QUESTION BANK FOR PMHNP BOARDS EXAM WITH
QUESTIONS AND 100% ACCURATE ANSWERS
____ % of children have autism spectrum disorder - -1.1
-_____ % of children with Tourette syndrome (age 6-17) - -0.2
-_____ of every _____ black or white persons may have an exaggerated response to beta-blockers due
to a polymorphism in CYP450 enzymes - -1
15
-_____ therapy is preferred in pica - -Behavioral (limiting access to means)
-______ and ______ block the activation of the reward system associated with alcohol and opiates - -
Naltrexone
Nalmefene
-______ Has been reported to increase overall sexual satisfaction in both men and women - -Sildenafil
(Viagara)
-______ is a dopamine/NE reuptake inhibitor - -bupropion
-______ might help control explosive rage - -Beta blockers
-______ nerve carries motor fibers to most of the extra ocular muscles of the eye - -oculomotor (CN III)
-______ of patients on dosage of _______ of clozapine will have seizures - -4-6%
>600mg/day
-_______ developed intensive short term dynamic psychotherapy - -Davanloo
-_______ offered an early neuroprotective effect in Parkinson's disease patients, but lacks long term
benefit - -Selegiline
-_______ takes place when a reinforcement or punishment is used to modulate the frequency of a
particular behavior - -Operant conditioning
-________ can worsen catatonia d/t parkinsonian side effects and can increase risk of ______ - -
Antipsychotics
neuroleptic malignant syndrome
-________ is more effective than Valproic acid in reducing symptoms of acute mania - -Olanzapine
-________ is suggestive of late Alzheimers disease - -Cerebellar atrophy
-________ of females with Fragile X genes have decrease intelligence - -33%
,-________ requires monitoring for signs of bruising and bleeding - -Carbamazepine
-_________ and ______ have been superior to placebo in reducing impulsive aggression in pts with
intermittent explosive disorder - -Fluoxetine
Oxcarbamazepine
-_________ is commonly seen in FTD and often mistaken for depression - -apathy
-_________ is helpful for ADHD pts with ADHD-associated sleep disturbances and may be helpful for
reducing anxiety and hyper vigilance in traumatized children - -Clonidine
-_________ reinforcement is used in Discrete trial training (DTT) and used to teach ________ - -Positive
new skills
-___________ is most likely to cause seizures among typical antipsychotics - -Chlorpromazine
-_______refers to boys aged 3-5 who have feelings of guilt regarding the oedipal complex - -castration
anxiety
-____% of adolescents demonstrate alcohol use disorder in past year - -4.3
-____% of adolescents demonstrate cigarette dependence past month - -2.8
-____% of adolescents demonstrate illicit drug use disorder in past year - -4.7
-"Learning is a cognitive process that takes place in a social context and can occur purely through
observation or direct instruction, even in the absence of motor reproduction or direct reinforcement." -
-Social learning theory
-"let me see if I understand you. It sounds like you've been trying to stop using for some time but are on
the fence right now about stopping. Is that about right?" is an example of - -Summary Statement
-"What do you feel about all this?" is an example of - -open-ended question
-"You have been through so much recently but you remain certain that alcohol is not a problem for you"
This is an example of a - -reflective statement
-"You have done a phenomenal job staying sober in the past." is an example of - -affirmation
-% of 3-17 year olds with anxiety - -3.5
-% of 3-17 year olds with depression - -2.1
-<1% is excreted unchanged in feces and urine - -trazodone
-1 mg of Xanax = _____ mg of Ativan - -2
,-10 Non-motor manifestations of Parkinsons - -Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Cognitive dysfunction
Dementia
Psychosis
Hallucinations
-120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce.
160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea? - -6
((120X160)/(80x40))
-14-3-3 protein in CSF may be the most discriminating evidence for - -Creutzfeldt-Jakob disease (CJD)
-19 year old with first manic episode, started on lithium. On day 2, experiences motor excitement,
mutism, and stereotypic movement. Failed lorazepam trial. What treatment is indicated next to tx his sx.
- -ECT
-1mg of Xanax = ____ mg of diazepam (Valium) - -10
-1mg of Xanax = ____mg of phenobarbital - -30
-1mg Xanax = ____ mg of chlordiazepoxide (Librium) - -25
-1mg Xanax = ____ mg of Clonazepam (Klonopin) - -1
-1st line treatment for pica - -testing for mineral or nutrient deficiencies, and correcting those
-1st line treatment for stereotypies - -Behavioral
-2 causes of megaloblastic macrocytic anemias - -Vitamin B12 deficiency
Folate deficiency
-2 common causes of microcytic anemia - -iron deficiency
anemia of inflammation/chronic disease (TB, HIV, endocarditis, RA, Chrohn's DM, kidney disease, CA)
(Other causes: lead toxicity, alcohol/drug use, zinc excess (copper deficiency))
-2 common defense mechanisms seen in obsessive compulsive personality disorder - -isolation of affect
intellectualization
-2 of the most common causes of pica - -anemia
malnutrition
-2 side effects of zolpidem - -daytime sleepiness
, fatigue
-2 typical antiparkinsonian drugs that are ineffective in the tx of antipsychotic-induced Parkinsonism - -
Levodopa
Selegiline
-2 year old children playing. - -Parallel play (no interaction with each other)
-2 year old F presents with fatigue, sleep disturbance, HA, blurred vision, and depressed mood for 2
months. Her hx notable for anemia requiring multiple transfusion. She has butterfly shaped rash around
eyes and on cheeks. Also c/o intermittently aching joints and diarrhea. Clinical presentations of this
patient suggests - -lupus erythrematosus
-25% of anorexic pts have these disorders - -alcohol use disorder
specific phobias
social anxiety disorders
-3 antipsychotics with high anticholinergic effects - -clozapine
thioridazine
chlorpromazine
-3 CBT techniques for social phobias - -exposure
cognitive restructuring
social skills training
-3 Contraindications to use a calcium channel blocker - -1st or second degree heart block
Bradycardia
CHF
-3 features of intellectual disability - -1. deficits in intellectual fxn
2. deficits in adaptive fxning
3. onset before age 18
-3 general types of temperaments according to Thomas and Chess - -easy
slow-to-warm
difficult
-3 risk factors for child abuse - -Prematurity (especially with incessant crying)
developmental disability
physical disability
-3 specific indications for continuation ECT are - -1. hx of recurrent episodes responsive to ECT
AND
2. ineffectiveness of or intolerance to prophylactic pharmacotherapy
OR
3. patient preference
QUESTIONS AND 100% ACCURATE ANSWERS
____ % of children have autism spectrum disorder - -1.1
-_____ % of children with Tourette syndrome (age 6-17) - -0.2
-_____ of every _____ black or white persons may have an exaggerated response to beta-blockers due
to a polymorphism in CYP450 enzymes - -1
15
-_____ therapy is preferred in pica - -Behavioral (limiting access to means)
-______ and ______ block the activation of the reward system associated with alcohol and opiates - -
Naltrexone
Nalmefene
-______ Has been reported to increase overall sexual satisfaction in both men and women - -Sildenafil
(Viagara)
-______ is a dopamine/NE reuptake inhibitor - -bupropion
-______ might help control explosive rage - -Beta blockers
-______ nerve carries motor fibers to most of the extra ocular muscles of the eye - -oculomotor (CN III)
-______ of patients on dosage of _______ of clozapine will have seizures - -4-6%
>600mg/day
-_______ developed intensive short term dynamic psychotherapy - -Davanloo
-_______ offered an early neuroprotective effect in Parkinson's disease patients, but lacks long term
benefit - -Selegiline
-_______ takes place when a reinforcement or punishment is used to modulate the frequency of a
particular behavior - -Operant conditioning
-________ can worsen catatonia d/t parkinsonian side effects and can increase risk of ______ - -
Antipsychotics
neuroleptic malignant syndrome
-________ is more effective than Valproic acid in reducing symptoms of acute mania - -Olanzapine
-________ is suggestive of late Alzheimers disease - -Cerebellar atrophy
-________ of females with Fragile X genes have decrease intelligence - -33%
,-________ requires monitoring for signs of bruising and bleeding - -Carbamazepine
-_________ and ______ have been superior to placebo in reducing impulsive aggression in pts with
intermittent explosive disorder - -Fluoxetine
Oxcarbamazepine
-_________ is commonly seen in FTD and often mistaken for depression - -apathy
-_________ is helpful for ADHD pts with ADHD-associated sleep disturbances and may be helpful for
reducing anxiety and hyper vigilance in traumatized children - -Clonidine
-_________ reinforcement is used in Discrete trial training (DTT) and used to teach ________ - -Positive
new skills
-___________ is most likely to cause seizures among typical antipsychotics - -Chlorpromazine
-_______refers to boys aged 3-5 who have feelings of guilt regarding the oedipal complex - -castration
anxiety
-____% of adolescents demonstrate alcohol use disorder in past year - -4.3
-____% of adolescents demonstrate cigarette dependence past month - -2.8
-____% of adolescents demonstrate illicit drug use disorder in past year - -4.7
-"Learning is a cognitive process that takes place in a social context and can occur purely through
observation or direct instruction, even in the absence of motor reproduction or direct reinforcement." -
-Social learning theory
-"let me see if I understand you. It sounds like you've been trying to stop using for some time but are on
the fence right now about stopping. Is that about right?" is an example of - -Summary Statement
-"What do you feel about all this?" is an example of - -open-ended question
-"You have been through so much recently but you remain certain that alcohol is not a problem for you"
This is an example of a - -reflective statement
-"You have done a phenomenal job staying sober in the past." is an example of - -affirmation
-% of 3-17 year olds with anxiety - -3.5
-% of 3-17 year olds with depression - -2.1
-<1% is excreted unchanged in feces and urine - -trazodone
-1 mg of Xanax = _____ mg of Ativan - -2
,-10 Non-motor manifestations of Parkinsons - -Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Cognitive dysfunction
Dementia
Psychosis
Hallucinations
-120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce.
160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea? - -6
((120X160)/(80x40))
-14-3-3 protein in CSF may be the most discriminating evidence for - -Creutzfeldt-Jakob disease (CJD)
-19 year old with first manic episode, started on lithium. On day 2, experiences motor excitement,
mutism, and stereotypic movement. Failed lorazepam trial. What treatment is indicated next to tx his sx.
- -ECT
-1mg of Xanax = ____ mg of diazepam (Valium) - -10
-1mg of Xanax = ____mg of phenobarbital - -30
-1mg Xanax = ____ mg of chlordiazepoxide (Librium) - -25
-1mg Xanax = ____ mg of Clonazepam (Klonopin) - -1
-1st line treatment for pica - -testing for mineral or nutrient deficiencies, and correcting those
-1st line treatment for stereotypies - -Behavioral
-2 causes of megaloblastic macrocytic anemias - -Vitamin B12 deficiency
Folate deficiency
-2 common causes of microcytic anemia - -iron deficiency
anemia of inflammation/chronic disease (TB, HIV, endocarditis, RA, Chrohn's DM, kidney disease, CA)
(Other causes: lead toxicity, alcohol/drug use, zinc excess (copper deficiency))
-2 common defense mechanisms seen in obsessive compulsive personality disorder - -isolation of affect
intellectualization
-2 of the most common causes of pica - -anemia
malnutrition
-2 side effects of zolpidem - -daytime sleepiness
, fatigue
-2 typical antiparkinsonian drugs that are ineffective in the tx of antipsychotic-induced Parkinsonism - -
Levodopa
Selegiline
-2 year old children playing. - -Parallel play (no interaction with each other)
-2 year old F presents with fatigue, sleep disturbance, HA, blurred vision, and depressed mood for 2
months. Her hx notable for anemia requiring multiple transfusion. She has butterfly shaped rash around
eyes and on cheeks. Also c/o intermittently aching joints and diarrhea. Clinical presentations of this
patient suggests - -lupus erythrematosus
-25% of anorexic pts have these disorders - -alcohol use disorder
specific phobias
social anxiety disorders
-3 antipsychotics with high anticholinergic effects - -clozapine
thioridazine
chlorpromazine
-3 CBT techniques for social phobias - -exposure
cognitive restructuring
social skills training
-3 Contraindications to use a calcium channel blocker - -1st or second degree heart block
Bradycardia
CHF
-3 features of intellectual disability - -1. deficits in intellectual fxn
2. deficits in adaptive fxning
3. onset before age 18
-3 general types of temperaments according to Thomas and Chess - -easy
slow-to-warm
difficult
-3 risk factors for child abuse - -Prematurity (especially with incessant crying)
developmental disability
physical disability
-3 specific indications for continuation ECT are - -1. hx of recurrent episodes responsive to ECT
AND
2. ineffectiveness of or intolerance to prophylactic pharmacotherapy
OR
3. patient preference
