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PMHNP Exam Reported Questions and Correct Answers.

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PMHNP Exam Reported Questions and Correct Answers.

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PMHNP EXAM REPORTED
QUESTIONS AND CORRECT
ANSWERS:




Danstan

,What is dissemination? - Answer: 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? - Answer: Moderate cognitive impairment



What is Tegretol in the CYP450 system? - Answer: Inducer -->will lower dose of Lamictal and BCP's



What do BCP's do to Lamictal? - Answer: Inducer - will lower dose of Lamictal



What is a Type I research error? - Answer: There IS a difference but you say there isn't a difference.



What is a Type II research error? - Answer: There is NO difference but you say there is a difference.



What is pseudo-dementia? - Answer: Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.



Is it normal for a 1 month old to have a palmar grasp? - Answer: Yes.



What is a drug 1/2 life? - Answer: The time it takes for 50% of a drug to be eliminated from the body.



What 3 atypicals can be used with teens? - Answer: Zyprexa, Abilify, Seroquel - low doses



What is a risk of using Tramadol? - Answer: Serotonin Syndrome as it is very serotonergic.



What is the allele seen in Asians that increase the risk of SJS? - Answer: HLAB-1502

,When might you see toxic epidermal necrolysis? - Answer: With worsening of SJS



How many generations do you include for a genogram? - Answer: 1st degree - mother, father, siblings

2nd degree - grandparents & cousins

3rd degree -



What does messenger RNA code for? - Answer: Amino Acids



What is epigenetics? - Answer: Factors that affect genes - environmental, smoking, stress, etc...



What part of the brain is involved with OCD? - Answer: Basal Ganglia

Occipito-Frontal



What happens to the brain during adolescence? - Answer: Dendritic pruning

Emotions are controlled by amygdala

By adulthood, PFC involved as well



When do males typically present with schizophrenia? - Answer: 10-25 yo



When do females typically present with schizophrenia? - Answer: 25-35 yo



What does Erythromycin to trileptal? - Answer: You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor



ACE Inhibitors are the drug of choice for what? - Answer: Heart Failure

HTN

, What are some psychiatric side effects seen with some asthma drugs - Answer: Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor



What should you watch for with Tegretol? - Answer: Agranulocytosis and Hyponatremia



What are the 3 CK muscle enzyme tests? - Answer: CKBB, CKMM, CKMB



Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Answer: CKMB



What is the risk of a seriously elevated CKMB? - Answer: Polymyositis

Rhabdo



What is a normal CKMB? - Answer: 0.3 mcg/L



What psychoactives does Detrol interact with? - Answer: Topamax

KCL

Zonegran



What CN are you assessing when you have the patient shrug their shoulders? - Answer: CN XI - Spinal
Accessory



What do you see in labs with HIV & Dementia? - Answer: CD4 <200

Viral Load is high

<20% get it with antiretroviral treatment



What is the scoring with the Beck Depression Inventory? - Answer: Self-Report - 0-63

0-13 - minimal

14-19 - mild

20-28 - moderate
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