PMHNP EXAM REPORTED
QUESTIONS AND ANSWERS
What=is=dissemination?=-=ans-
✔✔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?=-=ans-✔✔Moderate=cognitive=impairment
What=is=Tegretol=in=the=CYP450=system?=-=ans-✔✔Inducer=--
>will=lower=dose=of=Lamictal=and=BCP's
What=do=BCP's=do=to=Lamictal?=-=ans-✔✔Inducer=-=will=lower=dose=of=Lamictal
What=is=a=Type=I=research=error?=-=ans-
✔✔There=IS=a=difference=but=you=say=there=isn't=a=difference.
What=is=a=Type=II=research=error?=-=ans-
✔✔There=is=NO=difference=but=you=say=there=is=a=difference.
What=is=pseudo-dementia?=-=ans-
✔✔Cognitive=impairment=secondary=to=depression=that=clears=when=treated=in=the=eld
erly.=Dementia=won't=improve.
Is=it=normal=for=a=1=month=old=to=have=a=palmar=grasp?=-=ans-✔✔Yes.
What=is=a=drug=1/2=life?=-=ans-
✔✔The=time=it=takes=for=50%=of=a=drug=to=be=eliminated=from=the=body.
What=3=atypicals=can=be=used=with=teens?=-=ans-✔✔Zyprexa,=Abilify,=Seroquel=-
=low=doses
What=is=a=risk=of=using=Tramadol?=-=ans-
✔✔Serotonin=Syndrome=as=it=is=very=serotonergic.
,What=is=the=allele=seen=in=Asians=that=increase=the=risk=of=SJS?=-=ans-✔✔HLAB-1502
When=might=you=see=toxic=epidermal=necrolysis?=-=ans-✔✔With=worsening=of=SJS
How=many=generations=do=you=include=for=a=genogram?=-=ans-✔✔1st=degree=-
=mother,=father,=siblings
2nd=degree=-=grandparents=&=cousins
3rd=degree=-
What=does=messenger=RNA=code=for?=-=ans-✔✔Amino=Acids
What=is=epigenetics?=-=ans-✔✔Factors=that=affect=genes=-
=environmental,=smoking,=stress,=etc...
What=part=of=the=brain=is=involved=with=OCD?=-=ans-✔✔Basal=Ganglia
Occipito-Frontal
What=happens=to=the=brain=during=adolescence?=-=ans-✔✔Dendritic=pruning
Emotions=are=controlled=by=amygdala
By=adulthood,=PFC=involved=as=well
When=do=males=typically=present=with=schizophrenia?=-=ans-✔✔10-25=yo
When=do=females=typically=present=with=schizophrenia?=-=ans-✔✔25-35=yo
What=does=Erythromycin=to=trileptal?=-=ans-
✔✔You=will=need=to=decreases=the=level=because=Trileptal(inducer)=and=erythromycin=
is=a=inhibitor
ACE=Inhibitors=are=the=drug=of=choice=for=what?=-=ans-✔✔Heart=Failure
HTN
What=are=some=psychiatric=side=effects=seen=with=some=asthma=drugs=-=ans-
✔✔Leukotriene=receptor=agonists=-
=singulair,=accolade,=zyflo===agitation,=aggression,=anxiety,=hallucinations,=depression,
=insomnia,=SI,=tremor
What=should=you=watch=for=with=Tegretol?=-=ans-
✔✔Agranulocytosis=and=Hyponatremia
What=are=the=3=CK=muscle=enzyme=tests?=-=ans-✔✔CKBB,=CKMM,=CKMB
Which=one=of=the=3=muscle=enzymes=are=related=to=cardiac=muscle=damage?=-=ans-
✔✔CKMB
, What=is=the=risk=of=a=seriously=elevated=CKMB?=-=ans-✔✔Polymyositis
Rhabdo
What=is=a=normal=CKMB?=-=ans-✔✔0.3=mcg/L
What=psychoactives=does=Detrol=interact=with?=-=ans-✔✔Topamax
KCL
Zonegran
What=CN=are=you=assessing=when=you=have=the=patient=shrug=their=shoulders?=-=ans-
✔✔CN=XI=-=Spinal=Accessory
What=do=you=see=in=labs=with=HIV=&=Dementia?=-=ans-✔✔CD4=<200
Viral=Load=is=high
<20%=get=it=with=antiretroviral=treatment
What=is=the=scoring=with=the=Beck=Depression=Inventory?=-=ans-✔✔Self-Report=-=0-63
0-13=-=minimal
14-19=-=mild
20-28=-=moderate
29-63=-=severe
What=is=sensitivity?=-=ans-✔✔Helps=rule-out=disease===True=Positive===Snout
What=is=specificity?=-=ans-✔✔Helps=rule-in=disease===True=Negative===Spin
What=does=a=sed=rate=measure?=-=ans-✔✔Inflammation=(ESR=-
=Erythrocyte=Sedimentation=Rate)===distance=in=mm=RBC's=have=descended=in=1=hour
.
What=is=a=normal=sed=rate=or=ESR?=-=ans-✔✔0-22=males
0-29=females
What=is=a=retic=count?=-=ans-✔✔Measures=
%=of=reticulocytes=in=blood=(immature=RBC's)=Indicates=whether=enough=RBC's=are=b
eing=produced=by=bone=marrow.
What=does=a=decreased=retic=count=indicate?=-=ans-✔✔Anemia=-
=acute=or=chronic=bleeding
What=does=an=increased=retic=count=indicate?=-=ans-
✔✔Bone=marrow=disorder=or=Vitamin=Deficiency
What=does=an=abnormal=retic=ount=indicate=in=general?=-=ans-
✔✔Doesn't=diagnose=anything.=First=step=is=ID=source=of=the=issue.
QUESTIONS AND ANSWERS
What=is=dissemination?=-=ans-
✔✔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?=-=ans-✔✔Moderate=cognitive=impairment
What=is=Tegretol=in=the=CYP450=system?=-=ans-✔✔Inducer=--
>will=lower=dose=of=Lamictal=and=BCP's
What=do=BCP's=do=to=Lamictal?=-=ans-✔✔Inducer=-=will=lower=dose=of=Lamictal
What=is=a=Type=I=research=error?=-=ans-
✔✔There=IS=a=difference=but=you=say=there=isn't=a=difference.
What=is=a=Type=II=research=error?=-=ans-
✔✔There=is=NO=difference=but=you=say=there=is=a=difference.
What=is=pseudo-dementia?=-=ans-
✔✔Cognitive=impairment=secondary=to=depression=that=clears=when=treated=in=the=eld
erly.=Dementia=won't=improve.
Is=it=normal=for=a=1=month=old=to=have=a=palmar=grasp?=-=ans-✔✔Yes.
What=is=a=drug=1/2=life?=-=ans-
✔✔The=time=it=takes=for=50%=of=a=drug=to=be=eliminated=from=the=body.
What=3=atypicals=can=be=used=with=teens?=-=ans-✔✔Zyprexa,=Abilify,=Seroquel=-
=low=doses
What=is=a=risk=of=using=Tramadol?=-=ans-
✔✔Serotonin=Syndrome=as=it=is=very=serotonergic.
,What=is=the=allele=seen=in=Asians=that=increase=the=risk=of=SJS?=-=ans-✔✔HLAB-1502
When=might=you=see=toxic=epidermal=necrolysis?=-=ans-✔✔With=worsening=of=SJS
How=many=generations=do=you=include=for=a=genogram?=-=ans-✔✔1st=degree=-
=mother,=father,=siblings
2nd=degree=-=grandparents=&=cousins
3rd=degree=-
What=does=messenger=RNA=code=for?=-=ans-✔✔Amino=Acids
What=is=epigenetics?=-=ans-✔✔Factors=that=affect=genes=-
=environmental,=smoking,=stress,=etc...
What=part=of=the=brain=is=involved=with=OCD?=-=ans-✔✔Basal=Ganglia
Occipito-Frontal
What=happens=to=the=brain=during=adolescence?=-=ans-✔✔Dendritic=pruning
Emotions=are=controlled=by=amygdala
By=adulthood,=PFC=involved=as=well
When=do=males=typically=present=with=schizophrenia?=-=ans-✔✔10-25=yo
When=do=females=typically=present=with=schizophrenia?=-=ans-✔✔25-35=yo
What=does=Erythromycin=to=trileptal?=-=ans-
✔✔You=will=need=to=decreases=the=level=because=Trileptal(inducer)=and=erythromycin=
is=a=inhibitor
ACE=Inhibitors=are=the=drug=of=choice=for=what?=-=ans-✔✔Heart=Failure
HTN
What=are=some=psychiatric=side=effects=seen=with=some=asthma=drugs=-=ans-
✔✔Leukotriene=receptor=agonists=-
=singulair,=accolade,=zyflo===agitation,=aggression,=anxiety,=hallucinations,=depression,
=insomnia,=SI,=tremor
What=should=you=watch=for=with=Tegretol?=-=ans-
✔✔Agranulocytosis=and=Hyponatremia
What=are=the=3=CK=muscle=enzyme=tests?=-=ans-✔✔CKBB,=CKMM,=CKMB
Which=one=of=the=3=muscle=enzymes=are=related=to=cardiac=muscle=damage?=-=ans-
✔✔CKMB
, What=is=the=risk=of=a=seriously=elevated=CKMB?=-=ans-✔✔Polymyositis
Rhabdo
What=is=a=normal=CKMB?=-=ans-✔✔0.3=mcg/L
What=psychoactives=does=Detrol=interact=with?=-=ans-✔✔Topamax
KCL
Zonegran
What=CN=are=you=assessing=when=you=have=the=patient=shrug=their=shoulders?=-=ans-
✔✔CN=XI=-=Spinal=Accessory
What=do=you=see=in=labs=with=HIV=&=Dementia?=-=ans-✔✔CD4=<200
Viral=Load=is=high
<20%=get=it=with=antiretroviral=treatment
What=is=the=scoring=with=the=Beck=Depression=Inventory?=-=ans-✔✔Self-Report=-=0-63
0-13=-=minimal
14-19=-=mild
20-28=-=moderate
29-63=-=severe
What=is=sensitivity?=-=ans-✔✔Helps=rule-out=disease===True=Positive===Snout
What=is=specificity?=-=ans-✔✔Helps=rule-in=disease===True=Negative===Spin
What=does=a=sed=rate=measure?=-=ans-✔✔Inflammation=(ESR=-
=Erythrocyte=Sedimentation=Rate)===distance=in=mm=RBC's=have=descended=in=1=hour
.
What=is=a=normal=sed=rate=or=ESR?=-=ans-✔✔0-22=males
0-29=females
What=is=a=retic=count?=-=ans-✔✔Measures=
%=of=reticulocytes=in=blood=(immature=RBC's)=Indicates=whether=enough=RBC's=are=b
eing=produced=by=bone=marrow.
What=does=a=decreased=retic=count=indicate?=-=ans-✔✔Anemia=-
=acute=or=chronic=bleeding
What=does=an=increased=retic=count=indicate?=-=ans-
✔✔Bone=marrow=disorder=or=Vitamin=Deficiency
What=does=an=abnormal=retic=ount=indicate=in=general?=-=ans-
✔✔Doesn't=diagnose=anything.=First=step=is=ID=source=of=the=issue.
