LMR GEORGETTE PMHNP MAIN EXAMS SET QUESTIONS
AND ANSWERS RATED A+
✔✔Can you have Medicare and Medicaid? - ✔✔Yes, impoverished elderly but Medicaid
is always payor of last resort.
✔✔Is dental care included in Medicaid? - ✔✔Yes, <21 gets basic dental as part of the
Medicaid plan.
✔✔What is the purpose of HIPAA? - ✔✔National standards for electronic HC
transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
✔✔What must be signed prior to any healthcare in the state - ✔✔Notice of Privacy
Practices Statement
✔✔What happens if a patient refuses to sign an ROI? - ✔✔Can decline to treat
Health plan may condition enrollment on provision of consent
✔✔When is HIPAA not required? - ✔✔Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
✔✔Is it ok to announce a patient's name in a waiting room? - ✔✔Yes, no other way to
give care.
✔✔Is it ok to leave a message on a patient's vm? - ✔✔Yes, but should be limited.
✔✔What is the impact of steroid inhalers on children? - ✔✔Slows bone growth and may
decrease ultimate height.
✔✔What is the long-term impact of using steroid inhalers? - ✔✔Cataracts, glaucoma,
thinning of bones and skin
✔✔What is included in the treatment of fibromyalgia? - ✔✔Sleeping meds
Antidepressants
Pain meds
✔✔What psychoactives are first line treatment for fibro? - ✔✔Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
,✔✔What is the purpose of telepsychiatry? - ✔✔Increase the ability to reach rural and
underserved areas.
✔✔What is the purpose of Motivational Interviewing? - ✔✔Explore ambiguity
Maintain passive position
✔✔What is required for Medicare submission? - ✔✔ICD 10 and narrative or CPT
✔✔What is the neurotransmitter problem in Schizophrenia? - ✔✔Excess dopamine in
mesolimbic pathway.
✔✔What is the neurotransmitter problem in ADHD? - ✔✔Dopamine, norepinephrine and
serotonergic dysfunction
✔✔What is the benefit of play therapy? - ✔✔Don't have to confront emotions head on.
✔✔What neurotransmitters are involved in the bioamine hypothesis of depression? -
✔✔Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the
amount in the synapse.
✔✔How do you test CN XII? - ✔✔Stick out your tongue.
✔✔What CN are you testing when you have a patient clinch their jaw and assess
temporal muscles? - ✔✔CN V - Trigeminal
✔✔What are two important things to measure when using Zyprexa? - ✔✔Lipid level and
abdominal circumference
✔✔What is included in the mini-cognitive exam? - ✔✔Clock, memory questions from
MSE.
✔✔What is HIV related dementia often mistaken for, especially at the beginning? -
✔✔Depression
✔✔What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil
count) <1000? - ✔✔Stop and repeat lab.
Normal is 1500-8000 mm3
✔✔Can you take Buspar during pregnancy? - ✔✔Category B - ok if really needed.
, ✔✔Can you take Klonopin during pregnancy? - ✔✔Category C - avoid if possible; does
excrete into breast-milk and infant could get withdrawal symptoms.
✔✔What is the concern when prescribing Lamictal with Depakote? - ✔✔Both are
CYP450 inducers of the other and therefore together will lower the level of both drugs.
✔✔Can asthma medications cause depression? - ✔✔Yes.
✔✔If a patient has muscle pain and red urine with an elevated leukocyte esterase. What
lab do you order? - ✔✔Microalbumin?
✔✔What is often common to patients with fibro? - ✔✔Sexual abuse
✔✔How is telepsychiatry evaluated? - ✔✔Outcome based - measure at intervals.
✔✔What happens with a patient taking Lithium and who gets dehydrated? - ✔✔Levels
increase
✔✔What happens with a patient taking Lithium who decreases sodium intake? -
✔✔Levels increase
✔✔What happens with a patient taking Lithium and drinks a lot of water? - ✔✔Levels
decrease
✔✔If a patient takes Risperdal and develops NMS, which other atypical should you
avoid in the future? - ✔✔Zyprexa
✔✔What happens when taking Lithium and NSAIDS? - ✔✔NSAIDS can cause Lithium
levels to increase and for the patient to become toxic!
✔✔What medications are at risk to cause SJS in the Asian population? - ✔✔HLAB-1502
Allele increase risks of SJS.
Trileptal, Tegretol and other AED's.
✔✔Amgdyla - ✔✔Fear, Anxiety, and Aggression
✔✔Neurotransmitter for Addiction - ✔✔Dopamine and GABA
✔✔Neurotransmitter for Mood Disorder - ✔✔Serotonin and norepinephrine
✔✔Which drug affects Carbamazepine/tegretol - ✔✔Erythromycin will cause toxic
levels. Decrease Carbamazepine/tegretol
AND ANSWERS RATED A+
✔✔Can you have Medicare and Medicaid? - ✔✔Yes, impoverished elderly but Medicaid
is always payor of last resort.
✔✔Is dental care included in Medicaid? - ✔✔Yes, <21 gets basic dental as part of the
Medicaid plan.
✔✔What is the purpose of HIPAA? - ✔✔National standards for electronic HC
transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
✔✔What must be signed prior to any healthcare in the state - ✔✔Notice of Privacy
Practices Statement
✔✔What happens if a patient refuses to sign an ROI? - ✔✔Can decline to treat
Health plan may condition enrollment on provision of consent
✔✔When is HIPAA not required? - ✔✔Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
✔✔Is it ok to announce a patient's name in a waiting room? - ✔✔Yes, no other way to
give care.
✔✔Is it ok to leave a message on a patient's vm? - ✔✔Yes, but should be limited.
✔✔What is the impact of steroid inhalers on children? - ✔✔Slows bone growth and may
decrease ultimate height.
✔✔What is the long-term impact of using steroid inhalers? - ✔✔Cataracts, glaucoma,
thinning of bones and skin
✔✔What is included in the treatment of fibromyalgia? - ✔✔Sleeping meds
Antidepressants
Pain meds
✔✔What psychoactives are first line treatment for fibro? - ✔✔Cymbalta, Effexor
Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
,✔✔What is the purpose of telepsychiatry? - ✔✔Increase the ability to reach rural and
underserved areas.
✔✔What is the purpose of Motivational Interviewing? - ✔✔Explore ambiguity
Maintain passive position
✔✔What is required for Medicare submission? - ✔✔ICD 10 and narrative or CPT
✔✔What is the neurotransmitter problem in Schizophrenia? - ✔✔Excess dopamine in
mesolimbic pathway.
✔✔What is the neurotransmitter problem in ADHD? - ✔✔Dopamine, norepinephrine and
serotonergic dysfunction
✔✔What is the benefit of play therapy? - ✔✔Don't have to confront emotions head on.
✔✔What neurotransmitters are involved in the bioamine hypothesis of depression? -
✔✔Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the
amount in the synapse.
✔✔How do you test CN XII? - ✔✔Stick out your tongue.
✔✔What CN are you testing when you have a patient clinch their jaw and assess
temporal muscles? - ✔✔CN V - Trigeminal
✔✔What are two important things to measure when using Zyprexa? - ✔✔Lipid level and
abdominal circumference
✔✔What is included in the mini-cognitive exam? - ✔✔Clock, memory questions from
MSE.
✔✔What is HIV related dementia often mistaken for, especially at the beginning? -
✔✔Depression
✔✔What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil
count) <1000? - ✔✔Stop and repeat lab.
Normal is 1500-8000 mm3
✔✔Can you take Buspar during pregnancy? - ✔✔Category B - ok if really needed.
, ✔✔Can you take Klonopin during pregnancy? - ✔✔Category C - avoid if possible; does
excrete into breast-milk and infant could get withdrawal symptoms.
✔✔What is the concern when prescribing Lamictal with Depakote? - ✔✔Both are
CYP450 inducers of the other and therefore together will lower the level of both drugs.
✔✔Can asthma medications cause depression? - ✔✔Yes.
✔✔If a patient has muscle pain and red urine with an elevated leukocyte esterase. What
lab do you order? - ✔✔Microalbumin?
✔✔What is often common to patients with fibro? - ✔✔Sexual abuse
✔✔How is telepsychiatry evaluated? - ✔✔Outcome based - measure at intervals.
✔✔What happens with a patient taking Lithium and who gets dehydrated? - ✔✔Levels
increase
✔✔What happens with a patient taking Lithium who decreases sodium intake? -
✔✔Levels increase
✔✔What happens with a patient taking Lithium and drinks a lot of water? - ✔✔Levels
decrease
✔✔If a patient takes Risperdal and develops NMS, which other atypical should you
avoid in the future? - ✔✔Zyprexa
✔✔What happens when taking Lithium and NSAIDS? - ✔✔NSAIDS can cause Lithium
levels to increase and for the patient to become toxic!
✔✔What medications are at risk to cause SJS in the Asian population? - ✔✔HLAB-1502
Allele increase risks of SJS.
Trileptal, Tegretol and other AED's.
✔✔Amgdyla - ✔✔Fear, Anxiety, and Aggression
✔✔Neurotransmitter for Addiction - ✔✔Dopamine and GABA
✔✔Neurotransmitter for Mood Disorder - ✔✔Serotonin and norepinephrine
✔✔Which drug affects Carbamazepine/tegretol - ✔✔Erythromycin will cause toxic
levels. Decrease Carbamazepine/tegretol
