PMHNP BOARDS EXAM QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTION
What is dissemination? - ANSWER>>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? - ANSWER>>Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER>>Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER>>Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER>>There IS a difference but you say
there isn't a difference.
What is a Type II research error? - ANSWER>>There is NO difference but you say
there is a difference.
What is pseudo-dementia? - ANSWER>>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? - ANSWER>>Yes.
,What is a drug 1/2 life? - ANSWER>>The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - ANSWER>>Zyprexa, Abilify, Seroquel -
low doses
What is a risk of using Tramadol? - ANSWER>>Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER>>HLAB-
1502
When might you see toxic epidermal necrolysis? - ANSWER>>With worsening of
SJS
How many generations do you include for a genogram? - ANSWER>>1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER>>Amino Acids
What is epigenetics? - ANSWER>>Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? - ANSWER>>Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER>>Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER>>10-25 yo
,When do females typically present with schizophrenia? - ANSWER>>25-35 yo
What does Erythromycin to trileptal? - ANSWER>>You will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER>>Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -
ANSWER>>Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER>>Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER>>CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANSWER>>CKMB
What is the risk of a seriously elevated CKMB? - ANSWER>>Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER>>0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER>>Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWER>>CN XI - Spinal Accessory
, What do you see in labs with HIV & Dementia? - ANSWER>>CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER>>Self-Report -
0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER>>Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER>>Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER>>Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER>>0-22 males
0-29 females
What is a retic count? - ANSWER>>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? - ANSWER>>Anemia - acute or
chronic bleeding
What does an increased retic count indicate? - ANSWER>>Bone marrow disorder
or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWER>>Doesn't
diagnose anything. First step is ID source of the issue.
AND ANSWERS WITH COMPLETE
SOLUTION
What is dissemination? - ANSWER>>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? - ANSWER>>Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER>>Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER>>Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER>>There IS a difference but you say
there isn't a difference.
What is a Type II research error? - ANSWER>>There is NO difference but you say
there is a difference.
What is pseudo-dementia? - ANSWER>>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? - ANSWER>>Yes.
,What is a drug 1/2 life? - ANSWER>>The time it takes for 50% of a drug to be
eliminated from the body.
What 3 atypicals can be used with teens? - ANSWER>>Zyprexa, Abilify, Seroquel -
low doses
What is a risk of using Tramadol? - ANSWER>>Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER>>HLAB-
1502
When might you see toxic epidermal necrolysis? - ANSWER>>With worsening of
SJS
How many generations do you include for a genogram? - ANSWER>>1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER>>Amino Acids
What is epigenetics? - ANSWER>>Factors that affect genes - environmental,
smoking, stress, etc...
What part of the brain is involved with OCD? - ANSWER>>Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER>>Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER>>10-25 yo
,When do females typically present with schizophrenia? - ANSWER>>25-35 yo
What does Erythromycin to trileptal? - ANSWER>>You will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER>>Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -
ANSWER>>Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER>>Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER>>CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANSWER>>CKMB
What is the risk of a seriously elevated CKMB? - ANSWER>>Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER>>0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER>>Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWER>>CN XI - Spinal Accessory
, What do you see in labs with HIV & Dementia? - ANSWER>>CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER>>Self-Report -
0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER>>Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER>>Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER>>Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER>>0-22 males
0-29 females
What is a retic count? - ANSWER>>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? - ANSWER>>Anemia - acute or
chronic bleeding
What does an increased retic count indicate? - ANSWER>>Bone marrow disorder
or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWER>>Doesn't
diagnose anything. First step is ID source of the issue.
