PMHNP Board Exam Questions and
Answers 100% Solved
kindling - ✔✔Sensitization development of behavioral seizures in response
to repeated electrical or chemical stimuli. ETOH can cause seizures.
Potency - ✔✔Relative dose required to achieve certain effects
High potency - ✔✔Haldol (need lower dose)
Low potency - ✔✔Chlorpromazine (Thorazine) (need higher dose)
What 3 parts of the brain are affected by ADHD - ✔✔1. Frontal cortex
2. Basal ganglia (motor control/ learning)
3. Reticular activity (ability to focus/fight or flight)
What 3 neurotransmitters are associated with ADHD? - ✔✔DNS
(dopamine, norepinephrine, serotonin)
How many settings do symptoms of ADHD have to be assessed in to
diagnose? - ✔✔2
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How many criteria does a child vs an adult have to meet to be diagnosed
with ADHD? - ✔✔Child-6
Adult-5
What type of medications are lipophilic and highly protein bound? -
✔✔Psychiatric medications
side effects of stimulants - ✔✔-weight loss
-GI upset
-Anorexia
-increased heart rate and blood pressure
What must you assess before starting a stimulant? - ✔✔Cardiac functions
and family heart history
Average and mean age of onset for ADHD - ✔✔Avg.: 3 years
Mean: 9 years
What type of drug class is intuniv (guanfacine) and what ages has the FDA
approved it for? - ✔✔Alpha agonist and ages 6-17 yrs.
What alpha agonist is used to treat ADHD but not FDA approved? -
✔✔clonidine
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Agitation, anxiety, mood swings, increased mood, increased HR and BP,
heart palpitations and tremors are all symptoms of what substance abuse?
- ✔✔Stimulants
What type of therapy is used to treat ADHD? - ✔✔Behavioral therapy
What must you assess in school aged children with ADHD? - ✔✔The
presence of learning disorders.
What scale for ADHD is available to the public? - ✔✔Vanderbilt ADHD
DIAGNOSIS: Parent and teacher rating scale
What would you do for a patient that has tics and is taking a stimulant? -
✔✔Discontinue medication. Tics are contraindicated in stimulants.
What cluster is Borderline Personality Disorder? What is the mainstay
treatment? - ✔✔Cluster B
DBT
What medication can help with self harming behavior? - ✔✔Lithium
What cluster is Antisocial Personality Disorder in? - ✔✔Cluster B
antisocial personality disorder - ✔✔A personality disorder in which the
person (usually a man) exhibits reckless disregard for the welfare of others,
lack of remorse, inflict pain.
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What therapy is used for antisocial personality disorder and at what age
can it be diagnosed? - ✔✔CBT
18 or >
First factors for Autism Spectrum Disordee - ✔✔-Male gender
-Intellectual disability
-Genetic loading ( family history )
What behavior is hallmark for children. With autism? - ✔✔Lining up,
stacking, or organizing toys in long, tidy rows
3 Autism screening scales - ✔✔1. M-CHAT ( Modified Checklist for Autism
in Toddlers)
2. ADOS-G (Autism Diagnosis Observation Scale Generic)
3. ASQ (Ages and Stages Questionnaires)
Medications for ADHD - ✔✔Risperdal -FDA approved
Antipsychotics (help with aggressive, self harm behavior and tantrums)
Naltrexone, clonidine, and stimulants
Rhett Syndrome - ✔✔X-linked dominant found in girls