PMHNP Certification 2027 - Real Exam Questions and Answers - 100% Verified

PMHNP Certification 2027 - Real Exam Questions and Answers -
100% Verified

Question 1.
Medications that cause delayed gastric emptying?

Correct Answer: PPIs; ranitidine, famotidine, omeprazole


Question 2.
What instructions should you give your patient if they are prescribed antacids/PPIs and
psychotropics?

Correct Answer: Give medications at least 2 hours apart b/c antacids/PPIs
decrease absorption of psychotropics


Question 3.
Normal BMI range

Correct Answer: 18.5-25


Question 4.
Criteria for admission for ED bx:

Correct Answer: BMI <15; 25% total body weight loss in 3 months; severe
dehydration, infection, bradycardia, hypothermia, hematemesis, hypokalemia


Question 5.
What neurotransmitters are implicated in ADHD?

Correct Answer: DA, NE, 5HT - DNS


Question 6.
What brain structures are involved in ADHD?

Correct Answer: Reticular activating system, basal ganglia, frontal cortex -
RBF


Question 7.
Abnormalities in this part of the brain cause inattentive ADHD:

Correct Answer: Prefrontal cortex


Question 8.
Amphetamines are FDA approved for children beginning at _ years old

,Correct Answer: 3


Question 9.
Methamphetamines are FDA approved for children beginning at _ years old

Correct Answer: 6


Question 10.
Alpha agonists clonidine and guanfacine are FDA approved to treat ADHD in patients
ages ___

Correct Answer: 6-17


Question 11.
Strattera is FDA approved to treat ADHD in patients ages ___

Correct Answer: 6 and up (including adults)


Question 12.
Adults diagnosed with both ADHD and depression would benefit from being prescribed:

Correct Answer: Wellbutrin


Question 13.
Conduct disorder can be diagnosed in:

Correct Answer: Both children and adults


Question 14.
Conduct disorder diagnostic criteria:

Correct Answer: Violating rights of others or societal norms; aggression
towards people/animals; destruction of property; no remorse
‣ Treatment for conduct disorder: -✓✓Targets aggression and mood; SGA,
mood stabilizer, SSRI, alpha agonists


Question 15.
ODD diagnostic criteria:

Correct Answer: Argumentative, defiant for at least 6 months and with 4 sx


Question 16.
Treatment of ODD:

,Correct Answer: Focused on family therapy, child management skills, teaching
parents reinforcement/boundaries/problem solving


Question 17.
DMDD diagnostic criteria:

Correct Answer: Childhood depressive d/o between ages 6-17; chronic
dysregulated mood, frequent tantrums, severe irritability; typically DMDD
rather than bipolar d/o in children


Question 18.
Neurotransmitters implicated in ASD:

Correct Answer: Glutamate, GABA, 5HT - GGS


Question 19.
Echolalia

Correct Answer: Meaningless repetition of words; often seen in ASD


Question 20.
Broken mirror theory

Correct Answer: Dysfunction of the mirror neuron system results in poor social
interaction and cognition in ASD patients


Question 21.
Parallel play is developmentally appropriate at which ages?

Correct Answer: 1-3 years old


Question 22.
Parallel play continuing beyond the age of 3 years old may be indicative of...

Correct Answer: ASD dx d/t social deficits


Question 23.
M-CHAT

Correct Answer: Modified Checklist for Autism in Toddlers; ASD scale


Question 24.
ADOS-G

Correct Answer: Autism Diagnostic Observation Schedule - Generic; ASD scale

, Question 25.
ASQ

Correct Answer: Ages and Stages Questionnaire; development and
social/emotional screening


Question 26.
Pharmacological treatment of ASD:

Correct Answer: Stimulants (increase DA to help with impulsivity,
hyperactivity, inattention; Antipsychotics (target aggressive bx, tantrums,
self-injury, stereotyped bx)


Question 27.
Nightmares in children can be the result of:

Correct Answer: Genetic factors; assess family patterns of nightmares


Question 28.
Features of children diagnosed with Fragile X

Correct Answer: LARGE features: large head, elongated face, hyperextensible
joints, abnormally large testes, short stature


Question 29.
Features of children diagnosed with fetal alcohol syndrome

Correct Answer: small features: small head, small eye opening, low nasal
bridge, flat midface, smooth philtrum, thin upper lip
‣ Clock drawing test assesses function of which brain lobe? -✓✓Parietal


Question 30.
What does the clock drawing test assess for?

Correct Answer: Executive/cognitive fx, impairments associated w/ damage to
right parietal lobe, constructional apraxia (inability to draw or assemble
objects)


Question 31.
Important labs to draw for patients presenting with dementia?

Correct Answer: B12, folic acid