LMR GEORGETTE-S COMPREHENSIVE EXAM
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Cultural Formulation Interview perform what 3 functions? Answer:
Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
◉ What does a cultural formulation interview do? Answer: cultural
assessment
◉ What is the normal range for TSH? Answer: 0.5 - 5.0 mu/L
◉ What are lab values in Hyperthyroidism Answer: Decreased TSH
Increased T4 and T3
◉ What are labs in Hypothyroidism? Answer: Increased TSH
Decreased T4 and T3
,◉ What are 5 primary symptoms of Hyperthyroidism? Answer: Heat
intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
◉ What are 4 primary symptoms of Hypothyroidism? Answer: Cold
intolerance
Lethargy
Weight gain
Decreased libido
◉ Hypothyroidism mimics symptoms of what psychiatric disorder?
Answer: Depression
◉ Hyperthyroidism mimics symptoms of what psychiatric disorder?
Answer: Mania
◉ Valproic acid produces what teratogenic effect? Answer: Spina bifida
(neural tube defect)
◉ What is the primary organ where valproic acid is toxic? Answer:
Liver (hepatoxicity)
,◉ What are 4 signs of hepatoxicity? Answer: Abdominal pain in the
URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
◉ Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the
skin and sclera, and Fatigue are signs of Answer: Hepatoxicity
◉ What is the therapeutic range for valproic acid? Answer: 50-125
mcg/ml
◉ What is a toxic level of valproic acid? Answer: >150 mcg/ml
◉ What are 4 signs of valproic acid toxicity? Answer: Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
◉ Disorientation, Lethargy, Respiratory depression, and
Nausea/vomiting are symptoms of toxicity with what drug? Answer:
Valproic acid
, ◉ With suspected toxicity with valproic acid, what labs should be
drawn? Answer: DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
◉ What is the major side effect with Kava Kava? Answer: Liver damage
◉ What herbal supplement is sued for anxiety, stress, and insomnia?
Answer: Kava Kava
◉ What are 5 symptoms of Stephen's Johnson Syndrome? Answer:
Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
◉ Severe red rash, Fever, Body aches, Peeling skin, and Facial and
tongue swelling are symptoms of Answer: Stephen's Johnson Syndrome
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ Cultural Formulation Interview perform what 3 functions? Answer:
Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
◉ What does a cultural formulation interview do? Answer: cultural
assessment
◉ What is the normal range for TSH? Answer: 0.5 - 5.0 mu/L
◉ What are lab values in Hyperthyroidism Answer: Decreased TSH
Increased T4 and T3
◉ What are labs in Hypothyroidism? Answer: Increased TSH
Decreased T4 and T3
,◉ What are 5 primary symptoms of Hyperthyroidism? Answer: Heat
intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
◉ What are 4 primary symptoms of Hypothyroidism? Answer: Cold
intolerance
Lethargy
Weight gain
Decreased libido
◉ Hypothyroidism mimics symptoms of what psychiatric disorder?
Answer: Depression
◉ Hyperthyroidism mimics symptoms of what psychiatric disorder?
Answer: Mania
◉ Valproic acid produces what teratogenic effect? Answer: Spina bifida
(neural tube defect)
◉ What is the primary organ where valproic acid is toxic? Answer:
Liver (hepatoxicity)
,◉ What are 4 signs of hepatoxicity? Answer: Abdominal pain in the
URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
◉ Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the
skin and sclera, and Fatigue are signs of Answer: Hepatoxicity
◉ What is the therapeutic range for valproic acid? Answer: 50-125
mcg/ml
◉ What is a toxic level of valproic acid? Answer: >150 mcg/ml
◉ What are 4 signs of valproic acid toxicity? Answer: Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
◉ Disorientation, Lethargy, Respiratory depression, and
Nausea/vomiting are symptoms of toxicity with what drug? Answer:
Valproic acid
, ◉ With suspected toxicity with valproic acid, what labs should be
drawn? Answer: DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
◉ What is the major side effect with Kava Kava? Answer: Liver damage
◉ What herbal supplement is sued for anxiety, stress, and insomnia?
Answer: Kava Kava
◉ What are 5 symptoms of Stephen's Johnson Syndrome? Answer:
Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
◉ Severe red rash, Fever, Body aches, Peeling skin, and Facial and
tongue swelling are symptoms of Answer: Stephen's Johnson Syndrome
