PMHNP Psychopharm Exam 19 2024
3-1. All of the following are true of Healthy People 2020 except:
A. It is funded by the pharmaceutical industry
B. It is a national agenda that communicates a vision for improving health and achieving
health equity of the U.S. population
C. It provides a set of more than 1,200 specific, measurable objectives with targets to be
achieved over the decade
D. Initiatives are organized by general health and wellness topics, age, and special needs
populations such as maternal health or vulnerable population groups - A. It is funded by the
pharmaceutical industry
3-2. The Lesbian, Bay, Bisexual, and Transgender (LGBT) population is included as a special
population in the Healthy People 2020 initiative due to which of the following health
concerns?
A. LGBT population experiences few social barriers to healthcare caused by discrimination
B. LGBT youth can be at special risk, with increased suicide rates 2-3 times higher than the
general population
C. LGBT individuals have less access to healthcare due to living in poorly served rural areas
D. LGBT individuals experience a lower risk of violence and victimization, which has long-
lasting effects on the individual and the community - B. LGBT youth can be at special risk,
with increased suicide rates 2-3 times higher than the general population
3-3. Many objectives of Healthy People 2020 focus on broader population issues including
which of the following?
A. Increasing health disparities
B. Reducing equal access to quality healthcare
C. Increasing services to identified minority populations
D. Decreasing the availability and dissemination of health-related information - C. Increasing
services to identified minority populations
3-4. Improvement in sleep health is an objective of Healthy People 2020 for what reason?
A. Inadequate sleep has implications for driving safety, work productivity, and quality of life
B. 75% of adult population in the U.S. reports some sort of sleep disturbance
C. Sleep apnea can be successfully treated with zolpidem
D. Sleep apnea significantly increases the risk of diabetes and glaucoma - A. Inadequate sleep
has implications for driving safety, work productivity, and quality of life
3-5. Which organization, created by Congress in 1984, is an independent, volunteer panel of
national experts that develops screening recommendations based on evidence-based
medicine?
A. The World Health Organization
B. American Association of Family Physicians
C. National Screening Program
,D. The U.S. Preventive Services Task Force (USPSTF) - D. The U.S. Preventive Services
Task Force (USPSTF)
3-6. Daily exercise and staying current with routine-recommended immunizations are
examples of what level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - A. Primary prevention
3-7. A patient with type 2 diabetes who sees a podiatrist for monthly foot examinations is
practicing what type of prevention?
A. Tertiary prevention
B. Primary prevention
C. Secondary prevention
D. Diabetic surveillance - C. Secondary prevention
3-8. A patient who has experienced a stroke with hemiparesis and is now participating in
occupational therapy is practicing what type of prevention?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Disease mitigation - A. Tertiary prevention
3-9. The CDC reports that the costliest healthcare expenditures in the U.S. are attributed to:
A. Ebola and dengue fever
B. Chronic, preventable diseases
C. Tick-borne diseases, such as Lyme disease
D. Motor vehicle accidents - B. Chronic, preventable diseases
3-10. The term prevalence refers to:
A. Health conditions required through statute, ordinance, or administrative rule to be reported
to a public health agency when diagnosed in an individual
B. A group of cases of a specific disease or illness clearly in excess of what one would
normally expect in a particular geographic area
C. Illness or lack of health caused by disease, disability, or injury
D. The proportions of people in a population who have some attribute or condition at a given
point in time, or during a specified time period - D. The proportions of people in a population
who have some attribute or condition at a given point in time, or during a specified time
period
3-11. Which of the following tests carries a grade A recommendation for a 67-year-old male
who has smoked a pack of cigarettes every day for the last 25 years?
A. Abdominal ultrasound
,B. Chest CT
C. PSA
D. Pulmonary function test - A. Abdominal ultrasound
3-12. The ability of a test to correctly identify whose with the disease (true positive rate) is
known as:
A. False positivity
B. Incidence rate
C. Sensitivity
D. Specificity - C. Sensitivity
3-13. The ability of a test to correctly identify those with-out the disease (true negative rate)
is known as:
A. Mortality rate
B. Prevalence rate
C. Sensitivity
D. Specificity - D. Specificity
3-14. According to the USPSTF, which population has the highest risk of contracting HIV
and should be screened?
A. A 25-year-old patient with a negative HIV test last year
B. A 35-year-old patient recently diagnosed with hepatitis B contracted from IV drug use
C. A 42-year-old patient with a 10-year history of smoking marijuana
D. A 72-year-old patient in a monogamous sexual relationship - B. A 35-year-old patient
recently diagnosed with hepatitis B contracted from IV drug use
3-15. Which of the following is not a permanent contraindication to vaccination?
A. Systemic allergic reaction to a vaccine component
B. Encephalopathy following pertussis immunization
C. Pregnancy in a younger female
D. Anaphylaxis to a vaccine component - C. Pregnancy in a younger female
3-16. Which type of vaccine involves manipulation of the bacterial cell wall to make the
immune response more effective in infancy?
A. Conjugate
B. Live
C. Polysaccharide
D. Toxoid - A. Conjugate
3-17. In which of the following scenarios might it be acceptable to postpone immunization?
A. Low-grade fever or mild illness
B. Moderate to severe illness
C. Prior localized reaction
D. All of the above - B. Moderate to severe illness
, 3-18. Which type of vaccine is always contraindicated in pregnancy?
A. Polysaccharide
B. Toxoid
C. Killed
D. Live - D. Live
4-1. All of the following may effect a drug's absorption except:
A. Size of the drug molecule
B. Food in the gut
C. Available surface area
D. P450 enzyme system - D. P450 enzyme system
4-2. The primary means of medication excretion is through:
A. The liver
B. The kidneys
C. Exhaled air
D. Sweat from pores - B. The kidneys
4-3. Which of the following describes and agonist?
A. A chemical that has a harder time crossing the blood-brain barrier
B. A chemical that binds to a receptor and stimulates cellular activity
C. A chemical that binds to a receptor and blocks or inhibits cellular activity
D. A chemical that has a longer half-life than a competing chemical - B. A chemical that
binds to a receptor and stimulates cellular activity
4-4. Chirality refers to:
A. The shape of the medication molecule
B. The shape of a drug receptor
C. A drug that blocks a matching receptor
D. A drug that shows affinity for certain receptors - A. The shape of the medication molecule
4-5. The P450 enzyme system affects the way medications are metabolized. Which of the
following is an example of the P450 system in action?
A. The ease that a medication is bound by plasma binding proteins
B. A bigger molecule having a harder time crossing membranes
C. Grapefruit juice interacting with a medication's metabolism
D. The need to lower the dose of a medication because of poor kidney function - C.
Grapefruit juice interacting with a medication's metabolism
4-6. An 88-year-old male is being treated for complicated pyelonephritis with gentamicin IM
daily. His wife called the office to report that he didn't hear his alarm clock go off this
morning. In addition, when their granddaughter called earlier that day, he had to hand the
phone to his wife because he couldn't understand what she was saying. Based on this
3-1. All of the following are true of Healthy People 2020 except:
A. It is funded by the pharmaceutical industry
B. It is a national agenda that communicates a vision for improving health and achieving
health equity of the U.S. population
C. It provides a set of more than 1,200 specific, measurable objectives with targets to be
achieved over the decade
D. Initiatives are organized by general health and wellness topics, age, and special needs
populations such as maternal health or vulnerable population groups - A. It is funded by the
pharmaceutical industry
3-2. The Lesbian, Bay, Bisexual, and Transgender (LGBT) population is included as a special
population in the Healthy People 2020 initiative due to which of the following health
concerns?
A. LGBT population experiences few social barriers to healthcare caused by discrimination
B. LGBT youth can be at special risk, with increased suicide rates 2-3 times higher than the
general population
C. LGBT individuals have less access to healthcare due to living in poorly served rural areas
D. LGBT individuals experience a lower risk of violence and victimization, which has long-
lasting effects on the individual and the community - B. LGBT youth can be at special risk,
with increased suicide rates 2-3 times higher than the general population
3-3. Many objectives of Healthy People 2020 focus on broader population issues including
which of the following?
A. Increasing health disparities
B. Reducing equal access to quality healthcare
C. Increasing services to identified minority populations
D. Decreasing the availability and dissemination of health-related information - C. Increasing
services to identified minority populations
3-4. Improvement in sleep health is an objective of Healthy People 2020 for what reason?
A. Inadequate sleep has implications for driving safety, work productivity, and quality of life
B. 75% of adult population in the U.S. reports some sort of sleep disturbance
C. Sleep apnea can be successfully treated with zolpidem
D. Sleep apnea significantly increases the risk of diabetes and glaucoma - A. Inadequate sleep
has implications for driving safety, work productivity, and quality of life
3-5. Which organization, created by Congress in 1984, is an independent, volunteer panel of
national experts that develops screening recommendations based on evidence-based
medicine?
A. The World Health Organization
B. American Association of Family Physicians
C. National Screening Program
,D. The U.S. Preventive Services Task Force (USPSTF) - D. The U.S. Preventive Services
Task Force (USPSTF)
3-6. Daily exercise and staying current with routine-recommended immunizations are
examples of what level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - A. Primary prevention
3-7. A patient with type 2 diabetes who sees a podiatrist for monthly foot examinations is
practicing what type of prevention?
A. Tertiary prevention
B. Primary prevention
C. Secondary prevention
D. Diabetic surveillance - C. Secondary prevention
3-8. A patient who has experienced a stroke with hemiparesis and is now participating in
occupational therapy is practicing what type of prevention?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Disease mitigation - A. Tertiary prevention
3-9. The CDC reports that the costliest healthcare expenditures in the U.S. are attributed to:
A. Ebola and dengue fever
B. Chronic, preventable diseases
C. Tick-borne diseases, such as Lyme disease
D. Motor vehicle accidents - B. Chronic, preventable diseases
3-10. The term prevalence refers to:
A. Health conditions required through statute, ordinance, or administrative rule to be reported
to a public health agency when diagnosed in an individual
B. A group of cases of a specific disease or illness clearly in excess of what one would
normally expect in a particular geographic area
C. Illness or lack of health caused by disease, disability, or injury
D. The proportions of people in a population who have some attribute or condition at a given
point in time, or during a specified time period - D. The proportions of people in a population
who have some attribute or condition at a given point in time, or during a specified time
period
3-11. Which of the following tests carries a grade A recommendation for a 67-year-old male
who has smoked a pack of cigarettes every day for the last 25 years?
A. Abdominal ultrasound
,B. Chest CT
C. PSA
D. Pulmonary function test - A. Abdominal ultrasound
3-12. The ability of a test to correctly identify whose with the disease (true positive rate) is
known as:
A. False positivity
B. Incidence rate
C. Sensitivity
D. Specificity - C. Sensitivity
3-13. The ability of a test to correctly identify those with-out the disease (true negative rate)
is known as:
A. Mortality rate
B. Prevalence rate
C. Sensitivity
D. Specificity - D. Specificity
3-14. According to the USPSTF, which population has the highest risk of contracting HIV
and should be screened?
A. A 25-year-old patient with a negative HIV test last year
B. A 35-year-old patient recently diagnosed with hepatitis B contracted from IV drug use
C. A 42-year-old patient with a 10-year history of smoking marijuana
D. A 72-year-old patient in a monogamous sexual relationship - B. A 35-year-old patient
recently diagnosed with hepatitis B contracted from IV drug use
3-15. Which of the following is not a permanent contraindication to vaccination?
A. Systemic allergic reaction to a vaccine component
B. Encephalopathy following pertussis immunization
C. Pregnancy in a younger female
D. Anaphylaxis to a vaccine component - C. Pregnancy in a younger female
3-16. Which type of vaccine involves manipulation of the bacterial cell wall to make the
immune response more effective in infancy?
A. Conjugate
B. Live
C. Polysaccharide
D. Toxoid - A. Conjugate
3-17. In which of the following scenarios might it be acceptable to postpone immunization?
A. Low-grade fever or mild illness
B. Moderate to severe illness
C. Prior localized reaction
D. All of the above - B. Moderate to severe illness
, 3-18. Which type of vaccine is always contraindicated in pregnancy?
A. Polysaccharide
B. Toxoid
C. Killed
D. Live - D. Live
4-1. All of the following may effect a drug's absorption except:
A. Size of the drug molecule
B. Food in the gut
C. Available surface area
D. P450 enzyme system - D. P450 enzyme system
4-2. The primary means of medication excretion is through:
A. The liver
B. The kidneys
C. Exhaled air
D. Sweat from pores - B. The kidneys
4-3. Which of the following describes and agonist?
A. A chemical that has a harder time crossing the blood-brain barrier
B. A chemical that binds to a receptor and stimulates cellular activity
C. A chemical that binds to a receptor and blocks or inhibits cellular activity
D. A chemical that has a longer half-life than a competing chemical - B. A chemical that
binds to a receptor and stimulates cellular activity
4-4. Chirality refers to:
A. The shape of the medication molecule
B. The shape of a drug receptor
C. A drug that blocks a matching receptor
D. A drug that shows affinity for certain receptors - A. The shape of the medication molecule
4-5. The P450 enzyme system affects the way medications are metabolized. Which of the
following is an example of the P450 system in action?
A. The ease that a medication is bound by plasma binding proteins
B. A bigger molecule having a harder time crossing membranes
C. Grapefruit juice interacting with a medication's metabolism
D. The need to lower the dose of a medication because of poor kidney function - C.
Grapefruit juice interacting with a medication's metabolism
4-6. An 88-year-old male is being treated for complicated pyelonephritis with gentamicin IM
daily. His wife called the office to report that he didn't hear his alarm clock go off this
morning. In addition, when their granddaughter called earlier that day, he had to hand the
phone to his wife because he couldn't understand what she was saying. Based on this
