PMHNP Boards Exam Questions and Verified
Answers (Graded A+)
• What does a 17 on MMSE mean? -✓✓Moderate cognitive impairment
• What is Tegretol in the CYP450 system? -✓✓Inducer -->will lower dose of Lamictal
and BCP's
• What do BCP's do to Lamictal? -✓✓Inducer - will lower dose of Lamictal
• What is a Type I research error? -✓✓There IS a difference but you say there isn't a
difference.
• What is a Type II research error? -✓✓There is NO difference but you say there is a
difference.
• What is pseudo-dementia? -✓✓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? -✓✓Yes.
• What is a drug 1/2 life? -✓✓The time it takes for 50% of a drug to be eliminated from
the body.
• What 3 atypicals can be used with teens? -✓✓Zyprexa, Abilify, Seroquel - low doses
• What is a risk of using Tramadol? -✓✓Serotonin Syndrome as it is very serotonergic.
• What is the allele seen in Asians that increase the risk of SJS? -✓✓HLAB-1502
• When might you see toxic epidermal necrolysis? -✓✓With worsening of SJS
• How many generations do you include for a genogram? -✓✓1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
• What does messenger RNA code for? -✓✓Amino Acids
• What is epigenetics? -✓✓Factors that affect genes - environmental, smoking, stress,
etc...
,• What part of the brain is involved with OCD? -✓✓Basal Ganglia
Occipito-Frontal
• What happens to the brain during adolescence? -✓✓Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
• When do males typically present with schizophrenia? -✓✓10-25 yo
• When do females typically present with schizophrenia? -✓✓25-35 yo
• What does Erythromycin to trileptal? -✓✓You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
• ACE Inhibitors are the drug of choice for what? -✓✓Heart Failure
HTN
• What are some psychiatric side effects seen with some asthma drugs -✓✓Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
hallucinations, depression, insomnia, SI, tremor
• What should you watch for with Tegretol? -✓✓Agranulocytosis and Hyponatremia
• What are the 3 CK muscle enzyme tests? -✓✓CKBB, CKMM, CKMB
• Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
✓✓CKMB
• What is the risk of a seriously elevated CKMB? -✓✓Polymyositis
Rhabdo
• What is a normal CKMB? -✓✓0.3 mcg/L
• What psychoactives does Detrol interact with? -✓✓Topamax
KCL
Zonegran
• What CN are you assessing when you have the patient shrug their shoulders? -✓✓CN
XI - Spinal Accessory
• What do you see in labs with HIV & Dementia? -✓✓CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
, • What is the scoring with the Beck Depression Inventory? -✓✓Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
• What is sensitivity? -✓✓Helps rule-out disease = True Positive = Snout
• What is specificity? -✓✓Helps rule-in disease = True Negative = Spin
• What does a sed rate measure? -✓✓Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in 1 hour.
• What is a normal sed rate or ESR? -✓✓0-22 males
0-29 females
• What is a retic count? -✓✓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? -✓✓Anemia - acute or chronic bleeding
• What does an increased retic count indicate? -✓✓Bone marrow disorder or Vitamin
Deficiency
• What does an abnormal retic ount indicate in general? -✓✓Doesn't diagnose anything.
First step is ID source of the issue.
• What happens when you mix tegretol and macrolides? -✓✓Increase tegretol levels.
• What happens if a pregnant women takes Accutane? -✓✓Birth defects.
• What labs do you get with RA? -✓✓Sed rate, RF, ANA, C reactive protein, CBC, CMP,
CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
• Where does the NP Code of Ethics come from? -✓✓ANA
• When do you assume informed consent? -✓✓Unconscious
Incompetent
Life Threatening Situation
• What are the legal ramifications of treating w/o informed consent? -✓✓Same as with
informed consent
Answers (Graded A+)
• What does a 17 on MMSE mean? -✓✓Moderate cognitive impairment
• What is Tegretol in the CYP450 system? -✓✓Inducer -->will lower dose of Lamictal
and BCP's
• What do BCP's do to Lamictal? -✓✓Inducer - will lower dose of Lamictal
• What is a Type I research error? -✓✓There IS a difference but you say there isn't a
difference.
• What is a Type II research error? -✓✓There is NO difference but you say there is a
difference.
• What is pseudo-dementia? -✓✓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? -✓✓Yes.
• What is a drug 1/2 life? -✓✓The time it takes for 50% of a drug to be eliminated from
the body.
• What 3 atypicals can be used with teens? -✓✓Zyprexa, Abilify, Seroquel - low doses
• What is a risk of using Tramadol? -✓✓Serotonin Syndrome as it is very serotonergic.
• What is the allele seen in Asians that increase the risk of SJS? -✓✓HLAB-1502
• When might you see toxic epidermal necrolysis? -✓✓With worsening of SJS
• How many generations do you include for a genogram? -✓✓1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
• What does messenger RNA code for? -✓✓Amino Acids
• What is epigenetics? -✓✓Factors that affect genes - environmental, smoking, stress,
etc...
,• What part of the brain is involved with OCD? -✓✓Basal Ganglia
Occipito-Frontal
• What happens to the brain during adolescence? -✓✓Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
• When do males typically present with schizophrenia? -✓✓10-25 yo
• When do females typically present with schizophrenia? -✓✓25-35 yo
• What does Erythromycin to trileptal? -✓✓You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
• ACE Inhibitors are the drug of choice for what? -✓✓Heart Failure
HTN
• What are some psychiatric side effects seen with some asthma drugs -✓✓Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
hallucinations, depression, insomnia, SI, tremor
• What should you watch for with Tegretol? -✓✓Agranulocytosis and Hyponatremia
• What are the 3 CK muscle enzyme tests? -✓✓CKBB, CKMM, CKMB
• Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
✓✓CKMB
• What is the risk of a seriously elevated CKMB? -✓✓Polymyositis
Rhabdo
• What is a normal CKMB? -✓✓0.3 mcg/L
• What psychoactives does Detrol interact with? -✓✓Topamax
KCL
Zonegran
• What CN are you assessing when you have the patient shrug their shoulders? -✓✓CN
XI - Spinal Accessory
• What do you see in labs with HIV & Dementia? -✓✓CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
, • What is the scoring with the Beck Depression Inventory? -✓✓Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
• What is sensitivity? -✓✓Helps rule-out disease = True Positive = Snout
• What is specificity? -✓✓Helps rule-in disease = True Negative = Spin
• What does a sed rate measure? -✓✓Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in 1 hour.
• What is a normal sed rate or ESR? -✓✓0-22 males
0-29 females
• What is a retic count? -✓✓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? -✓✓Anemia - acute or chronic bleeding
• What does an increased retic count indicate? -✓✓Bone marrow disorder or Vitamin
Deficiency
• What does an abnormal retic ount indicate in general? -✓✓Doesn't diagnose anything.
First step is ID source of the issue.
• What happens when you mix tegretol and macrolides? -✓✓Increase tegretol levels.
• What happens if a pregnant women takes Accutane? -✓✓Birth defects.
• What labs do you get with RA? -✓✓Sed rate, RF, ANA, C reactive protein, CBC, CMP,
CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
• Where does the NP Code of Ethics come from? -✓✓ANA
• When do you assume informed consent? -✓✓Unconscious
Incompetent
Life Threatening Situation
• What are the legal ramifications of treating w/o informed consent? -✓✓Same as with
informed consent
