NR 547 Midterm Examination: Differential Diagnosis in Psychiatric-Mental Health
Across the Lifespan Practicum – A Comprehensive Assessment of Diagnostic
Reasoning, DSM-5-TR Application, and Lifespan-Specific Clinical Decision-Making
for PMHNP Students
What part of the brain is involved with OCD? Basal Ganglia
Occipital-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 you
When do females typically present with schizophrenia? 25-35 you
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 psychoactive 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 dissemination? 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? 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 atypical 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
Across the Lifespan Practicum – A Comprehensive Assessment of Diagnostic
Reasoning, DSM-5-TR Application, and Lifespan-Specific Clinical Decision-Making
for PMHNP Students
What part of the brain is involved with OCD? Basal Ganglia
Occipital-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 you
When do females typically present with schizophrenia? 25-35 you
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 psychoactive 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 dissemination? 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? 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 atypical 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
