PMHNP Board 2023 Study Review -Questions with
All Correct Answers-Graded A.
parasympathetic nervous system does what? - Ans-maintains and restores energy;
inhibits or decreases activity of organs
peripheral nervous system connects to what? - Ans-PNS to CNS to receptors, muscles,
and glands
NIHSS Stroke Scale: What is range and meaning of score? - Ans-15-item neurological
examination used to evaluate the effect of acute cerebral infarction on the levels of
consciousness, language, neglect, visual-field loss, extraocular movement, motor
strength, ataxia, dysarthria, and sensory loss.
Very Severe: >25.
Severe: 15 - 24.
Mild to Moderately Severe: 5 - 14.
Mild: 1 - 5
What is responsible for the fight or flight response - Ans-sympathetic nervous system (part
of ANS)
Course of cardioembolic stroke - Ans-sudden onset of maximal neuro deficits; quick
recovery after reperfusion
What is a lumbar puncture used for? - Ans-diagnose infectious, auntoimmune issues, and
paraneoplastic syndromes
What are arterial gases taken for? - Ans-used to measure concentrations of atmospheric
gases when patients are in respiratory distress
What is a non-contrast head CT scan used for? - Ans-helpful in excluding the diagnosis of
normal pressure hydrocephalus
What is the presentation of normal pressure hydrocephalus? - Ans-abnormal (magnetic)
gait, urinary incontinence, cognitive decline
, What is an EEG used for? - Ans-to measure brain wave activity for people with sleep or
suspected seizure disorders
What is the presentation of Steven Johnson Syndrome? - Ans-it is a specific, life-
threatening drug rash characterized by blisters giving way to dermis and hives on the
lining of any mucous membrane
What lab evidence supports dx of Eosinophilia and systemic symptoms (DRESS)? - Ans-
DRESS is a drug induced rash and lab work shows elevated eosinophils and liver
enzymes, renal insufficiency, and positive cardiac enzymes
S/S of mixed delirium - Ans-cyclical manifestation of psychomotor retardation and
agitation with disturbance in consciousness; risk factors include infection, fever
S/S of hyperactive delirium - Ans-psychomotor agitation, restlessness, and
hypervigilence
S/S of hypoactive delirium - Ans-psychomotor retardation and apathy
S/S and cause of vascular dementia - Ans-2nd most common dementia caused by
progressive cardio/cerebrovascular disease which manifests with cognitive decline and
plateau phases where lost functioning is not regained
S/S and cause of Huntington's dementia - Ans-Subcortical disease characterized by
motor abnormalities including psychomotor slowing, choreoathetoid movements and
executive dysfunction including impaired language, memory, and insight as disease
progresses
S/S of Pick's disease or frontotemporal dementia - Ans-personality change and cognitive
decline
S/S of Kulver-Bucey Syndrome - Ans-subtype of pick's disease including uninhibited
cheerfulness, hypersexuality, and hyperorality
S/S of Creutzfeldt-Jakob Disease - Ans-precipitous onset of cognitive decline that rapidly
progresses to death; symptoms include fatigue, cog impairment, and eventually aphasia,
apraxia, emotional lability, and psychosis
All Correct Answers-Graded A.
parasympathetic nervous system does what? - Ans-maintains and restores energy;
inhibits or decreases activity of organs
peripheral nervous system connects to what? - Ans-PNS to CNS to receptors, muscles,
and glands
NIHSS Stroke Scale: What is range and meaning of score? - Ans-15-item neurological
examination used to evaluate the effect of acute cerebral infarction on the levels of
consciousness, language, neglect, visual-field loss, extraocular movement, motor
strength, ataxia, dysarthria, and sensory loss.
Very Severe: >25.
Severe: 15 - 24.
Mild to Moderately Severe: 5 - 14.
Mild: 1 - 5
What is responsible for the fight or flight response - Ans-sympathetic nervous system (part
of ANS)
Course of cardioembolic stroke - Ans-sudden onset of maximal neuro deficits; quick
recovery after reperfusion
What is a lumbar puncture used for? - Ans-diagnose infectious, auntoimmune issues, and
paraneoplastic syndromes
What are arterial gases taken for? - Ans-used to measure concentrations of atmospheric
gases when patients are in respiratory distress
What is a non-contrast head CT scan used for? - Ans-helpful in excluding the diagnosis of
normal pressure hydrocephalus
What is the presentation of normal pressure hydrocephalus? - Ans-abnormal (magnetic)
gait, urinary incontinence, cognitive decline
, What is an EEG used for? - Ans-to measure brain wave activity for people with sleep or
suspected seizure disorders
What is the presentation of Steven Johnson Syndrome? - Ans-it is a specific, life-
threatening drug rash characterized by blisters giving way to dermis and hives on the
lining of any mucous membrane
What lab evidence supports dx of Eosinophilia and systemic symptoms (DRESS)? - Ans-
DRESS is a drug induced rash and lab work shows elevated eosinophils and liver
enzymes, renal insufficiency, and positive cardiac enzymes
S/S of mixed delirium - Ans-cyclical manifestation of psychomotor retardation and
agitation with disturbance in consciousness; risk factors include infection, fever
S/S of hyperactive delirium - Ans-psychomotor agitation, restlessness, and
hypervigilence
S/S of hypoactive delirium - Ans-psychomotor retardation and apathy
S/S and cause of vascular dementia - Ans-2nd most common dementia caused by
progressive cardio/cerebrovascular disease which manifests with cognitive decline and
plateau phases where lost functioning is not regained
S/S and cause of Huntington's dementia - Ans-Subcortical disease characterized by
motor abnormalities including psychomotor slowing, choreoathetoid movements and
executive dysfunction including impaired language, memory, and insight as disease
progresses
S/S of Pick's disease or frontotemporal dementia - Ans-personality change and cognitive
decline
S/S of Kulver-Bucey Syndrome - Ans-subtype of pick's disease including uninhibited
cheerfulness, hypersexuality, and hyperorality
S/S of Creutzfeldt-Jakob Disease - Ans-precipitous onset of cognitive decline that rapidly
progresses to death; symptoms include fatigue, cog impairment, and eventually aphasia,
apraxia, emotional lability, and psychosis
