LMR GEORGETTE PMHNP EXAMS TEST PAPER QUESTIONS
AND ANSWERS RATED A+
✔✔A patient is diagnosed with schizophrenia. Which of the following would be the
appropriate question for the PMHNP to ask when assessing side effects produced by
dopamine antagonism in the nigrostriatal pathway?
A. Are you experiencing constipation?
B. Are you experiencing pill rolling tremors, shuffling gait, and mask like facial
expression?
C. Are you experiencing increased thirst?
D. Are you experiencing breast discharge? - ✔✔Are you experiencing pill rolling
tremors, shuffling gait, and mask like facial expression
✔✔Fetal alcohol syndrome - ✔✔Everything is low
low weight, small features of the face.
✔✔Which if the following antidepressants is associated with the most cardiovascular
side effects? - ✔✔Citalopram--causes QT prolongation
✔✔What the body does to drugs? - ✔✔Pharmacokinetics
✔✔What the drug does to the body - ✔✔pharmacodynamics
✔✔The drug binds to the receptors and activates a biological response (opens the ion
channel) - ✔✔agonist effect
✔✔drug causes the opposite effect of the agonist. Binds to the same receptor but
closes the channel - ✔✔inverse agonist
✔✔drug does not fully activate the receptor - ✔✔partial agonist
✔✔drug binds to the receptor but foes not activate a biological response -
✔✔antagonist
✔✔The study of what the drug does to the body. - ✔✔Pharmacodynamics
✔✔When studying pharmacodynamics involving receptor, you know that an agonist
produces the following effect?
A. Does not fully activate the receptor
B. Blocks the agonist from opening the channel
C. Causes the opposite effect
D. Activates a biological response and opens the ion channel. - ✔✔Activates a
biological response and opens the channel.
,✔✔Medications that can cause mania (very high yield) - ✔✔Steroids
Antabuse
Isoniazid
Antidepressants in persons with bipolar
Flonase
✔✔Medications causing depression - ✔✔steroids
beta blockers
interferon
accutate
some retroviral drugs
antineoplastic drugs
benzos
progesterone
✔✔Fragile X syndrome - ✔✔all their facial structures are larger.
✔✔Severe adverse effect caused by antipsychotics - ✔✔neuroleptic malignant
syndrome
✔✔Extreme muscle regidity
Mutism
elevated CPK
Myoglobinura (cherry colored urine)
Elevated WBCs
Elevated LFts - ✔✔signs of NMS
✔✔Treatment for NMS - ✔✔DC Offending agent
Bromcriptine (parlodel)
Dantrolene (muscle relaxant
✔✔Serious effect of SSRIs - ✔✔serotonin syndrome
✔✔hyperreflexia, myoclonic jerks, sweating - ✔✔serotonin syndromeq
✔✔Treatment for serotonin syndrome - ✔✔DC offending agent
Cyprophentadine
✔✔Drugs/classes that can cause serotonin syndrome - ✔✔SSRI/TCA/MAOI/SNRI
✔✔When switching to an SSRI to MAOI, - ✔✔wait 14 days
✔✔When switching from Prozac to MAOI or TCA - ✔✔wait 5-6 weeks
, ✔✔When switching from MAOI back to prozac - ✔✔wait 2 weeks.
✔✔Non psych med that can cause serotonin syndrome - ✔✔triptans
✔✔Serotonin discontinuation syndrome - ✔✔remember similar to alcohol withdrawal
flu like symptoms
✔✔False belief firmly maintained despite evidence to the contrary - ✔✔delusion
✔✔Do you try to convince them the delusion is wrong or isn't real? - ✔✔No
✔✔Patient believes that certain news bulletins have a direct reference to them -
✔✔referential thinking
✔✔MSE: Though process - ✔✔organization of the patient's thoughts and ideas.
✔✔MSE: Thought content - ✔✔refers to themes that occupy the patient's thoughts and
perceptual disturbances.
Suicidal ideation/plan
homicidal ideation/plan
✔✔Exam ised to quantify cognitive status in adults - ✔✔mini mental status exam or may
say Folstein
✔✔Component of Folstein/mini mental status - ✔✔I would like you to could backwards
from 100 by 7s or do serial 7s
✔✔Folstein/mini mental status registration/ability to learn new material - ✔✔repeat after
me, bed, bat, ball
✔✔Suiciidal risk factors - ✔✔previous attempt
Male 45+
Female 55+
Divorced, single, separated
white
living alone
psychiatric disorder
physical illness
substance abuse
family history
recent loss
male gender
✔✔Characteristics of therapeutic relationship - ✔✔Genuineness
AND ANSWERS RATED A+
✔✔A patient is diagnosed with schizophrenia. Which of the following would be the
appropriate question for the PMHNP to ask when assessing side effects produced by
dopamine antagonism in the nigrostriatal pathway?
A. Are you experiencing constipation?
B. Are you experiencing pill rolling tremors, shuffling gait, and mask like facial
expression?
C. Are you experiencing increased thirst?
D. Are you experiencing breast discharge? - ✔✔Are you experiencing pill rolling
tremors, shuffling gait, and mask like facial expression
✔✔Fetal alcohol syndrome - ✔✔Everything is low
low weight, small features of the face.
✔✔Which if the following antidepressants is associated with the most cardiovascular
side effects? - ✔✔Citalopram--causes QT prolongation
✔✔What the body does to drugs? - ✔✔Pharmacokinetics
✔✔What the drug does to the body - ✔✔pharmacodynamics
✔✔The drug binds to the receptors and activates a biological response (opens the ion
channel) - ✔✔agonist effect
✔✔drug causes the opposite effect of the agonist. Binds to the same receptor but
closes the channel - ✔✔inverse agonist
✔✔drug does not fully activate the receptor - ✔✔partial agonist
✔✔drug binds to the receptor but foes not activate a biological response -
✔✔antagonist
✔✔The study of what the drug does to the body. - ✔✔Pharmacodynamics
✔✔When studying pharmacodynamics involving receptor, you know that an agonist
produces the following effect?
A. Does not fully activate the receptor
B. Blocks the agonist from opening the channel
C. Causes the opposite effect
D. Activates a biological response and opens the ion channel. - ✔✔Activates a
biological response and opens the channel.
,✔✔Medications that can cause mania (very high yield) - ✔✔Steroids
Antabuse
Isoniazid
Antidepressants in persons with bipolar
Flonase
✔✔Medications causing depression - ✔✔steroids
beta blockers
interferon
accutate
some retroviral drugs
antineoplastic drugs
benzos
progesterone
✔✔Fragile X syndrome - ✔✔all their facial structures are larger.
✔✔Severe adverse effect caused by antipsychotics - ✔✔neuroleptic malignant
syndrome
✔✔Extreme muscle regidity
Mutism
elevated CPK
Myoglobinura (cherry colored urine)
Elevated WBCs
Elevated LFts - ✔✔signs of NMS
✔✔Treatment for NMS - ✔✔DC Offending agent
Bromcriptine (parlodel)
Dantrolene (muscle relaxant
✔✔Serious effect of SSRIs - ✔✔serotonin syndrome
✔✔hyperreflexia, myoclonic jerks, sweating - ✔✔serotonin syndromeq
✔✔Treatment for serotonin syndrome - ✔✔DC offending agent
Cyprophentadine
✔✔Drugs/classes that can cause serotonin syndrome - ✔✔SSRI/TCA/MAOI/SNRI
✔✔When switching to an SSRI to MAOI, - ✔✔wait 14 days
✔✔When switching from Prozac to MAOI or TCA - ✔✔wait 5-6 weeks
, ✔✔When switching from MAOI back to prozac - ✔✔wait 2 weeks.
✔✔Non psych med that can cause serotonin syndrome - ✔✔triptans
✔✔Serotonin discontinuation syndrome - ✔✔remember similar to alcohol withdrawal
flu like symptoms
✔✔False belief firmly maintained despite evidence to the contrary - ✔✔delusion
✔✔Do you try to convince them the delusion is wrong or isn't real? - ✔✔No
✔✔Patient believes that certain news bulletins have a direct reference to them -
✔✔referential thinking
✔✔MSE: Though process - ✔✔organization of the patient's thoughts and ideas.
✔✔MSE: Thought content - ✔✔refers to themes that occupy the patient's thoughts and
perceptual disturbances.
Suicidal ideation/plan
homicidal ideation/plan
✔✔Exam ised to quantify cognitive status in adults - ✔✔mini mental status exam or may
say Folstein
✔✔Component of Folstein/mini mental status - ✔✔I would like you to could backwards
from 100 by 7s or do serial 7s
✔✔Folstein/mini mental status registration/ability to learn new material - ✔✔repeat after
me, bed, bat, ball
✔✔Suiciidal risk factors - ✔✔previous attempt
Male 45+
Female 55+
Divorced, single, separated
white
living alone
psychiatric disorder
physical illness
substance abuse
family history
recent loss
male gender
✔✔Characteristics of therapeutic relationship - ✔✔Genuineness
