Ancc Pmhnp Certification Exam A+ Grade Assured Complete Solutions And Verified Answers

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Exam Solution uy




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s 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
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D VERIFIED ANSWERS (FEF4D)
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QUESTION 1 uy




Which of the following is a contraindication to benzodiazepines?
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a. Acute alcohol intoxication
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b. Acute narrow angle glaucoma
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c. Psychosis
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d. All the above
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ANSWER

a. Acute alcohol intoxication
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QUESTION 2 uy




In the pharmacological treatment of psychosis, when antipsychotics are administered, w
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hich block dopamine, a secondary effect is blocking in another tract, which causes poten
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tial prolactin problems, such as gynecomastia in males. This tract is the:
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a. mesolimbic
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b. tuberoinfundibular
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c. nigrostrial dopamine tract
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d. mesocortical
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ANSWER

b. tuberoinfundibular
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QUESTION 3 uy




Which drug is likely to produce liver failure and hepatitis? 1. Lamotrigine 2. Gabapentin
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3. Carbamazepine 4. Topiramate
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ANSWER

,3. Carbamazepine
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QUESTION 4 uy




EPS arises from:
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a. D2 blockade in the nigrostriatial tract
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b. D2 blockade in the tuberoinfundibular tract
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c. D2 blockade in the alpha-1 adrenergic receptor blockade
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d. D2 blockade in the HPA axis
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ANSWER

a. D2 blockade in the nigrostriatial tract
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QUESTION 5 uy




Which drug carries a higher risk of metabolic effects than the other second generation a
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ntipsychotics: weight gain, diabetes, dyslipidemia ? uy uy uy uy uy



a. Clozaril
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b. Zyprexa
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c. Risperdal
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d. Geodon
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ANSWER

b. Zyprexa
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QUESTION 6 uy




A patient has not had any relief of symptoms with Fluoxetine, and is going to be started
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on an MAOI. How long before starting the MAOI should the Fluoxetine be withdrawn?
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a. 2 weeks
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b. 3 weeks
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c. 4 weeks
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d. 5 weeks
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ANSWER

a. 2 weeks
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QUESTION 7 uy




Which drug can produce serious side effect of rash in some Asians, and the FDA has ma
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ndated genetic testing before the administration of this drug?
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a. Dilantin
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b. Lamictal
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,c. Depakote
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d. Tegretol
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ANSWER

d. Tegretol
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QUESTION 8 uy




Which is considered the most sedating SSRI?
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a. Paroxetine
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b. Sertraline
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c. Fluoxetine
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d. Escitalopram Oxalate
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ANSWER

a. Paroxetine (Paxil is EVIL)
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QUESTION 9 uy




Brain structure responsible for mediating mood, fear, emotion, and aggression; also res
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ponsible for connecting sensory smell information with emotions
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ANSWER

amygdala



QUESTION 10 uy




Which lab is checked with clozaril?
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ANSWER

ANC



QUESTION 11 uy




Lobes of the Brain - Fred Tore his Pants Off
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ANSWER

Frontal - uy



executive fx, logical thinking Temporal (tempo) sound Occipital (optic) vision Parietal (pat) touch
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QUESTION 12 uy




You ask a patient to clench her teeth, which cranial nerve are you testing?
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, ANSWER

Cranial nerve 5 - TRIGEMINAL
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QUESTION 13 uy




What does the frontal lobe affect? (LIMP)
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ANSWER

Executive functions: Language Intelligence (cognitive functoning) Motor Function Personality
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QUESTION 14 uy




What does temporal lobe affect? (LAME)
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ANSWER

Language Affective Component of speech Memory Emotion
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QUESTION 15 uy




In which lobe of the brain does the limbic system reside?
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ANSWER

The temporal lobe
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QUESTION 16 uy




What is Wernicke's area responsible for and where does it reside in the brain?
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ANSWER

Wernicke's area is responsible for receptive speech and it resides in the temporal lobe.
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QUESTION 17 uy




What is the first line drug for OCD?
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ANSWER

SSRIs



QUESTION 18 uy




What is the drug of choice for ADHD for 8 y.o and above?
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