PMHNP Exam Reported Questions -
What is dissemination? - ANSGetting 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? - ANSModerate cognitive impairment
What is Tegretol in the CYP450 system? - ANSInducer -->will lower dose of Lamictal and
BCP's
What do BCP's do to Lamictal? - ANSInducer - will lower dose of Lamictal
What is a Type I research error? - ANSThere IS a difference but you say there isn't a
difference.
What is a Type II research error? - ANSThere is NO difference but you say there is a
difference.
What is pseudo-dementia? - ANSCognitive 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? - ANSYes.
What is a drug 1/2 life? - ANSThe time it takes for 50% of a drug to be eliminated from the
body.
What 3 atypicals can be used with teens? - ANSZyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ANSSerotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSHLAB-1502
When might you see toxic epidermal necrolysis? - ANSWith worsening of SJS
How many generations do you include for a genogram? - ANS1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSAmino Acids
,What is epigenetics? - ANSFactors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - ANSBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANS10-25 yo
When do females typically present with schizophrenia? - ANS25-35 yo
What does Erythromycin to trileptal? - ANSYou will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSLeukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSAgranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSCKMB
What is the risk of a seriously elevated CKMB? - ANSPolymyositis
Rhabdo
What is a normal CKMB? - ANS0.3 mcg/L
What psychoactives does Detrol interact with? - ANSTopamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ANSCN XI -
Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSSelf-Report - 0-63
0-13 - minimal
, 14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSHelps rule-out disease = True Positive = Snout
What is specificity? - ANSHelps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSInflammation (ESR - Erythrocyte Sedimentation Rate)
= distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANS0-22 males
0-29 females
What is a retic count? - ANSMeasures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - ANSAnemia - acute or chronic bleeding
What does an increased retic count indicate? - ANSBone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - ANSDoesn't diagnose anything.
First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSIncrease tegretol levels.
What happens if a pregnant women takes Accutane? - ANSBirth defects.
What labs do you get with RA? - ANSSed rate, RF, ANA, C reactive protein, CBC, CMP,
CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSANA
When do you assume informed consent? - ANSUnconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSSame as with
informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSOnly a court
Does impaired judgment mean one is incompetent? - ANSNo.
Can an advanced directive ever be revoked? - ANSYes, at any time.
What is dissemination? - ANSGetting 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? - ANSModerate cognitive impairment
What is Tegretol in the CYP450 system? - ANSInducer -->will lower dose of Lamictal and
BCP's
What do BCP's do to Lamictal? - ANSInducer - will lower dose of Lamictal
What is a Type I research error? - ANSThere IS a difference but you say there isn't a
difference.
What is a Type II research error? - ANSThere is NO difference but you say there is a
difference.
What is pseudo-dementia? - ANSCognitive 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? - ANSYes.
What is a drug 1/2 life? - ANSThe time it takes for 50% of a drug to be eliminated from the
body.
What 3 atypicals can be used with teens? - ANSZyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ANSSerotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSHLAB-1502
When might you see toxic epidermal necrolysis? - ANSWith worsening of SJS
How many generations do you include for a genogram? - ANS1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSAmino Acids
,What is epigenetics? - ANSFactors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - ANSBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANS10-25 yo
When do females typically present with schizophrenia? - ANS25-35 yo
What does Erythromycin to trileptal? - ANSYou will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSLeukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSAgranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSCKMB
What is the risk of a seriously elevated CKMB? - ANSPolymyositis
Rhabdo
What is a normal CKMB? - ANS0.3 mcg/L
What psychoactives does Detrol interact with? - ANSTopamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ANSCN XI -
Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSSelf-Report - 0-63
0-13 - minimal
, 14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSHelps rule-out disease = True Positive = Snout
What is specificity? - ANSHelps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSInflammation (ESR - Erythrocyte Sedimentation Rate)
= distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANS0-22 males
0-29 females
What is a retic count? - ANSMeasures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - ANSAnemia - acute or chronic bleeding
What does an increased retic count indicate? - ANSBone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - ANSDoesn't diagnose anything.
First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSIncrease tegretol levels.
What happens if a pregnant women takes Accutane? - ANSBirth defects.
What labs do you get with RA? - ANSSed rate, RF, ANA, C reactive protein, CBC, CMP,
CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSANA
When do you assume informed consent? - ANSUnconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSSame as with
informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSOnly a court
Does impaired judgment mean one is incompetent? - ANSNo.
Can an advanced directive ever be revoked? - ANSYes, at any time.
