ANCC PMHNP Exam Reported Question bank updated summer 2023

What is dissemination? Correct Answer: Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? Correct Answer: Moderate cognitive impairment What is Tegretol in the CYP450 system? Correct Answer: Inducer --will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? Correct Answer: Inducer - will lower dose of Lamictal What is a Type I research error? Correct Answer: There IS a difference but you say there isn't a difference. What is a Type II research error? Correct Answer: There is NO difference but you say there is a difference. What is pseudo-dementia? Correct Answer: Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve. Is it normal for a 1 month old to have a palmar grasp? Correct Answer: Yes. What is a drug 1/2 life? Correct Answer: The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? Correct Answer: Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? Correct Answer: Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? Correct Answer: HLAB-1502 When might you see toxic epidermal necrolysis? Correct Answer: With worsening of SJS How many generations do you include for a genogram? Correct Answer: 1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? Correct Answer: Amino Acids What is epigenetics? Correct Answer: Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? Correct Answer: Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? Correct Answer: Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? Correct Answer: 10-25 yo When do females typically present with schizophrenia? Correct Answer: 25-35 yo What does Erythromycin to trileptal? Correct Answer: You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? Correct Answer: Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs Correct Answer: Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? Correct Answer: Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? Correct Answer: CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? Correct Answer: CKMB What is the risk of a seriously elevated CKMB? Correct Answer: Polymyositis Rhabdo What is a normal CKMB? Correct Answer: 0.3 mcg/L What psychoactives does Detrol interact with? Correct Answer: Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? Correct Answer: CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? Correct Answer: CD4 200 Viral Load is high 20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? Correct Answer: SelfReport - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe