PMHNP Tessy Summary Questions with detailed Answers for the latest updates

Reflexes expected at 1 month - Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease) Signs of fetal alcohol syndrome - small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention specialist Rhett Syndrome - a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the child usually develops normally until about 6 to 18 months of age at which characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and disinterest in play activities EPS types - Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days) Where do EPS originate - nigrostiatal tract. How does tegretol interact with cipro - cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box warning Tegretol side effects - Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch with cipro and erythro nuchal rigidity - stiffness in cervical neck area, meningitis ACE inhibitors - -pril, CHF signs of serotonin syndrome - -shivering -anxiety -diaphoresis -hyperthermia Shits and Shivers diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability, encephalopathy, restlessness, sweating Serotonin Discontinuation Syndrome - syndrome caused by abrupt withdrawal of an antidepressant drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects NMS - neuroleptic malignant syndrome *S*evere fever *C*hanging LOC *A*utonomic instability *R*igidity *S*weating and drooling FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity Levels of Prevention - Primary: prevent/pro