PMHNP certification Exam 2022/2023(Aready GradedA+)
denial - ANSWER: refusal to admit or recognize problem or event- primitive defense
mechanism
projection - ANSWER: taking one's own unacceptable qualities and attributing them
to another- primitive defense mechanism
regression - ANSWER: reverting to patterns of behavior from earlier stage of
developement- immature defense mechanism
passive-aggression - ANSWER: indirectly expressing anger- immature defense
mechanism
reaction formation - ANSWER: taking up the opposite feeling to reduce anxiety-
neurotic defense mechanism
intelluctualization - ANSWER: focusing on intellectual component to AVOID anxiety
or thinking about the matter- neurotic defense mechanism
repression - ANSWER: keeping info out of consciousness- neurotic defense
mechanism
displacement - ANSWER: taking out frustrations, etc on people or objects less
threatening- neurotic defense mechanism
rationalization - ANSWER: explaining unacceptable in a rational or logical manner-
neurotic defense mechanism
splitting - ANSWER: seeing things about self or others in extremes, unable to
integrate negative and positive- neurotic defense mechanism
sublimation - ANSWER: converts unacceptable into acceptable (going to gym when
angry)- mature, healthy defense mechanism
humor, sublimation, suppression - ANSWER: mature, healthy defense mechanisms
suppression - ANSWER: removal of unwanted information (thinking about matter
later)-mature, healthy defense mechanism
cohort study - ANSWER: level 3 evidence heirarchy- specific variable and a specific
outcome tested
Meta-analysis (systematic review) - ANSWER: level 1 highest level of evidence-
review of high quality published research
, RCTs - ANSWER: level 2 evidence heirarchy
case control study - ANSWER: level 4 evidence heirarchy- retrospective study of
cases and controls compared
case series/ reports - ANSWER: level 5 evidence heirarchyone study or narrative of
one study/patient
editorial/expert opinion - ANSWER: lowest level (6) of evidence heirarchy- essays
herd community - ANSWER: resistance of group to infectious agent
active immunity - ANSWER: resistance developed in response to an antigen (agent or
vaccine) ;presence of antibody produced by host, years or lifelong
passive immunity - ANSWER: immunity from mother or IG administered; 6-9 months
sensitivity - ANSWER: positive in disease; SnNout- sensitive test when negative rules
OUT disease
specificity - ANSWER: negative in health; SpPin- specific test when positive rules IN
disease
prevalence - ANSWER: porportion of individuals possessing the condition at any
given time
incidence - ANSWER: NEW cases only
AST elevation >40 - ANSWER: alcohol, statin, tylenol, depakote
ALT elevation >40 - ANSWER: liver stress, depakote
GGT elevation > 45 - ANSWER: possible ETOH
CK elevation >240 - ANSWER: possible NMS
GFR <60 - ANSWER: requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level - ANSWER: ACE inhibitors, ARBs, NSAIDs,
tetracyclines, metronidazole, K sparing diuretics, thiazide diuretics, dehydration
HYPOnatremia
drugs or conditions that decrease Li+ level - ANSWER: HYPERnatremia, theophylline
therapeutic lithium level - ANSWER: 0.6-1.0 (acute mania 0.8-1.2)
denial - ANSWER: refusal to admit or recognize problem or event- primitive defense
mechanism
projection - ANSWER: taking one's own unacceptable qualities and attributing them
to another- primitive defense mechanism
regression - ANSWER: reverting to patterns of behavior from earlier stage of
developement- immature defense mechanism
passive-aggression - ANSWER: indirectly expressing anger- immature defense
mechanism
reaction formation - ANSWER: taking up the opposite feeling to reduce anxiety-
neurotic defense mechanism
intelluctualization - ANSWER: focusing on intellectual component to AVOID anxiety
or thinking about the matter- neurotic defense mechanism
repression - ANSWER: keeping info out of consciousness- neurotic defense
mechanism
displacement - ANSWER: taking out frustrations, etc on people or objects less
threatening- neurotic defense mechanism
rationalization - ANSWER: explaining unacceptable in a rational or logical manner-
neurotic defense mechanism
splitting - ANSWER: seeing things about self or others in extremes, unable to
integrate negative and positive- neurotic defense mechanism
sublimation - ANSWER: converts unacceptable into acceptable (going to gym when
angry)- mature, healthy defense mechanism
humor, sublimation, suppression - ANSWER: mature, healthy defense mechanisms
suppression - ANSWER: removal of unwanted information (thinking about matter
later)-mature, healthy defense mechanism
cohort study - ANSWER: level 3 evidence heirarchy- specific variable and a specific
outcome tested
Meta-analysis (systematic review) - ANSWER: level 1 highest level of evidence-
review of high quality published research
, RCTs - ANSWER: level 2 evidence heirarchy
case control study - ANSWER: level 4 evidence heirarchy- retrospective study of
cases and controls compared
case series/ reports - ANSWER: level 5 evidence heirarchyone study or narrative of
one study/patient
editorial/expert opinion - ANSWER: lowest level (6) of evidence heirarchy- essays
herd community - ANSWER: resistance of group to infectious agent
active immunity - ANSWER: resistance developed in response to an antigen (agent or
vaccine) ;presence of antibody produced by host, years or lifelong
passive immunity - ANSWER: immunity from mother or IG administered; 6-9 months
sensitivity - ANSWER: positive in disease; SnNout- sensitive test when negative rules
OUT disease
specificity - ANSWER: negative in health; SpPin- specific test when positive rules IN
disease
prevalence - ANSWER: porportion of individuals possessing the condition at any
given time
incidence - ANSWER: NEW cases only
AST elevation >40 - ANSWER: alcohol, statin, tylenol, depakote
ALT elevation >40 - ANSWER: liver stress, depakote
GGT elevation > 45 - ANSWER: possible ETOH
CK elevation >240 - ANSWER: possible NMS
GFR <60 - ANSWER: requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level - ANSWER: ACE inhibitors, ARBs, NSAIDs,
tetracyclines, metronidazole, K sparing diuretics, thiazide diuretics, dehydration
HYPOnatremia
drugs or conditions that decrease Li+ level - ANSWER: HYPERnatremia, theophylline
therapeutic lithium level - ANSWER: 0.6-1.0 (acute mania 0.8-1.2)
