PMHNP EXAM REPORTED QUESTIONS – WITH COMPLETE SOLUTIONS
|LATEST UPLOAD |GRADED A+
What is dissemination? - correct answer-Getting the research information out to those who
need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - correct answer-Moderate cognitive impairment
What is Tegretol in the CYP450 system? - correct answer-Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - correct answer-Inducer - will lower dose of Lamictal
What is a Type I research error? - correct answer-There IS a difference but you say there
isn't a difference.
What is a Type II research error? - correct answer-There is NO difference but you say there
is a difference.
What is pseudo-dementia? - correct answer-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? - correct answer-Yes.
What is a drug 1/2 life? - correct answer-The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypical can be used with teens? - correct answer-Zyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? - correct answer-Serotonin Syndrome as it is very
serotonergic.
,What is the allele seen in Asians that increase the risk of SJS? - correct answer-HLAB-1502
When might you see toxic epidermal necrolysis? - correct answer-With worsening of SJS
How many generations do you include for a genogram? - correct answer-1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - correct answer-Amino Acids
What is epigenetics? - correct answer-Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - correct answer-Basal Ganglia
Occipital-Frontal
What happens to the brain during adolescence? - correct answer-Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - correct answer-10-25 you
When do females typically present with schizophrenia? - correct answer-25-35 you
What does Erythromycin to Trileptal? - correct answer-You will need to decreases the level
because Trileptal(inducer) and erythromycin is an inhibitor
ACE Inhibitors are the drug of choice for what? - correct answer-Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - correct answer-
Leukotriene receptor agonists - singular, accolade, Zyflo = agitation, aggression, anxiety,
hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - correct answer-Agranulocytosis and
Hyponatremia
,What are the 3 CK muscle enzyme tests? - correct answer-CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct
answer-CKMB
What is the risk of a seriously elevated CKMB? - correct answer-Polymyositis
Rhabdom
What is a normal CKMB? - correct answer-0.3 mcg/L
What psychoactive does Detrol interact with? - correct answer-Topamax
KCL
Zonogram
What CN are you assessing when you have the patient shrug their shoulders? - correct
answer-CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - correct answer-CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - correct answer-Self-Report - 0-
63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - correct answer-Helps rule-out disease = True Positive = Snout
What is specificity? - correct answer-Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - correct answer-Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - correct answer-0-22 males
0-29 females
, What is a retic count? - correct answer-Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBCs are being produced by bone marrow.
What does a decreased retic count indicate? - correct answer-Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - correct answer-Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic out indicate in general? - correct answer-Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix Tegretol and macrolides? - correct answer-Increase Tegretol
levels.
What happens if a pregnant woman takes Accutane? - correct answer-Birth defects.
What labs do you get with RA? - correct answer-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? - correct answer-ANA
When do you assume informed consent? - correct answer-Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - correct answer-Same
as with informed consent
Who can declare a patient incompetent and appoint a guardian? - correct answer-Only a
court
Does impaired judgment mean one is incompetent? - correct answer-No.
Can an advanced directive ever be revoked? - correct answer-Yes, at any time.
|LATEST UPLOAD |GRADED A+
What is dissemination? - correct answer-Getting the research information out to those who
need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - correct answer-Moderate cognitive impairment
What is Tegretol in the CYP450 system? - correct answer-Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - correct answer-Inducer - will lower dose of Lamictal
What is a Type I research error? - correct answer-There IS a difference but you say there
isn't a difference.
What is a Type II research error? - correct answer-There is NO difference but you say there
is a difference.
What is pseudo-dementia? - correct answer-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? - correct answer-Yes.
What is a drug 1/2 life? - correct answer-The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypical can be used with teens? - correct answer-Zyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? - correct answer-Serotonin Syndrome as it is very
serotonergic.
,What is the allele seen in Asians that increase the risk of SJS? - correct answer-HLAB-1502
When might you see toxic epidermal necrolysis? - correct answer-With worsening of SJS
How many generations do you include for a genogram? - correct answer-1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - correct answer-Amino Acids
What is epigenetics? - correct answer-Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - correct answer-Basal Ganglia
Occipital-Frontal
What happens to the brain during adolescence? - correct answer-Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - correct answer-10-25 you
When do females typically present with schizophrenia? - correct answer-25-35 you
What does Erythromycin to Trileptal? - correct answer-You will need to decreases the level
because Trileptal(inducer) and erythromycin is an inhibitor
ACE Inhibitors are the drug of choice for what? - correct answer-Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - correct answer-
Leukotriene receptor agonists - singular, accolade, Zyflo = agitation, aggression, anxiety,
hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - correct answer-Agranulocytosis and
Hyponatremia
,What are the 3 CK muscle enzyme tests? - correct answer-CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct
answer-CKMB
What is the risk of a seriously elevated CKMB? - correct answer-Polymyositis
Rhabdom
What is a normal CKMB? - correct answer-0.3 mcg/L
What psychoactive does Detrol interact with? - correct answer-Topamax
KCL
Zonogram
What CN are you assessing when you have the patient shrug their shoulders? - correct
answer-CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - correct answer-CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - correct answer-Self-Report - 0-
63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - correct answer-Helps rule-out disease = True Positive = Snout
What is specificity? - correct answer-Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - correct answer-Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - correct answer-0-22 males
0-29 females
, What is a retic count? - correct answer-Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBCs are being produced by bone marrow.
What does a decreased retic count indicate? - correct answer-Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - correct answer-Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic out indicate in general? - correct answer-Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix Tegretol and macrolides? - correct answer-Increase Tegretol
levels.
What happens if a pregnant woman takes Accutane? - correct answer-Birth defects.
What labs do you get with RA? - correct answer-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? - correct answer-ANA
When do you assume informed consent? - correct answer-Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - correct answer-Same
as with informed consent
Who can declare a patient incompetent and appoint a guardian? - correct answer-Only a
court
Does impaired judgment mean one is incompetent? - correct answer-No.
Can an advanced directive ever be revoked? - correct answer-Yes, at any time.
