LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM BANK LATEST 530+
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)
Where is Norepinephrine produced? - CORRECT ANSWER ✔✔- locus coeruleus
Where is serotonin produced? - CORRECT ANSWER ✔✔- raphe nuclei
Where is epinephrine produced? - CORRECT ANSWER ✔✔- adrenal glands
Where is dopamine produced? - CORRECT ANSWER ✔✔- substantia nigra and
ventral tegmental area
Where is GABA synthesized? - CORRECT ANSWER ✔✔- limbic system
s/s of acute dystonia - CORRECT ANSWER ✔✔- Severe spasm of the tongue,
neck, eyes, face and back; laryngeal spasms (mutism)
What two medications have the highest risk of agranulocytosis and aplastic
anemia? - CORRECT ANSWER ✔✔- Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection? - CORRECT ANSWER
✔✔- Sore throats, sores in mouth/gums, fever
1|Page
,When should you discontinue Clozaril or Tegretol? - CORRECT ANSWER ✔✔-
WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol? - CORRECT ANSWER
✔✔- For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal? - CORRECT
ANSWER ✔✔- Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever and severe
headache? - CORRECT ANSWER ✔✔- Aspetic meningitis
What three antipsychotics have very low weight gaining effects? - CORRECT
ANSWER ✔✔- Geodon, Abilify, and Latuda
Mini-Cog - CORRECT ANSWER ✔✔- 3 word recall and
clock drawing
MMSE scoring - CORRECT ANSWER ✔✔- 24-30 severe impairment
18-23 mild impairment
17 and less no impairment
What happens during pruning? - CORRECT ANSWER ✔✔- Brain eliminates
extra synapses during infancy
autism and pruning - CORRECT ANSWER ✔✔- Excess synapses caused by
under-pruning (patient oversensitive to light/sounds and seizures)
2|Page
,schizophrenia and pruning - CORRECT ANSWER ✔✔- Fewer synapses caused
by over-pruning
grey matter vs white matter - CORRECT ANSWER ✔✔- Grey matter- synapses,
working area of brain, dendrites
White matter- myelinated axons
axons and dendrites - CORRECT ANSWER ✔✔- axon away from cell and
dendrites to neuron's cell body
CNS is made up of - CORRECT ANSWER ✔✔- brain and spinal cord
PNS consists of - CORRECT ANSWER ✔✔- cranial nerves and spinal nerves-
responsible for voluntary movement
somatic nervous system - CORRECT ANSWER ✔✔- the division of the
peripheral nervous system that controls the body's skeletal muscles
autonomic nervous system - CORRECT ANSWER ✔✔- the part of the peripheral
nervous system that controls the glands and the muscles of the internal organs
parasympathetic nervous system - CORRECT ANSWER ✔✔- the division of the
autonomic nervous system that calms the body, conserving its energy
3|Page
, sympathetic nervous system - CORRECT ANSWER ✔✔- the division of the
autonomic nervous system that arouses the body, mobilizing its energy in stressful
situations
prefrontal cortex - CORRECT ANSWER ✔✔- part of frontal lobe responsible for
thinking, planning, and language
What part of the brain is responsible for perception of pain? - CORRECT
ANSWER ✔✔- Prefrontal cortex- Explains TMS
What is the dorsolateral prefrontal cortex responsible for? - CORRECT ANSWER
✔✔- Executive functioning- undergoes maturation until adulthood
orbitofrontal cortex - CORRECT ANSWER ✔✔- a region of the brain that
controls impulses and attention (ADHD explained)
frontal lobe - CORRECT ANSWER ✔✔- associated with reasoning, planning,
parts of speech (Broca-forming), movement, emotions, and problem solving
parietal lobe - CORRECT ANSWER ✔✔- A region of the cerebral cortex whose
functions include memory, attention, perception, cognition, taste, and
reading/writing
occipital lobe - CORRECT ANSWER ✔✔- A region of the cerebral cortex that
processes visual information
temporal lobe - CORRECT ANSWER ✔✔- A region of the cerebral cortex
responsible for hearing, agnosia, and language (Wernicke's area-receptive speech)
4|Page
CERTIFICATION EXAM BANK LATEST 530+
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)
Where is Norepinephrine produced? - CORRECT ANSWER ✔✔- locus coeruleus
Where is serotonin produced? - CORRECT ANSWER ✔✔- raphe nuclei
Where is epinephrine produced? - CORRECT ANSWER ✔✔- adrenal glands
Where is dopamine produced? - CORRECT ANSWER ✔✔- substantia nigra and
ventral tegmental area
Where is GABA synthesized? - CORRECT ANSWER ✔✔- limbic system
s/s of acute dystonia - CORRECT ANSWER ✔✔- Severe spasm of the tongue,
neck, eyes, face and back; laryngeal spasms (mutism)
What two medications have the highest risk of agranulocytosis and aplastic
anemia? - CORRECT ANSWER ✔✔- Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection? - CORRECT ANSWER
✔✔- Sore throats, sores in mouth/gums, fever
1|Page
,When should you discontinue Clozaril or Tegretol? - CORRECT ANSWER ✔✔-
WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol? - CORRECT ANSWER
✔✔- For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or Lamictal? - CORRECT
ANSWER ✔✔- Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with a fever and severe
headache? - CORRECT ANSWER ✔✔- Aspetic meningitis
What three antipsychotics have very low weight gaining effects? - CORRECT
ANSWER ✔✔- Geodon, Abilify, and Latuda
Mini-Cog - CORRECT ANSWER ✔✔- 3 word recall and
clock drawing
MMSE scoring - CORRECT ANSWER ✔✔- 24-30 severe impairment
18-23 mild impairment
17 and less no impairment
What happens during pruning? - CORRECT ANSWER ✔✔- Brain eliminates
extra synapses during infancy
autism and pruning - CORRECT ANSWER ✔✔- Excess synapses caused by
under-pruning (patient oversensitive to light/sounds and seizures)
2|Page
,schizophrenia and pruning - CORRECT ANSWER ✔✔- Fewer synapses caused
by over-pruning
grey matter vs white matter - CORRECT ANSWER ✔✔- Grey matter- synapses,
working area of brain, dendrites
White matter- myelinated axons
axons and dendrites - CORRECT ANSWER ✔✔- axon away from cell and
dendrites to neuron's cell body
CNS is made up of - CORRECT ANSWER ✔✔- brain and spinal cord
PNS consists of - CORRECT ANSWER ✔✔- cranial nerves and spinal nerves-
responsible for voluntary movement
somatic nervous system - CORRECT ANSWER ✔✔- the division of the
peripheral nervous system that controls the body's skeletal muscles
autonomic nervous system - CORRECT ANSWER ✔✔- the part of the peripheral
nervous system that controls the glands and the muscles of the internal organs
parasympathetic nervous system - CORRECT ANSWER ✔✔- the division of the
autonomic nervous system that calms the body, conserving its energy
3|Page
, sympathetic nervous system - CORRECT ANSWER ✔✔- the division of the
autonomic nervous system that arouses the body, mobilizing its energy in stressful
situations
prefrontal cortex - CORRECT ANSWER ✔✔- part of frontal lobe responsible for
thinking, planning, and language
What part of the brain is responsible for perception of pain? - CORRECT
ANSWER ✔✔- Prefrontal cortex- Explains TMS
What is the dorsolateral prefrontal cortex responsible for? - CORRECT ANSWER
✔✔- Executive functioning- undergoes maturation until adulthood
orbitofrontal cortex - CORRECT ANSWER ✔✔- a region of the brain that
controls impulses and attention (ADHD explained)
frontal lobe - CORRECT ANSWER ✔✔- associated with reasoning, planning,
parts of speech (Broca-forming), movement, emotions, and problem solving
parietal lobe - CORRECT ANSWER ✔✔- A region of the cerebral cortex whose
functions include memory, attention, perception, cognition, taste, and
reading/writing
occipital lobe - CORRECT ANSWER ✔✔- A region of the cerebral cortex that
processes visual information
temporal lobe - CORRECT ANSWER ✔✔- A region of the cerebral cortex
responsible for hearing, agnosia, and language (Wernicke's area-receptive speech)
4|Page
