GEORGETTE'S LMR (GEORGETTE'S PMHNP FINAL
CERTIFICATION) EXAM |COMPLETE QUESTIONS WITH 100%
RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
What is the normal range for TSH? 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of
Hyperthyroidism? Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of
Hypothyroidism? Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what
psychiatric disorder? Depression
Hyperthyroidism mimics symptoms of what
psychiatric disorder? Mania
Valproic acid produces what teratogenic
effect? Spina bifida (neural tube defect)
What is the primary organ where valproic acid is
toxic? Liver (hepatoxicity)
, What are 4 signs of hepatoxicity?Abdominal pain in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
What is the therapeutic range for valproic50-125 mcg/ml acid?
What is a toxic level of valproic acid? >150 mcg/ml
What are 4 signs of valproic acid toxicity?Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains ofSuspect: hepatotoxicity
abdominal pain in the RUQ and reddishbrown urine. What do you
suspect? What doInterventions: you do?-hold med
-draw LFT's (priority)
-VPA/DVP level
With suspected toxicity with valproic acid,D/C drug what steps/labs
should be drawn?Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant patient is taking accutane,Accutane zyprexa, and
abilify. What medication needs
to be discontinued?Accutane is used for acne and is contraindicated in pregnancy
as it can cause birth defects
What herbal supplement is used for anxiety,Kava Kava stress,
and insomnia?
What is a major side effect of Kava Kava? Liver damage
What drugs should be avoided with KavaAlprazolam
Kava?CNS depressants (e.g., phenobarbital, zolpidem)
What are 5 symptoms of Stephen's JohnsonKey symptoms:
Syndrome (SJS)?-Fever
-Burning of mouth/eyes
Additional symptoms:
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
CERTIFICATION) EXAM |COMPLETE QUESTIONS WITH 100%
RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
What is the normal range for TSH? 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of
Hyperthyroidism? Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of
Hypothyroidism? Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what
psychiatric disorder? Depression
Hyperthyroidism mimics symptoms of what
psychiatric disorder? Mania
Valproic acid produces what teratogenic
effect? Spina bifida (neural tube defect)
What is the primary organ where valproic acid is
toxic? Liver (hepatoxicity)
, What are 4 signs of hepatoxicity?Abdominal pain in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
What is the therapeutic range for valproic50-125 mcg/ml acid?
What is a toxic level of valproic acid? >150 mcg/ml
What are 4 signs of valproic acid toxicity?Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains ofSuspect: hepatotoxicity
abdominal pain in the RUQ and reddishbrown urine. What do you
suspect? What doInterventions: you do?-hold med
-draw LFT's (priority)
-VPA/DVP level
With suspected toxicity with valproic acid,D/C drug what steps/labs
should be drawn?Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant patient is taking accutane,Accutane zyprexa, and
abilify. What medication needs
to be discontinued?Accutane is used for acne and is contraindicated in pregnancy
as it can cause birth defects
What herbal supplement is used for anxiety,Kava Kava stress,
and insomnia?
What is a major side effect of Kava Kava? Liver damage
What drugs should be avoided with KavaAlprazolam
Kava?CNS depressants (e.g., phenobarbital, zolpidem)
What are 5 symptoms of Stephen's JohnsonKey symptoms:
Syndrome (SJS)?-Fever
-Burning of mouth/eyes
Additional symptoms:
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
