LMR Georgette’s PMHNP Certification Exam Latest 2023-2024
actual complete real exam Questions And Correct
Answers(Verified Answers) A GRADED.
Why dose cimetidine, zantac, and omeprazole 2 hours apart from
Risperdal? - ANSWER-They are inhibitors and will decrease the
absorption of Risperdal in liver
What alpha 2 delta ligands are approved for neuropathic pain tx?
– ANSWER-Lyrica and gabapentin
Celexa and Lexapro side effect - ANSWER-Prolonged QT interval
Effexor side effect - ANSWER-elevated bp
What emergency may be occuring if patient on depakote reports
upper abdominal pain? - ANSWER-Pancreatitis
What lab should you check if patient has right upper quadrant
pain and dark brown urine? - ANSWER-LFTs
What lab means pregnancy? - ANSWER-HCG
,Why is Clozaril used? - ANSWER-Treatment resistant
schizophrenia, improves SI, and improves negative symptoms of
schizophrenia
What do you do if patient is prescribed both depakote and
lamictal? – ANSWER-Decreased lamictal dose by 50%
Depakote and pregnancy - ANSWER-Spina bifida
What may be the issue if a patient on Lamictal presents with a
fever and severe headache? - ANSWER-Aspetic meningitis
What three antipsychotics have very low weight gaining effects?
– ANSWER-Geodon, Abilify, and Latuda
What two medications have the highest risk of agranulocytosis
and aplastic anemia? - ANSWER-Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection? -
ANSWER-Sore throats, sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol? - ANSWER-
WBC < 2000 or
ANC <1000
,What should you check in Asian patients taking Tegretol? -
ANSWER-For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal?
- ANSWER-
Toxic epidermal necrosis and SJS
false positives - ANSWER-benzos- zoloft
what to avoid with MAOIs - ANSWER-Tyramine (aged cheese,
wine, pickled herring)
What can happen when TCAs and MAOIs are combined? -
ANSWER-Increased norepinephrine causing a hypertensive
crisis (flushing, explosive headache in the back of head)
How to treat hypertensive crisis from MAOI and TCA combo -
ANSWER-
Phentolamine
What is 1st line antidepressant for children? - ANSWER-Prozac
Tx OCD in kids - ANSWER-Zoloft
, How long to wait between MAOI and SSRI - ANSWER-14 days
How long is the wash-out period between MAOI and Prozac? -
ANSWER-5 weeks
somatic nervous system - ANSWER-the division of the
peripheral nervous system that controls the body's skeletal
muscles
autonomic nervous system - ANSWER-the part of the peripheral
nervous system that controls the glands and the muscles of the
internal organs
parasympathetic nervous system - ANSWER-the division of the
autonomic nervous system that calms the body, conserving its
energy
sympathetic nervous system - ANSWER-the division of the
autonomic nervous system that arouses the body, mobilizing its
energy in stressful situations
prefrontal cortex - ANSWER-part of frontal lobe responsible for
thinking, planning, and language
actual complete real exam Questions And Correct
Answers(Verified Answers) A GRADED.
Why dose cimetidine, zantac, and omeprazole 2 hours apart from
Risperdal? - ANSWER-They are inhibitors and will decrease the
absorption of Risperdal in liver
What alpha 2 delta ligands are approved for neuropathic pain tx?
– ANSWER-Lyrica and gabapentin
Celexa and Lexapro side effect - ANSWER-Prolonged QT interval
Effexor side effect - ANSWER-elevated bp
What emergency may be occuring if patient on depakote reports
upper abdominal pain? - ANSWER-Pancreatitis
What lab should you check if patient has right upper quadrant
pain and dark brown urine? - ANSWER-LFTs
What lab means pregnancy? - ANSWER-HCG
,Why is Clozaril used? - ANSWER-Treatment resistant
schizophrenia, improves SI, and improves negative symptoms of
schizophrenia
What do you do if patient is prescribed both depakote and
lamictal? – ANSWER-Decreased lamictal dose by 50%
Depakote and pregnancy - ANSWER-Spina bifida
What may be the issue if a patient on Lamictal presents with a
fever and severe headache? - ANSWER-Aspetic meningitis
What three antipsychotics have very low weight gaining effects?
– ANSWER-Geodon, Abilify, and Latuda
What two medications have the highest risk of agranulocytosis
and aplastic anemia? - ANSWER-Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection? -
ANSWER-Sore throats, sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol? - ANSWER-
WBC < 2000 or
ANC <1000
,What should you check in Asian patients taking Tegretol? -
ANSWER-For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal?
- ANSWER-
Toxic epidermal necrosis and SJS
false positives - ANSWER-benzos- zoloft
what to avoid with MAOIs - ANSWER-Tyramine (aged cheese,
wine, pickled herring)
What can happen when TCAs and MAOIs are combined? -
ANSWER-Increased norepinephrine causing a hypertensive
crisis (flushing, explosive headache in the back of head)
How to treat hypertensive crisis from MAOI and TCA combo -
ANSWER-
Phentolamine
What is 1st line antidepressant for children? - ANSWER-Prozac
Tx OCD in kids - ANSWER-Zoloft
, How long to wait between MAOI and SSRI - ANSWER-14 days
How long is the wash-out period between MAOI and Prozac? -
ANSWER-5 weeks
somatic nervous system - ANSWER-the division of the
peripheral nervous system that controls the body's skeletal
muscles
autonomic nervous system - ANSWER-the part of the peripheral
nervous system that controls the glands and the muscles of the
internal organs
parasympathetic nervous system - ANSWER-the division of the
autonomic nervous system that calms the body, conserving its
energy
sympathetic nervous system - ANSWER-the division of the
autonomic nervous system that arouses the body, mobilizing its
energy in stressful situations
prefrontal cortex - ANSWER-part of frontal lobe responsible for
thinking, planning, and language
