LMR Georgette’s PMHNP Certification Exam
Latest 2023-2024 Questions And Correct
Answers(Verified Answers)
Save
Terms in this set (246)
What do you do if a Check renal function
patient on lithium has dark
brown urine?
What do you do if a Check ANC level to assess for agranulocytosis
patient presents with fever
while on Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava,
syndrome? and Tryptophan
What labs are indicative of Elevated WBC (over 11,000) and elevated CPK
NMS?
muscle rigidity, hyperthermia, tachycardia, abnormal
S/S of NMS bp, sweating, altered mental status, cherry colored
urine
What should you do if a Check for rhabdo with CPK
patient presents with
cherry colored urine?
hyperreflexia, muscle spasms, myoclonus (involuntary
s/s of serotonin syndrome
muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to bromocriptine (Parlodel)- D2 agonist dantrolene-
give with NMS? muscle relaxer
,What medication to give cyproheptadine (Periactin)- 5HT-2A receptor
during SS? antagonist
What is the onset and Slow onset (1-2 weeks after changing or starting
typical length of NMS? therapy) and resolves within 9-14 days
Within 24 hours of starting/changing medication and
What is the onset of SS?
resolves within a few days
How do you distinguish NMS has a slower onset while acute dystonia occurs
between NMS and acute within hours
dystonia?
What happens with lithium Increased risk of lithium toxicity (gout meds,
and NSAIDs? ibuprophen, naproxen, etc.)
What happens with lithium Increased risk of lithium toxicity related to the
and ACE inhibitors? increased urination from the ACE inhibitors
Why should a patient on Risk of fatal nephrotoxicity
lithium avoid calcium
channel blockers?
What is a fetal side effect Epstein's anomaly
of lithium?
What lab should you Specific gravity to assess for dehydration (dehydration
check for athletes on is >1.015)
lithium?
What do you do if the Do not give the next dose and assess for s/s
lithium level is 1.3?
At what level is lithium >3
toxicity a medical
emergency?
vomiting, diarrhea, slurred speech, hand tremor, dry
S/S of lithium toxicity
mouth/thirst, muscle weakness/twitching
Why check an EKG with Inverted T-waves
lithium?
, What medication should Synthroid
treat hypothyroidism
caused by lithium use?
What do you do if patient Decreased lamictal dose by 50%
is prescribed both
depakote and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be Pancreatitis
occuring if patient on
depakote reports upper
abdominal pain?
What lab should you LFTs
check if patient has right
upper quadrant pain and
dark brown urine?
What lab means HCG
pregnancy?
Treatment resistant schizophrenia, improves SI, and
Why is Clozaril used?
improves negative symptoms of schizophrenia
What two medications Clozaril and Tegretol
have the highest risk of
agranulocytosis and
aplastic anemia?
What symptoms may Sore throats, sores in mouth/gums, fever
mean a Clozaril induced
infection?
When should you WBC < 2000 or ANC <1000
discontinue Clozaril or
Tegretol?
What should you check in For the HLA-B*1502 allele (higher risk of SJS)
Asian patients taking
Tegretol?
Latest 2023-2024 Questions And Correct
Answers(Verified Answers)
Save
Terms in this set (246)
What do you do if a Check renal function
patient on lithium has dark
brown urine?
What do you do if a Check ANC level to assess for agranulocytosis
patient presents with fever
while on Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava,
syndrome? and Tryptophan
What labs are indicative of Elevated WBC (over 11,000) and elevated CPK
NMS?
muscle rigidity, hyperthermia, tachycardia, abnormal
S/S of NMS bp, sweating, altered mental status, cherry colored
urine
What should you do if a Check for rhabdo with CPK
patient presents with
cherry colored urine?
hyperreflexia, muscle spasms, myoclonus (involuntary
s/s of serotonin syndrome
muscle jerk), fever, tachycardia, HTN, shits and shivers
What two medications to bromocriptine (Parlodel)- D2 agonist dantrolene-
give with NMS? muscle relaxer
,What medication to give cyproheptadine (Periactin)- 5HT-2A receptor
during SS? antagonist
What is the onset and Slow onset (1-2 weeks after changing or starting
typical length of NMS? therapy) and resolves within 9-14 days
Within 24 hours of starting/changing medication and
What is the onset of SS?
resolves within a few days
How do you distinguish NMS has a slower onset while acute dystonia occurs
between NMS and acute within hours
dystonia?
What happens with lithium Increased risk of lithium toxicity (gout meds,
and NSAIDs? ibuprophen, naproxen, etc.)
What happens with lithium Increased risk of lithium toxicity related to the
and ACE inhibitors? increased urination from the ACE inhibitors
Why should a patient on Risk of fatal nephrotoxicity
lithium avoid calcium
channel blockers?
What is a fetal side effect Epstein's anomaly
of lithium?
What lab should you Specific gravity to assess for dehydration (dehydration
check for athletes on is >1.015)
lithium?
What do you do if the Do not give the next dose and assess for s/s
lithium level is 1.3?
At what level is lithium >3
toxicity a medical
emergency?
vomiting, diarrhea, slurred speech, hand tremor, dry
S/S of lithium toxicity
mouth/thirst, muscle weakness/twitching
Why check an EKG with Inverted T-waves
lithium?
, What medication should Synthroid
treat hypothyroidism
caused by lithium use?
What do you do if patient Decreased lamictal dose by 50%
is prescribed both
depakote and lamictal?
Depakote and pregnancy Spina bifida
What emergency may be Pancreatitis
occuring if patient on
depakote reports upper
abdominal pain?
What lab should you LFTs
check if patient has right
upper quadrant pain and
dark brown urine?
What lab means HCG
pregnancy?
Treatment resistant schizophrenia, improves SI, and
Why is Clozaril used?
improves negative symptoms of schizophrenia
What two medications Clozaril and Tegretol
have the highest risk of
agranulocytosis and
aplastic anemia?
What symptoms may Sore throats, sores in mouth/gums, fever
mean a Clozaril induced
infection?
When should you WBC < 2000 or ANC <1000
discontinue Clozaril or
Tegretol?
What should you check in For the HLA-B*1502 allele (higher risk of SJS)
Asian patients taking
Tegretol?
