PMHNP EXAM STUDY GUIDE QUESTIONS WITH 100%
CORRECTLY SOLVED ANSWERS.
What does a 17 on MMSE mean? -- Answer ✔✔ Moderate cognitive impairment
t t t t t t t t t t t t
What is Tegretol in the CYP450 system? -- Answer ✔✔ Inducer -->will lower dose of
t t t t t t t t t t t t t t t
Lamictal and BCP's t t
What do BCP's do to Lamictal? -- Answer ✔✔ Inducer - will lower dose of Lamictal
t t t t t t t t t t t t t t t
What is a Type I research error? -- Answer ✔✔ There IS a difference but you say there
t t t t t t t t t t t t t t t t t t
isn't a difference.
t t
What is a Type II research error? -- Answer ✔✔ There is NO difference but you say there
t t t t t t t t t t t t t t t t t t
is a difference.
t t
What part of the brain is involved with OCD? -- Answer ✔✔ Basal Ganglia
t t t t t t t t t t t t t
Occipito-Frontal
What happens to the brain during adolescence? -- Answer ✔✔ Dendritic pruning
t t t t t t t t t t t
Emotions are controlled by amygdala t t t t
By adulthood, PFC involved as well
t t t t t
When do males typically present with schizophrenia? -- Answer ✔✔ 10-25 yo
t t t t t t t t t t t
When do females typically present with schizophrenia? -- Answer ✔✔ 25-35 yo
t t t t t t t t t t t
What does Erythromycin to trileptal? -- Answer ✔✔ You will need to decreases the level
t t t t t t t t t t t t t t t
because Trileptal(inducer) and erythromycin is an inhibitor
t t t t t t
,ACE Inhibitors are the drug of choice for what? -- Answer ✔✔ Heart Failure
t t t t t t t t t t t t t
HTN
What is pseudo-dementia? -- Answer ✔✔ Cognitive impairment secondary to depression
t t t t t t t t t t t
that clears when treated in the elderly. Dementia won't improve.
t t t t t t t t t
Is it normal for a 1 month old to have a palmar grasp? -- Answer ✔✔ Yes.
t t t t t t t t t t t t t t t t
What is a drug 1/2 life? -- Answer ✔✔ The time it takes for 50% of a drug to be eliminated
t t t t t t t t t t t t t t t t t t t t t
from the body. t t
What 3 atypicals can be used with teens? -- Answer ✔✔ Zyprexa, Abilify, Seroquel - low
t t t t t t t t t t t t t t t t
doses
What is a risk of using Tramadol? -- Answer ✔✔ Serotonin Syndrome as it is very
t t t t t t t t t t t t t t t t
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? -- Answer ✔✔ HLAB-1502
t t t t t t t t t t t t t t t t
When might you see toxic epidermal necrolysis? -- Answer ✔✔ With worsening of SJS
t t t t t t t t t t t t t
How many generations do you include for a genogram? -- Answer ✔✔ 1st degree -
t t t t t t t t t t t t t t t
mother, father, siblings t t
2nd degree - grandparents & cousins
t t t t t
3rd degree -
t t
What does messenger RNA code for? -- Answer ✔✔ Amino Acids
t t t t t t t t t t
What is epigenetics? -- Answer ✔✔ Factors that affect genes - environmental, smoking,
t t t t t t t t t t t t t
stress, etc... t
What are some psychiatric side effects seen with some asthma drugs -- Answer ✔✔
t t t t t t t t t t t t t t
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
t t t t t t t t t t t
hallucinations, depression, insomnia, SI, tremor t t t t
,What should you watch for with Tegretol? -- Answer ✔✔ Agranulocytosis and
t t t t t t t t t t t t
Hyponatremia
What are the 3 CK muscle enzyme tests? -- Answer ✔✔ CKBB, CKMM, CKMB
t t t t t t t t t t t t t
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -- Answer ✔✔
t t t t t t t t t t t t t t t t
CKMB
What is the risk of a seriously elevated CKMB? -- Answer ✔✔ Polymyositis
t t t t t t t t t t t t
Rhabdo
What is a normal CKMB? -- Answer ✔✔ 0.3 mcg/L
t t t t t t t t t
What psychoactives does Detrol interact with? -- Answer ✔✔ Topamax
t t t t t t t t t
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -- Answer
t t t t t t t t t t t t t t t
✔✔ CN XI - Spinal Accessory
t t t t t
What do you see in labs with HIV & Dementia? -- Answer ✔✔ CD4 <200
t t t t t t t t t t t t t t
Viral Load is high
t t t
<20% get it with antiretroviral treatment
t t t t t
What is the scoring with the Beck Depression Inventory? -- Answer ✔✔ Self-Report - 0-
t t t t t t t t t t t t t t
63
0-13 - minimal
t t
14-19 - mildt t
20-28 - moderate
t t
29-63 - severe
t t
What is sensitivity? -- Answer ✔✔ Helps rule-out disease = True Positive = Snout
t t t t t t t t t t t t t
What is specificity? -- Answer ✔✔ Helps rule-in disease = True Negative = Spin
t t t t t t t t t t t t t
, What does a sed rate measure? -- Answer ✔✔ Inflammation (ESR - Erythrocyte
t t t t t t t t t t t t t
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. t t t t t t t t t t t
What is a normal sed rate or ESR? -- Answer ✔✔ 0-22 males
t t t t t t t t t t t t
0-29 females
t
What is dissemination? -- Answer ✔✔ Getting the research information out to those who
t t t t t t t t t t t t t t
need to know it!
t t t
Publication - highest level t t t
Presenting at National Conference t t t
Presenting at Local Conference t t t
Journal Club where one person reviews an article
t t t t t t t
What is a retic count? -- Answer ✔✔ Measures % of reticulocytes in blood (immature
t t t t t t t t t t t t t t t
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
t t t t t t t t t t
What does a decreased retic count indicate? -- Answer ✔✔ Anemia - acute or chronic
t t t t t t t t t t t t t t t
bleeding
What does an increased retic count indicate? -- Answer ✔✔ Bone marrow disorder or
t t t t t t t t t t t t t t
Vitamin Deficiency t
What does an abnormal retic count indicate in general? -- Answer ✔✔ Doesn't diagnose
t t t t t t t t t t t t t t
anything. First step is ID source of the issue.
t t t t t t t t
What happens when you mix Tegretol and macrolides? -- Answer ✔✔ Increase Tegretol
t t t t t t t t t t t t t
levels.
What happens if a pregnant women takes Accutane? -- Answer ✔✔ Birth defects.
t t t t t t t t t t t t
What labs do you get with RA? -- Answer ✔✔ Sed rate, RF, ANA, C reactive protein,
t t t t t t t t t t t t t t t t t
CBC, CMP, CRP - helps confirm diagnosis.
t t t t t t
CRP and ESR are both increased in RA but NOT in osteoarthritis.
t t t t t t t t t t t
CORRECTLY SOLVED ANSWERS.
What does a 17 on MMSE mean? -- Answer ✔✔ Moderate cognitive impairment
t t t t t t t t t t t t
What is Tegretol in the CYP450 system? -- Answer ✔✔ Inducer -->will lower dose of
t t t t t t t t t t t t t t t
Lamictal and BCP's t t
What do BCP's do to Lamictal? -- Answer ✔✔ Inducer - will lower dose of Lamictal
t t t t t t t t t t t t t t t
What is a Type I research error? -- Answer ✔✔ There IS a difference but you say there
t t t t t t t t t t t t t t t t t t
isn't a difference.
t t
What is a Type II research error? -- Answer ✔✔ There is NO difference but you say there
t t t t t t t t t t t t t t t t t t
is a difference.
t t
What part of the brain is involved with OCD? -- Answer ✔✔ Basal Ganglia
t t t t t t t t t t t t t
Occipito-Frontal
What happens to the brain during adolescence? -- Answer ✔✔ Dendritic pruning
t t t t t t t t t t t
Emotions are controlled by amygdala t t t t
By adulthood, PFC involved as well
t t t t t
When do males typically present with schizophrenia? -- Answer ✔✔ 10-25 yo
t t t t t t t t t t t
When do females typically present with schizophrenia? -- Answer ✔✔ 25-35 yo
t t t t t t t t t t t
What does Erythromycin to trileptal? -- Answer ✔✔ You will need to decreases the level
t t t t t t t t t t t t t t t
because Trileptal(inducer) and erythromycin is an inhibitor
t t t t t t
,ACE Inhibitors are the drug of choice for what? -- Answer ✔✔ Heart Failure
t t t t t t t t t t t t t
HTN
What is pseudo-dementia? -- Answer ✔✔ Cognitive impairment secondary to depression
t t t t t t t t t t t
that clears when treated in the elderly. Dementia won't improve.
t t t t t t t t t
Is it normal for a 1 month old to have a palmar grasp? -- Answer ✔✔ Yes.
t t t t t t t t t t t t t t t t
What is a drug 1/2 life? -- Answer ✔✔ The time it takes for 50% of a drug to be eliminated
t t t t t t t t t t t t t t t t t t t t t
from the body. t t
What 3 atypicals can be used with teens? -- Answer ✔✔ Zyprexa, Abilify, Seroquel - low
t t t t t t t t t t t t t t t t
doses
What is a risk of using Tramadol? -- Answer ✔✔ Serotonin Syndrome as it is very
t t t t t t t t t t t t t t t t
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? -- Answer ✔✔ HLAB-1502
t t t t t t t t t t t t t t t t
When might you see toxic epidermal necrolysis? -- Answer ✔✔ With worsening of SJS
t t t t t t t t t t t t t
How many generations do you include for a genogram? -- Answer ✔✔ 1st degree -
t t t t t t t t t t t t t t t
mother, father, siblings t t
2nd degree - grandparents & cousins
t t t t t
3rd degree -
t t
What does messenger RNA code for? -- Answer ✔✔ Amino Acids
t t t t t t t t t t
What is epigenetics? -- Answer ✔✔ Factors that affect genes - environmental, smoking,
t t t t t t t t t t t t t
stress, etc... t
What are some psychiatric side effects seen with some asthma drugs -- Answer ✔✔
t t t t t t t t t t t t t t
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
t t t t t t t t t t t
hallucinations, depression, insomnia, SI, tremor t t t t
,What should you watch for with Tegretol? -- Answer ✔✔ Agranulocytosis and
t t t t t t t t t t t t
Hyponatremia
What are the 3 CK muscle enzyme tests? -- Answer ✔✔ CKBB, CKMM, CKMB
t t t t t t t t t t t t t
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -- Answer ✔✔
t t t t t t t t t t t t t t t t
CKMB
What is the risk of a seriously elevated CKMB? -- Answer ✔✔ Polymyositis
t t t t t t t t t t t t
Rhabdo
What is a normal CKMB? -- Answer ✔✔ 0.3 mcg/L
t t t t t t t t t
What psychoactives does Detrol interact with? -- Answer ✔✔ Topamax
t t t t t t t t t
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -- Answer
t t t t t t t t t t t t t t t
✔✔ CN XI - Spinal Accessory
t t t t t
What do you see in labs with HIV & Dementia? -- Answer ✔✔ CD4 <200
t t t t t t t t t t t t t t
Viral Load is high
t t t
<20% get it with antiretroviral treatment
t t t t t
What is the scoring with the Beck Depression Inventory? -- Answer ✔✔ Self-Report - 0-
t t t t t t t t t t t t t t
63
0-13 - minimal
t t
14-19 - mildt t
20-28 - moderate
t t
29-63 - severe
t t
What is sensitivity? -- Answer ✔✔ Helps rule-out disease = True Positive = Snout
t t t t t t t t t t t t t
What is specificity? -- Answer ✔✔ Helps rule-in disease = True Negative = Spin
t t t t t t t t t t t t t
, What does a sed rate measure? -- Answer ✔✔ Inflammation (ESR - Erythrocyte
t t t t t t t t t t t t t
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. t t t t t t t t t t t
What is a normal sed rate or ESR? -- Answer ✔✔ 0-22 males
t t t t t t t t t t t t
0-29 females
t
What is dissemination? -- Answer ✔✔ Getting the research information out to those who
t t t t t t t t t t t t t t
need to know it!
t t t
Publication - highest level t t t
Presenting at National Conference t t t
Presenting at Local Conference t t t
Journal Club where one person reviews an article
t t t t t t t
What is a retic count? -- Answer ✔✔ Measures % of reticulocytes in blood (immature
t t t t t t t t t t t t t t t
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
t t t t t t t t t t
What does a decreased retic count indicate? -- Answer ✔✔ Anemia - acute or chronic
t t t t t t t t t t t t t t t
bleeding
What does an increased retic count indicate? -- Answer ✔✔ Bone marrow disorder or
t t t t t t t t t t t t t t
Vitamin Deficiency t
What does an abnormal retic count indicate in general? -- Answer ✔✔ Doesn't diagnose
t t t t t t t t t t t t t t
anything. First step is ID source of the issue.
t t t t t t t t
What happens when you mix Tegretol and macrolides? -- Answer ✔✔ Increase Tegretol
t t t t t t t t t t t t t
levels.
What happens if a pregnant women takes Accutane? -- Answer ✔✔ Birth defects.
t t t t t t t t t t t t
What labs do you get with RA? -- Answer ✔✔ Sed rate, RF, ANA, C reactive protein,
t t t t t t t t t t t t t t t t t
CBC, CMP, CRP - helps confirm diagnosis.
t t t t t t
CRP and ESR are both increased in RA but NOT in osteoarthritis.
t t t t t t t t t t t
