-63) 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity?