PMHNP ACTUAL 2026-
2027 Exam WITH
QUESTIONS AND
CORREECT VERIFIED
ANSWERS GRADED A+
What is pseudo-dementia? - ANSWERSCognitive 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? - ANSWERSYes.
What is a drug 1/2 life? - ANSWERSThe time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? - ANSWERSZyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? - ANSWERSSerotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWERSHLAB-1502
,When might you see toxic epidermal necrolysis? - ANSWERSWith worsening of SJS
How many generations do you include for a genogram? - ANSWERS1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWERSAmino Acids
What is epigenetics? - ANSWERSFactors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ANSWERSBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWERSDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWERS10-25 yo
When do females typically present with schizophrenia? - ANSWERS25-35 yo
What does Erythromycin to trileptal? - ANSWERSYou will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWERSHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -
ANSWERSLeukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWERSAgranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWERSCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANSWERSCKMB
What is the risk of a seriously elevated CKMB? - ANSWERSPolymyositis
Rhabdo
What is a normal CKMB? - ANSWERS0.3 mcg/L
, What psychoactives does Detrol interact with? - ANSWERSTopamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWERSCN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWERSCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWERSSelf-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWERSHelps rule-out disease = True Positive = Snout
What is specificity? - ANSWERSHelps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWERSInflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWERS0-22 males
0-29 females
What is a retic count? - ANSWERSMeasures % 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? - ANSWERSAnemia - acute or chronic
bleeding
What does an increased retic count indicate? - ANSWERSBone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWERSDoesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWERSIncrease tegretol
levels.
What happens if a pregnant women takes Accutane? - ANSWERSBirth defects.
What labs do you get with RA? - ANSWERSSed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
2027 Exam WITH
QUESTIONS AND
CORREECT VERIFIED
ANSWERS GRADED A+
What is pseudo-dementia? - ANSWERSCognitive 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? - ANSWERSYes.
What is a drug 1/2 life? - ANSWERSThe time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? - ANSWERSZyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? - ANSWERSSerotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWERSHLAB-1502
,When might you see toxic epidermal necrolysis? - ANSWERSWith worsening of SJS
How many generations do you include for a genogram? - ANSWERS1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWERSAmino Acids
What is epigenetics? - ANSWERSFactors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ANSWERSBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWERSDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWERS10-25 yo
When do females typically present with schizophrenia? - ANSWERS25-35 yo
What does Erythromycin to trileptal? - ANSWERSYou will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWERSHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -
ANSWERSLeukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWERSAgranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWERSCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANSWERSCKMB
What is the risk of a seriously elevated CKMB? - ANSWERSPolymyositis
Rhabdo
What is a normal CKMB? - ANSWERS0.3 mcg/L
, What psychoactives does Detrol interact with? - ANSWERSTopamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWERSCN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWERSCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWERSSelf-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWERSHelps rule-out disease = True Positive = Snout
What is specificity? - ANSWERSHelps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWERSInflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWERS0-22 males
0-29 females
What is a retic count? - ANSWERSMeasures % 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? - ANSWERSAnemia - acute or chronic
bleeding
What does an increased retic count indicate? - ANSWERSBone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWERSDoesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWERSIncrease tegretol
levels.
What happens if a pregnant women takes Accutane? - ANSWERSBirth defects.
What labs do you get with RA? - ANSWERSSed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
