PMHNP Study/practice questions and answers new year 2024 with complete solution

PMHNP Study/practice questions and answers new year
2024 with complete solution




Antony Muchiri
[COMPANY NAME] [Company address]

, PMHNP Study/practice questions and answers new year
2024 with complete solution




Which of the following statements does not reflect current understanding of neurotransmitter pathways
implicated in anxiery disorders?

A. Increase levels of CRF in amygdala, hippocampus and LC increase symptoms of anxiety.

B. Decreaseing GABA in the Mesolimbic cortex diminishes symptoms of anxiery.

C. Increasing serotoneric activity in the amygdala diminishes symptoms of anxiety.

D. Decreasing NE in the LC diminishes symptoms of anxiety. - Correct Answer A, C & D are all correct so
the answer is B

As a PMHNP, you know anti-psychotic meds have side effects. Which side effects of antipsychotic meds
has an insidious delayed-onself of 1-2 after starting the medication? - Correct Answer A. Dry Mouth

B. Tardive Dyskinesia

C. Wt gain

D. Sedation

We know that Dry mouth, drowsiness, dizziness, restlessness, wt gain, constipation & N/V are all SE
but, Tardive Dyskinesia does not start for 1-2 years.

My answer - B. *Tardive Dyskinesia (TD*)

** long standing blockage of DA2 in nigrostriatal pathway leads to TD

Which Serotonin receptor antagonism makes an antipsychotic "atypical"?

A. 5HT1A

B. 5HT3A

C. 5HT4A

D. 5HT2A - Correct Answer Atypical antipsychotic drugs such as clozapine, olanzapine, quetiapine,
risperidone, sertindole, and ziprasidone are potent 5-HT2a receptor antagonists and relatively weaker
dopamine D2 antagonists.

Commonly Prescribed Typical and Atypical Antipsychotic Medications

Typical antipsychotics include:

Haldol (haloperidol); Loxitane (loxapine);