LMR GEORGETTE PMHNP UPDATED EXAM SCRIPT
QUESTIONS AND ANSWERS RATED A+
✔✔Risk with celexa and cipro - ✔✔QTC prolongation
✔✔Imitrex (sumatriptan) and Celexa - ✔✔Serotonin syndrome
✔✔Trazodone (Desyrel) - ✔✔Priapism
✔✔Tamoxifen (Nolvadex) and BFP - ✔✔bupropion, fluoxetine, and paxil can cause
reoccurence of cancer when given with tamoxifen
✔✔Acute disseminated encephalomyelitis (ADEM) action - ✔✔check cytokines (will be
increased), neuro exam, assess asymmetry of extremities, send to ER
✔✔alcohol dehydrogenase - ✔✔an enzyme in the stomach that breaks down alcohol;
women have less than men
✔✔Endocrine findings suggestive of alcohol dependency - ✔✔testicular atrophy,
gynecomastia, and sexual dysfunction
✔✔Kava Kava - ✔✔used for anxiety, causes sedation, metabolized in liver- monitor
LFTs
✔✔Kava kava and levodopa - ✔✔causes decreased absorption of levodopa
✔✔Autism Spectrum Disorder - ✔✔a disorder that appears in childhood and is marked
by significant deficiencies in communication and social interaction, and by rigidly fixated
interests and repetitive behaviors
✔✔Reactive Attachment Disorder - ✔✔no emotions, eating without interest; caused by
negligent care and lack of primary caregiver
✔✔What percentage of children have learning disorders? - ✔✔4-6%
✔✔osteoporosis prevention - ✔✔encourage the women to participate in weight-bearing
activities, take vitamin D, avoid caffeine/smoking/alcohol, estrogen supplement
✔✔decreased testosterone in women - ✔✔less blood to vagina causes dryness, mood
changes, decreased libido
✔✔Rett Syndrome - ✔✔progressive neurological developmental disorder, more in
females, seizure/scoliosis risk, decelerated head growth
, ✔✔Tx for menopausal women - ✔✔tai chi, flaxseed, soy
✔✔CAT for PTSD - ✔✔Guided imagery
✔✔imagery rehearsal therapy - ✔✔a treatment involving rewriting a nightmare by
visualizing positive images while awake
✔✔EMDR - ✔✔eye movement desensitization and reprocessing (desensitization,
installation, body scan)
✔✔critical incident stress management (CISM) - ✔✔introduction
fact
thought
reaction
symptoms
teaching
re-entry
✔✔adjustment disorder - ✔✔reaction to a specific life event; less than 6 months
✔✔acute stress disorder vs PTSD - ✔✔PTSD >1 month
Acute stress disorder < 1 mont
✔✔MDD diagnosis - ✔✔5 or more symptoms of MSIGECAPS for at least 2 weeks
✔✔SIGECAPS - ✔✔Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide
✔✔ODD vs. Conduct Disorder - ✔✔ODD is persistent, hostile, defiant behavior without
serious violations of basic rights of other, conduct disorder is with violations of basic
right of others (often legal violations)
✔✔factitious disorder - ✔✔Condition in which a person acts as if he or she has a
physical or mental illness when he or she is not really sick.
✔✔Malingering - ✔✔secondary gain is present
QUESTIONS AND ANSWERS RATED A+
✔✔Risk with celexa and cipro - ✔✔QTC prolongation
✔✔Imitrex (sumatriptan) and Celexa - ✔✔Serotonin syndrome
✔✔Trazodone (Desyrel) - ✔✔Priapism
✔✔Tamoxifen (Nolvadex) and BFP - ✔✔bupropion, fluoxetine, and paxil can cause
reoccurence of cancer when given with tamoxifen
✔✔Acute disseminated encephalomyelitis (ADEM) action - ✔✔check cytokines (will be
increased), neuro exam, assess asymmetry of extremities, send to ER
✔✔alcohol dehydrogenase - ✔✔an enzyme in the stomach that breaks down alcohol;
women have less than men
✔✔Endocrine findings suggestive of alcohol dependency - ✔✔testicular atrophy,
gynecomastia, and sexual dysfunction
✔✔Kava Kava - ✔✔used for anxiety, causes sedation, metabolized in liver- monitor
LFTs
✔✔Kava kava and levodopa - ✔✔causes decreased absorption of levodopa
✔✔Autism Spectrum Disorder - ✔✔a disorder that appears in childhood and is marked
by significant deficiencies in communication and social interaction, and by rigidly fixated
interests and repetitive behaviors
✔✔Reactive Attachment Disorder - ✔✔no emotions, eating without interest; caused by
negligent care and lack of primary caregiver
✔✔What percentage of children have learning disorders? - ✔✔4-6%
✔✔osteoporosis prevention - ✔✔encourage the women to participate in weight-bearing
activities, take vitamin D, avoid caffeine/smoking/alcohol, estrogen supplement
✔✔decreased testosterone in women - ✔✔less blood to vagina causes dryness, mood
changes, decreased libido
✔✔Rett Syndrome - ✔✔progressive neurological developmental disorder, more in
females, seizure/scoliosis risk, decelerated head growth
, ✔✔Tx for menopausal women - ✔✔tai chi, flaxseed, soy
✔✔CAT for PTSD - ✔✔Guided imagery
✔✔imagery rehearsal therapy - ✔✔a treatment involving rewriting a nightmare by
visualizing positive images while awake
✔✔EMDR - ✔✔eye movement desensitization and reprocessing (desensitization,
installation, body scan)
✔✔critical incident stress management (CISM) - ✔✔introduction
fact
thought
reaction
symptoms
teaching
re-entry
✔✔adjustment disorder - ✔✔reaction to a specific life event; less than 6 months
✔✔acute stress disorder vs PTSD - ✔✔PTSD >1 month
Acute stress disorder < 1 mont
✔✔MDD diagnosis - ✔✔5 or more symptoms of MSIGECAPS for at least 2 weeks
✔✔SIGECAPS - ✔✔Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide
✔✔ODD vs. Conduct Disorder - ✔✔ODD is persistent, hostile, defiant behavior without
serious violations of basic rights of other, conduct disorder is with violations of basic
right of others (often legal violations)
✔✔factitious disorder - ✔✔Condition in which a person acts as if he or she has a
physical or mental illness when he or she is not really sick.
✔✔Malingering - ✔✔secondary gain is present
