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A 72-year-old female presents to the emergency department for altered mental
status. Her urine analysis is negative, and her labs are normal. She has been
referred to psychiatry for dementia. The patient's husband reports increasing
forgetfulness over the last 6 months, walking as if her feet are stuck to the ground,
and most recently episodes of urinary incontinence. Based on the signs and
symptoms which of the following diagnostic tests should the PMHNP order to rule
out an underlying condition? - 🧠 ANSWER ✔✔Noncontrast head CT scan
A 62-year-old woman formerly employed as a receptionist reports progressive
word-finding difficulty over the past 6 months that caused her so much anxiety she
quit her job. Her daughter has become increasingly impatient waiting for her to
finish her sentences but she has now become depressed due to the relational strain.
She denies any other behavioral problems. Which of the following diagnostic tests
would be most appropriate? - 🧠 ANSWER ✔✔Brain MRI with and without
contrast
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, A 26-year-old female is diagnosed with psychosis not otherwise specified (NOS)
and substance use disorder. Which of the following lab tests should be ordered
prior to starting antipsychotic medications? - 🧠 ANSWER ✔✔Hemoglobin A1C,
lipid profile, EKG
A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the consulting
PMHNP order given these symptoms? - 🧠 ANSWER ✔✔Urinary porphobilinogen
A woman who discovers her husband has committed suicide in the middle of the
night decides to tell her 4- and 6-year-old children the next morning that the reason
daddy is not here today is that he went to work. Based on their developmental
stage, what might they assume when mommy says she is going to work? - 🧠
ANSWER ✔✔Going to work means you are not coming home
A patient with familial fatty liver disease and elevated liver enzymes secondary to
alcohol use disorder is admitted for detox. Which of the following benzodiazepines
should not be used? - 🧠 ANSWER ✔✔Chlorodiazepoxide
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COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED