11/05/2024 12:06 PM
PMHNP Exam Reported Questions With
100% Verified Answers
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
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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
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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
29-63 - severe
What is sensitivity? - answer✔Helps rule-out disease = True Positive = Snout
What is specificity? - answer✔Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - answer✔Inflammation (ESR - Erythrocyte Sedimentation Rate) =
distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - answer✔0-22 males
0-29 females
What is a retic count? - answer✔Measures % of reticulocytes in blood (immature RBC's) Indicates
whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - answer✔Anemia - acute or chronic bleeding
What does an increased retic count indicate? - answer✔Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - answer✔Doesn't diagnose anything. First step is
ID source of the issue.
What happens when you mix tegretol and macrolides? - answer✔Increase tegretol levels.
What happens if a pregnant women takes Accutane? - answer✔Birth defects.
What labs do you get with RA? - answer✔Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - answer✔ANA