Georgette's LMR PMHNP
Certification Exam Review
Exam Questions Verified and
Provided with A+ Graded
Answers Latest Updated 2026
What drugs should be avoided with Kava Kava? Alprazolam, CNS depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Clarify meaning of illness, Empower the patient, Validate
Interview? symptoms within the cultural context
What does a cultural formulation interview do? Cultural assessment
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 lab values 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 Depression
psychiatric disorder?
Hyperthyroidism mimics symptoms of what Mania
psychiatric disorder?
, What teratogenic effect does Valproic acid Spina bifida (neural tube defect)
produce?
What is the primary organ where Valproic acid is Liver (hepatotoxicity)
toxic?
What are 4 signs of hepatotoxicity? Abdominal pain in the RUQ, Reddish-brown urine, Yellowing of the skin
and sclera, Fatigue
What is the therapeutic range for Valproic acid? 50-125 mcg/ml
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
With suspected toxicity from Valproic acid, what D/C drug, Check drug level, Obtain LFTs, Obtain ammonia level
labs should be drawn?
What is the major side effect of Kava Kava? Liver damage
What herbal supplement is used for anxiety, stress, Kava Kava
and insomnia?
What are 5 symptoms of Stephen's Johnson Fever, Body aches, Severe red rash, Peeling skin, Facial and tongue
Syndrome? swelling
Which mood stabilizer causes the least weight Lamotrigine (Lamictal)
gain?
Which 3 SGAs cause the least weight gain? Lurasidone (Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? Acute disturbance of LOC, Impaired cognition, Inattention
How are agitation and psychotic symptoms Low dose Haldol
treated in delirium?
What 4 drugs can cause mania? Steroids, Disulfiram (Antabuse), Isoniazid (INH), Antidepressants (in BPD)
What 6 drugs can induce depression? Steroids, Beta blockers, Interferon, Isotretinoin (Accutane), Retroviral
drugs, Antineoplastic drugs, Benzodiazepines, Progesterone
Steroids can induce what 3 psychiatric states? Mania, Depression, Psychosis
What medication used to treat acne can cause Isotretinoin (Accutane)
birth defects?
What is agranulocytosis? <500 ANC
What is neutropenia? <2000 PMNs (neutrophils)
What ANC level should clozapine be stopped? <1000 cells/µL
What are 4 symptoms of agranulocytosis? Sudden fever, chills, sore throat, weakness
Certification Exam Review
Exam Questions Verified and
Provided with A+ Graded
Answers Latest Updated 2026
What drugs should be avoided with Kava Kava? Alprazolam, CNS depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Clarify meaning of illness, Empower the patient, Validate
Interview? symptoms within the cultural context
What does a cultural formulation interview do? Cultural assessment
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 lab values 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 Depression
psychiatric disorder?
Hyperthyroidism mimics symptoms of what Mania
psychiatric disorder?
, What teratogenic effect does Valproic acid Spina bifida (neural tube defect)
produce?
What is the primary organ where Valproic acid is Liver (hepatotoxicity)
toxic?
What are 4 signs of hepatotoxicity? Abdominal pain in the RUQ, Reddish-brown urine, Yellowing of the skin
and sclera, Fatigue
What is the therapeutic range for Valproic acid? 50-125 mcg/ml
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
With suspected toxicity from Valproic acid, what D/C drug, Check drug level, Obtain LFTs, Obtain ammonia level
labs should be drawn?
What is the major side effect of Kava Kava? Liver damage
What herbal supplement is used for anxiety, stress, Kava Kava
and insomnia?
What are 5 symptoms of Stephen's Johnson Fever, Body aches, Severe red rash, Peeling skin, Facial and tongue
Syndrome? swelling
Which mood stabilizer causes the least weight Lamotrigine (Lamictal)
gain?
Which 3 SGAs cause the least weight gain? Lurasidone (Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? Acute disturbance of LOC, Impaired cognition, Inattention
How are agitation and psychotic symptoms Low dose Haldol
treated in delirium?
What 4 drugs can cause mania? Steroids, Disulfiram (Antabuse), Isoniazid (INH), Antidepressants (in BPD)
What 6 drugs can induce depression? Steroids, Beta blockers, Interferon, Isotretinoin (Accutane), Retroviral
drugs, Antineoplastic drugs, Benzodiazepines, Progesterone
Steroids can induce what 3 psychiatric states? Mania, Depression, Psychosis
What medication used to treat acne can cause Isotretinoin (Accutane)
birth defects?
What is agranulocytosis? <500 ANC
What is neutropenia? <2000 PMNs (neutrophils)
What ANC level should clozapine be stopped? <1000 cells/µL
What are 4 symptoms of agranulocytosis? Sudden fever, chills, sore throat, weakness
