Georgette's LMR; Georgette's PMHNP Certification
Exam Test Questions And Answers Verified 100%
Correct
Alcohol is a form of _______-_________ and a __________ to the treatment of
depression. - ANSWER self-medication; barrier
Prozac can cause? Intervention? - ANSWER Insomnia; take in AM
Disorder that most greatly increases thoughts of self-harm? - ANSWER Depression
Disorder that most greatly increases homicidal ideation? - ANSWER Antisocial
personality
Why is there less evidence available supporting the use of antidepressants in children?
- ANSWER Lower placebo rates
Schizophrenia age of onset in men? Women? - ANSWER 18-25; 25-35
Findings on PET scan or MRI in schizophrenia? - ANSWER INCREASED ventricle size;
DECREASED everything else
No stimulants in schizophrenia due to? - ANSWER Increased dopamine release
Tertiary prevention for schizophrenia? - ANSWER Social skills training
Why should you refer a patient with schizophrenia to exercise programs, especially
aerobic exercise? - ANSWER It improves cognition, quality of life, and long term health
Benefits of assertive community treatment (ACT)? - ANSWER Rehab
posthospitalization, case management approach, and good for long term hx of
noncompliance
Oral haldol to IM conversion? - ANSWER 20x daily dose of oral dose
Max IM dose of haldol per visit? How long until next injection? - ANSWER 100 mg; 5-7
,days
5 mg oral haldol BID = ? IM - ANSWER 200 mg
Firm belief that is maintained despite lack of evidence? - ANSWER Delusion
Example of a delusion? - ANSWER Believing church members or class members are a
cult
MSE in preschooler (3-5 yo)? - ANSWER Listen and observe; dependent on clinical
observation
Thought process? - ANSWER Organization of patients thoughts and ideas
Circumstantial speech? - ANSWER Go in circles but eventually answers
Tangential speech? - ANSWER Never gets to answer of question
Thought content? - ANSWER What themes occupy patient's mind; i.e. SI, HI, and A/VH
MMSE also known as? - ANSWER Folstein scale
Serial 7s or months backwards assesses patient's? - ANSWER Concentration,
attention, and calculation
Name 3 objects assesses? - ANSWER Registration
Name 3 objects after 5 minutes assesses? - ANSWER Recall/memory
Asking patient to name president of governor assesses? - ANSWER Fund of knowledge
If a clock drawing test is abnormal this indicates? - ANSWER Right parietal
lobe/hemisphere damage
What makes SGAs different from FGAs? - ANSWER 5HT2A = less likely to experience
EPS
SGAs that can be administered IM? - ANSWER Invega, geodon, zyprexa, and abilify
Mesolimbic DA pathway? - ANSWER Increased DA leads to + symptoms
Mesocortical DA pathway? - ANSWER Decreased dopamine leads to - symptoms
Nigrostriatal DA pathway? - ANSWER Decreased dopamine and increased
acetylcholine lead to EPS (dystonia, akathisia, and TD)
, Tuberoinfundibular pathway? - ANSWER Decreased dopamine and increased prolactin
lead to amenorrhea, galactorrhea, sexual dysfunction, and gynecomastia
Long term increased prolactin causes? - ANSWER Osteoporosis
Normal prolactin levels for men? Women? - ANSWER <20; <25
Which CYP450 enzyme metabolizes clozaril? - ANSWER 1A2
Cigarettes are inducers of what CYP450 enzyme? - ANSWER 1A2
Cigarette smoking in patients taking clozaril requires increased or decreased doses? -
ANSWER Increased
Cigarette cessation in patients taking clozaril requires increased or decreased doses? -
ANSWER Decreased
Most antibiotics are inducers or inhibitors? Intervention with substrate? - ANSWER
Inhibitors; reduce substrate
Medications that cause mania? - ANSWER Steroids, antabuse, isoniazid (INH), and
antidepressants in patients with bipolar disorder
Medications that cause depression? - ANSWER Steroids, accutane, interferon,
retrovirals, antineoplastics, BZDs, progesterone, and beta blockers
Accutane can cause? - ANSWER Birth defects
Steroids can also cause? - ANSWER Psychosis
Intervention for patient on flonase or prednisone? - ANSWER Increase mood stabilizer,
antidepressant, or antipsychotic based on targeted disorder
Neurotransmitters indicated in addiction? - ANSWER Dopamine and GABA
S/S of stimulant abuse? - ANSWER Insomnia, anxiety, irritability, tremors, palpitations,
increased HR, and increased BP
Patients with anorexia complain of pain, bloating, and fullness with eating due to? -
ANSWER Delayed gastric emptying
Other causes of delayed gastric emptying? - ANSWER Ranitidine, famotidine, and
omeprazole
Exam Test Questions And Answers Verified 100%
Correct
Alcohol is a form of _______-_________ and a __________ to the treatment of
depression. - ANSWER self-medication; barrier
Prozac can cause? Intervention? - ANSWER Insomnia; take in AM
Disorder that most greatly increases thoughts of self-harm? - ANSWER Depression
Disorder that most greatly increases homicidal ideation? - ANSWER Antisocial
personality
Why is there less evidence available supporting the use of antidepressants in children?
- ANSWER Lower placebo rates
Schizophrenia age of onset in men? Women? - ANSWER 18-25; 25-35
Findings on PET scan or MRI in schizophrenia? - ANSWER INCREASED ventricle size;
DECREASED everything else
No stimulants in schizophrenia due to? - ANSWER Increased dopamine release
Tertiary prevention for schizophrenia? - ANSWER Social skills training
Why should you refer a patient with schizophrenia to exercise programs, especially
aerobic exercise? - ANSWER It improves cognition, quality of life, and long term health
Benefits of assertive community treatment (ACT)? - ANSWER Rehab
posthospitalization, case management approach, and good for long term hx of
noncompliance
Oral haldol to IM conversion? - ANSWER 20x daily dose of oral dose
Max IM dose of haldol per visit? How long until next injection? - ANSWER 100 mg; 5-7
,days
5 mg oral haldol BID = ? IM - ANSWER 200 mg
Firm belief that is maintained despite lack of evidence? - ANSWER Delusion
Example of a delusion? - ANSWER Believing church members or class members are a
cult
MSE in preschooler (3-5 yo)? - ANSWER Listen and observe; dependent on clinical
observation
Thought process? - ANSWER Organization of patients thoughts and ideas
Circumstantial speech? - ANSWER Go in circles but eventually answers
Tangential speech? - ANSWER Never gets to answer of question
Thought content? - ANSWER What themes occupy patient's mind; i.e. SI, HI, and A/VH
MMSE also known as? - ANSWER Folstein scale
Serial 7s or months backwards assesses patient's? - ANSWER Concentration,
attention, and calculation
Name 3 objects assesses? - ANSWER Registration
Name 3 objects after 5 minutes assesses? - ANSWER Recall/memory
Asking patient to name president of governor assesses? - ANSWER Fund of knowledge
If a clock drawing test is abnormal this indicates? - ANSWER Right parietal
lobe/hemisphere damage
What makes SGAs different from FGAs? - ANSWER 5HT2A = less likely to experience
EPS
SGAs that can be administered IM? - ANSWER Invega, geodon, zyprexa, and abilify
Mesolimbic DA pathway? - ANSWER Increased DA leads to + symptoms
Mesocortical DA pathway? - ANSWER Decreased dopamine leads to - symptoms
Nigrostriatal DA pathway? - ANSWER Decreased dopamine and increased
acetylcholine lead to EPS (dystonia, akathisia, and TD)
, Tuberoinfundibular pathway? - ANSWER Decreased dopamine and increased prolactin
lead to amenorrhea, galactorrhea, sexual dysfunction, and gynecomastia
Long term increased prolactin causes? - ANSWER Osteoporosis
Normal prolactin levels for men? Women? - ANSWER <20; <25
Which CYP450 enzyme metabolizes clozaril? - ANSWER 1A2
Cigarettes are inducers of what CYP450 enzyme? - ANSWER 1A2
Cigarette smoking in patients taking clozaril requires increased or decreased doses? -
ANSWER Increased
Cigarette cessation in patients taking clozaril requires increased or decreased doses? -
ANSWER Decreased
Most antibiotics are inducers or inhibitors? Intervention with substrate? - ANSWER
Inhibitors; reduce substrate
Medications that cause mania? - ANSWER Steroids, antabuse, isoniazid (INH), and
antidepressants in patients with bipolar disorder
Medications that cause depression? - ANSWER Steroids, accutane, interferon,
retrovirals, antineoplastics, BZDs, progesterone, and beta blockers
Accutane can cause? - ANSWER Birth defects
Steroids can also cause? - ANSWER Psychosis
Intervention for patient on flonase or prednisone? - ANSWER Increase mood stabilizer,
antidepressant, or antipsychotic based on targeted disorder
Neurotransmitters indicated in addiction? - ANSWER Dopamine and GABA
S/S of stimulant abuse? - ANSWER Insomnia, anxiety, irritability, tremors, palpitations,
increased HR, and increased BP
Patients with anorexia complain of pain, bloating, and fullness with eating due to? -
ANSWER Delayed gastric emptying
Other causes of delayed gastric emptying? - ANSWER Ranitidine, famotidine, and
omeprazole
