2026 PMHNP STUDYS LATEST QUESTIONS AND
ANSWERS SURE A+
✔✔Panic disorder time for diagnosis - ✔✔recurrent unexpected panic attacks w/ 4
physical sx (can't be tinnitus, neck soreness, HA, or screaming)
- followed by one month of persistent concern/worry or avoidance behavior
✔✔khyal - ✔✔Cambodia -- wind attack w/ panic symptoms but includes HA and tinnitus
✔✔ataque de nervos - ✔✔trembling, uncontrollable scream. aggressive/suicidal
behavior, depersonalization/derelization -- look like panic attack - also meets criteria for
uspecified dissociative disorder
✔✔attack of the wind - ✔✔dizziness, tinnitus, neck sorness - Cambodia - due to types
of exertion
✔✔trung lo (wind related attacks) - ✔✔Vietnam- headaches - due to atomospheric wind
✔✔panic attacks associated with - ✔✔poorer response to tx, higher suicidality
✔✔Wilson's Disease - ✔✔-inherited disorder where too much cooper accumulates in
your liver - cirrhosis
depression, bipolar, personality changes, psychosis
- lab test for copper levels
✔✔Borderline intellectual functioning criteria - ✔✔IQ between 71 and 84 who does not
have coping problems associated with intellectual disability
✔✔Global development delay - ✔✔A child under the age of 5 who seems to be falling
behind developmentally but the practitioner cannot reliably assess the degree of
impairment
,✔✔Unspecified intellectual disability - ✔✔child is 5 years or older and cannot reliably be
assessed due to physical or mental impairment
✔✔Jay Haley founded? - ✔✔strategic family therapy
✔✔seroquel rare side effects - ✔✔- cataracts
- transient LFT elevation
✔✔monitoring for Ziprasodone - ✔✔qtc monitoring, DRESS (drug reaction with
eosinophilia)
✔✔what is paliperidone - ✔✔extended release risperidone
✔✔Abilify MOA - ✔✔partial D2 agonist , high risk of akisthesia
✔✔How do you take Latuda? - ✔✔Should be taken with at least 360 calories
✔✔DA pathway linked to EPS - ✔✔nigrostriatial pathway -- when serotonin is blcoked,
DA increases and Ach decreases causing EPS (EPS caused by increased Ach)
✔✔DA pathway linked to hyperprolactinemia - ✔✔tuberofundibular
✔✔Meds for akathisia - ✔✔cogentin, artane, kemadrin, inderal, clonidine, klonopin,
ativan
✔✔Bendaryl used for? - ✔✔pseudo-parkinsons, akinesia, dystonia
✔✔high potency anti-psychotics have a higher risk of? - ✔✔EPS, but less risk of
sedation and anti-cholinergic
✔✔low potency anti-psychotics have a higher risk of? - ✔✔sedation and anti-cholinergic
but less risk of EPS
✔✔Dosing antipsychotics with caffeine and nicotine? - ✔✔both decrease anti-psychotic
so dosing needs to be higher
✔✔Labs for NMS? - ✔✔elevated CK, WBS and LFTs - give bromocriptine or dantrium
✔✔Percentage of suicide in schizophrenia - ✔✔high -- 10%
✔✔scales for schizophrenia - ✔✔PANNS
Brief Psychiatric Rating Scale (BPRS)
SAPS for positive symptoms
SANS for negative symptoms
, ✔✔Haldol rare side effects - ✔✔oculogyric crisis and pneumonia
✔✔When does TD occur - ✔✔usually after 1 year of tx
✔✔strongest predictor of depression - ✔✔parent with depression - 40% chance of MDD
episode before 18
✔✔screening test for MDD that relates to HPA dysfunction hypothesis -
✔✔Dexamethasone test- dexamethasone does not suppress cortisol in depressed
patients as it does in non-depressed patients
✔✔Bran abnormalities in MDD - ✔✔hypovolemic PFC (limbic striatial regions) ad
hippocampus
✔✔What is the leading cause of dissability? - ✔✔MDD , most in common in primary
care although 50% don't receive tx
✔✔gedner prevalance difference in MDD - ✔✔during reproductive years, risk if higher
for women-- equal risk before puberty and after menopause - MDD can occur at any
age, average ago of onset is mid 20s
✔✔What % of people die by suicide with MDD? - ✔✔15%
✔✔MDD risk factors - ✔✔- genetic loading
- prior episode of MDD
- female
- postpartum period
- medical co-morbidity
- single
-significant environmental stressor
✔✔bereavment v MDD - ✔✔sx that begin within 2 months of significant loss and
persistent no longer than 2 months are considered bereavement not MDD
✔✔factors that increase risk for suicide - ✔✔- past attempt
- current psychosis
- current drug use
- first degree relative who committed suicide
- current serious medical problem
✔✔Risk of hypertensive crisis when MAO-I taken with? - ✔✔Meperdine, asthma
medications, decongestants, St John Wart
ANSWERS SURE A+
✔✔Panic disorder time for diagnosis - ✔✔recurrent unexpected panic attacks w/ 4
physical sx (can't be tinnitus, neck soreness, HA, or screaming)
- followed by one month of persistent concern/worry or avoidance behavior
✔✔khyal - ✔✔Cambodia -- wind attack w/ panic symptoms but includes HA and tinnitus
✔✔ataque de nervos - ✔✔trembling, uncontrollable scream. aggressive/suicidal
behavior, depersonalization/derelization -- look like panic attack - also meets criteria for
uspecified dissociative disorder
✔✔attack of the wind - ✔✔dizziness, tinnitus, neck sorness - Cambodia - due to types
of exertion
✔✔trung lo (wind related attacks) - ✔✔Vietnam- headaches - due to atomospheric wind
✔✔panic attacks associated with - ✔✔poorer response to tx, higher suicidality
✔✔Wilson's Disease - ✔✔-inherited disorder where too much cooper accumulates in
your liver - cirrhosis
depression, bipolar, personality changes, psychosis
- lab test for copper levels
✔✔Borderline intellectual functioning criteria - ✔✔IQ between 71 and 84 who does not
have coping problems associated with intellectual disability
✔✔Global development delay - ✔✔A child under the age of 5 who seems to be falling
behind developmentally but the practitioner cannot reliably assess the degree of
impairment
,✔✔Unspecified intellectual disability - ✔✔child is 5 years or older and cannot reliably be
assessed due to physical or mental impairment
✔✔Jay Haley founded? - ✔✔strategic family therapy
✔✔seroquel rare side effects - ✔✔- cataracts
- transient LFT elevation
✔✔monitoring for Ziprasodone - ✔✔qtc monitoring, DRESS (drug reaction with
eosinophilia)
✔✔what is paliperidone - ✔✔extended release risperidone
✔✔Abilify MOA - ✔✔partial D2 agonist , high risk of akisthesia
✔✔How do you take Latuda? - ✔✔Should be taken with at least 360 calories
✔✔DA pathway linked to EPS - ✔✔nigrostriatial pathway -- when serotonin is blcoked,
DA increases and Ach decreases causing EPS (EPS caused by increased Ach)
✔✔DA pathway linked to hyperprolactinemia - ✔✔tuberofundibular
✔✔Meds for akathisia - ✔✔cogentin, artane, kemadrin, inderal, clonidine, klonopin,
ativan
✔✔Bendaryl used for? - ✔✔pseudo-parkinsons, akinesia, dystonia
✔✔high potency anti-psychotics have a higher risk of? - ✔✔EPS, but less risk of
sedation and anti-cholinergic
✔✔low potency anti-psychotics have a higher risk of? - ✔✔sedation and anti-cholinergic
but less risk of EPS
✔✔Dosing antipsychotics with caffeine and nicotine? - ✔✔both decrease anti-psychotic
so dosing needs to be higher
✔✔Labs for NMS? - ✔✔elevated CK, WBS and LFTs - give bromocriptine or dantrium
✔✔Percentage of suicide in schizophrenia - ✔✔high -- 10%
✔✔scales for schizophrenia - ✔✔PANNS
Brief Psychiatric Rating Scale (BPRS)
SAPS for positive symptoms
SANS for negative symptoms
, ✔✔Haldol rare side effects - ✔✔oculogyric crisis and pneumonia
✔✔When does TD occur - ✔✔usually after 1 year of tx
✔✔strongest predictor of depression - ✔✔parent with depression - 40% chance of MDD
episode before 18
✔✔screening test for MDD that relates to HPA dysfunction hypothesis -
✔✔Dexamethasone test- dexamethasone does not suppress cortisol in depressed
patients as it does in non-depressed patients
✔✔Bran abnormalities in MDD - ✔✔hypovolemic PFC (limbic striatial regions) ad
hippocampus
✔✔What is the leading cause of dissability? - ✔✔MDD , most in common in primary
care although 50% don't receive tx
✔✔gedner prevalance difference in MDD - ✔✔during reproductive years, risk if higher
for women-- equal risk before puberty and after menopause - MDD can occur at any
age, average ago of onset is mid 20s
✔✔What % of people die by suicide with MDD? - ✔✔15%
✔✔MDD risk factors - ✔✔- genetic loading
- prior episode of MDD
- female
- postpartum period
- medical co-morbidity
- single
-significant environmental stressor
✔✔bereavment v MDD - ✔✔sx that begin within 2 months of significant loss and
persistent no longer than 2 months are considered bereavement not MDD
✔✔factors that increase risk for suicide - ✔✔- past attempt
- current psychosis
- current drug use
- first degree relative who committed suicide
- current serious medical problem
✔✔Risk of hypertensive crisis when MAO-I taken with? - ✔✔Meperdine, asthma
medications, decongestants, St John Wart
