LMR Georgette's PMHNP Certification 2024/ 2025 Exam| Questions and Verified Answers| Grade A| 100% Correct

LMR Georgette's PMHNP Certification 2024/ 2025 Exam| Questions and Verified Answers| Grade A| 100% Correct Q: what is the most effective treatment for serotonin discontinuation syn- drome? Answer: resume taking the antidepressant at previously prescribed dose. symptoms should go away in 24 hours. Q: a patient with torsade’s de pointes is at risk of developing from psych meds Answer: QT prolongation Q: mood stabilizer with lowest weight gain risk Answer: Lamictal Q: if a patient who is on lamictal gets a rash, but then the rash goes away while they have been taking lamictal, is that rash likely to be stevens johnson syndrome? Answer: no Q: antipsychotics least likely to cause weight gain ZAL Answer: ziprasidone, abilify, lurasidone Q: routine monitoring for anyone on an antipsychotic (4 things) Answer: BMI, waist to hip ratio, glucose, lipids Q: most important baseline labs to get on a fresh patient (3 things)? plus, what 4 other things that are helpful? Answer: CMP, lipids, A1C CBC, TSH, vit D, urinalysis Q: a patient has gout and hepatitis. most important lab to draw? then what other 2 labs are helpful? Answer: serum uric acid level. also, LFT, CBC Q: for a patient in abx, what labs to monitor? Answer: CBC, CMP, liver and renal function tests Q: carbemazepine has twho BBW: agranulocytosis and aplastic anemia. what are symptoms of aplastic anemia? Answer: pallor, fever, bleeding, rash , SOB Q: carbemazepine is not a good option for population, but if you do start it, test them for allelle to estimate stevens johnson syndrome risk. Answer: asian, HLAB-1502 Q: antiepileptics (like CARBEMAZEPINE, topiramate, and phenytoin) de- crease effectiveness of . Answer: oral contraceptives Q: for patients on clozaril or carbemazepine who are at igher risk of agran- uloctosis, what do we monitor for? Answer: s/sx of infection (sudden fever, chills, sore throat, weakness) Q: ANC less than , D