Final Exam PMHNP with Correct Questions
& Verified Answers Graded
What is a retic count? - ANS✔✔--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? - ANS✔✔--Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - ANS✔✔--Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANS✔✔--Doesn't diagnose
anything. First step is ID source of the issue.
What is a Type II research error? - ANS✔✔--There is NO difference but you say there
is a difference.
What is pseudo-dementia? - ANS✔✔--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? - ANS✔✔--Yes.
What is a drug 1/2 life? - ANS✔✔--The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - ANS✔✔--Zyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? - ANS✔✔--Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANS✔✔--HLAB-
1502
When might you see toxic epidermal necrolysis? - ANS✔✔--With worsening of SJS
How many generations do you include for a genogram? - ANS✔✔--1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
,What does messenger RNA code for? - ANS✔✔--Amino Acids
What is epigenetics? - ANS✔✔--Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ANS✔✔--Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANS✔✔--Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANS✔✔--10-25 yo
When do females typically present with schizophrenia? - ANS✔✔--25-35 yo
What does Erythromycin to trileptal? - ANS✔✔--You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANS✔✔--Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANS✔✔--
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANS✔✔--Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANS✔✔--CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANS✔✔--CKMB
What is the risk of a seriously elevated CKMB? - ANS✔✔--Polymyositis
Rhabdo
What is a normal CKMB? - ANS✔✔--0.3 mcg/L
What psychoactives does Detrol interact with? - ANS✔✔--Topamax
KCL
Zonegran
,What CN are you assessing when you have the patient shrug their shoulders? -
ANS✔✔--CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANS✔✔--CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
DBT (dialectical behavior therapy) - ANS✔✔--relaxation muscle prior to DBT
Greatest patient at risk for Violence - ANS✔✔--Substance abuse
EMDR (eye movement desensitization and reprocessing) - ANS✔✔--eye movement
desensitization and reprocessing
What is dissemination? - ANS✔✔--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? - ANS✔✔--Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANS✔✔--Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANS✔✔--Inducer - will lower dose of Lamictal
What is a Type I research error? - ANS✔✔--There IS a difference but you say there
isn't a difference.
What is the scoring with the Beck Depression Inventory? - ANS✔✔--Self-Report - 0-
63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANS✔✔--Helps rule-out disease = True Positive = Snout
What is specificity? - ANS✔✔--Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANS✔✔--Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
, What is a normal sed rate or ESR? - ANS✔✔--0-22 males
0-29 females
What happens when you mix tegretol and macrolides? - ANS✔✔--Increase tegretol
levels.
What happens if a pregnant women takes Accutane? - ANS✔✔--Birth defects.
What labs do you get with RA? - ANS✔✔--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? - ANS✔✔--ANA
When do you assume informed consent? - ANS✔✔--Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANS✔✔--Same
as with informed consent
Who can declare a patient incompetent and appoint a guardian? - ANS✔✔--Only a
court
Does impaired judgment mean one is incompetent? - ANS✔✔--No.
Can an advanced directive ever be revoked? - ANS✔✔--Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in
Fact? - ANS✔✔--Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - ANS✔✔--No.
How do Asians see HC providers? - ANS✔✔--As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? -
ANS✔✔--SIgn of respect
What is the evil eye? - ANS✔✔--When a stronger or more powerful person looks at a
weaker person - often infant/child resulting in a hex which presents in illness such as
HA, fever, diarrhea, disturbed sleep, increased fussiness.
& Verified Answers Graded
What is a retic count? - ANS✔✔--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? - ANS✔✔--Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - ANS✔✔--Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANS✔✔--Doesn't diagnose
anything. First step is ID source of the issue.
What is a Type II research error? - ANS✔✔--There is NO difference but you say there
is a difference.
What is pseudo-dementia? - ANS✔✔--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? - ANS✔✔--Yes.
What is a drug 1/2 life? - ANS✔✔--The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - ANS✔✔--Zyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? - ANS✔✔--Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANS✔✔--HLAB-
1502
When might you see toxic epidermal necrolysis? - ANS✔✔--With worsening of SJS
How many generations do you include for a genogram? - ANS✔✔--1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
,What does messenger RNA code for? - ANS✔✔--Amino Acids
What is epigenetics? - ANS✔✔--Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ANS✔✔--Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANS✔✔--Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANS✔✔--10-25 yo
When do females typically present with schizophrenia? - ANS✔✔--25-35 yo
What does Erythromycin to trileptal? - ANS✔✔--You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANS✔✔--Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANS✔✔--
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANS✔✔--Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANS✔✔--CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANS✔✔--CKMB
What is the risk of a seriously elevated CKMB? - ANS✔✔--Polymyositis
Rhabdo
What is a normal CKMB? - ANS✔✔--0.3 mcg/L
What psychoactives does Detrol interact with? - ANS✔✔--Topamax
KCL
Zonegran
,What CN are you assessing when you have the patient shrug their shoulders? -
ANS✔✔--CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANS✔✔--CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
DBT (dialectical behavior therapy) - ANS✔✔--relaxation muscle prior to DBT
Greatest patient at risk for Violence - ANS✔✔--Substance abuse
EMDR (eye movement desensitization and reprocessing) - ANS✔✔--eye movement
desensitization and reprocessing
What is dissemination? - ANS✔✔--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? - ANS✔✔--Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANS✔✔--Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANS✔✔--Inducer - will lower dose of Lamictal
What is a Type I research error? - ANS✔✔--There IS a difference but you say there
isn't a difference.
What is the scoring with the Beck Depression Inventory? - ANS✔✔--Self-Report - 0-
63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANS✔✔--Helps rule-out disease = True Positive = Snout
What is specificity? - ANS✔✔--Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANS✔✔--Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
, What is a normal sed rate or ESR? - ANS✔✔--0-22 males
0-29 females
What happens when you mix tegretol and macrolides? - ANS✔✔--Increase tegretol
levels.
What happens if a pregnant women takes Accutane? - ANS✔✔--Birth defects.
What labs do you get with RA? - ANS✔✔--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? - ANS✔✔--ANA
When do you assume informed consent? - ANS✔✔--Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANS✔✔--Same
as with informed consent
Who can declare a patient incompetent and appoint a guardian? - ANS✔✔--Only a
court
Does impaired judgment mean one is incompetent? - ANS✔✔--No.
Can an advanced directive ever be revoked? - ANS✔✔--Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in
Fact? - ANS✔✔--Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - ANS✔✔--No.
How do Asians see HC providers? - ANS✔✔--As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? -
ANS✔✔--SIgn of respect
What is the evil eye? - ANS✔✔--When a stronger or more powerful person looks at a
weaker person - often infant/child resulting in a hex which presents in illness such as
HA, fever, diarrhea, disturbed sleep, increased fussiness.
