2024 PMHNP BOARD SET EXAM
WITH CORRECT ANSWERS
What are two important things to measure when using Zyprexa - CORRECT-
ANSWERS- Lipid level
- Abdominal circumference
What classes of Controlled Substances is the NP approved to prescribe? -
CORRECT-ANSWERS- Schedules II-V only
What CN are you assessing when you have the patient shrug their shoulders?
- CORRECT-ANSWERS- CN XI: Spinal accessory
What CN are you testing when you have a patient clinch their jaw and assess
temporal muscle? - CORRECT-ANSWERS- CN V: Trigeminal
What do Birth control pills do to Lamictal? - CORRECT-ANSWERS- Inducer- will
low level of Lamictal
What does a 17 on MMSE mean? - CORRECT-ANSWERS- Moderate Cognitive
impairment
What does a decreased retic count indicate? - CORRECT-ANSWERS- Anemia:
Acute or chronic bleeding
What does an abnormal retic count indicate in general - CORRECT-ANSWERS-
Doesn't diagnose anything. First step is to identify source of the issue
1. What does an increased retic count indicate? - CORRECT-ANSWERS- Bone
marrow disorder or Vitamin deficiency
A reticulocyte count is a test to measure the level of reticulocytes in your
blood. It's also known as a retic count
ü Normal range: 0.5 percent to 1.5 percent
What does sed rate measure? - CORRECT-ANSWERS- Inflammation (ESR:
Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in
1 hour.
- The sed rate test measures how fast red blood cells fall to the bottom of a
tube. Inflammation creates proteins that make red blood cells fall more
quickly.
,· Infection (including of the bones)
· Cancer
· Arteritis (inflammation of the blood vessels)
· Lupus (an autoimmune disease that damages the skin, joints, and other
parts of your body)
· Polymyalgia rheumatica (causes stiff and painful muscles)
· Rheumatoid arthritis (autoimmune disease in which the immune system
attacks your joints)
· Systematic vasculitis (inflammation in your blood vessels)
What does Depakote do to Lamictal - CORRECT-ANSWERS- Depakote inhibit
(note that it is not related to CYP) Lamictal metabolism and cause
INCREASING Lamictal level
- Lamictal is well known for Risk of Rash and Steven-Johnson Syndrome
1. What does Erythromycin to Trileptal? - CORRECT-ANSWERS- Erythromycin
is INHIBITOR which Increase Trileptal level
- You will need to decrease Trileptal dose
1. What does it mean when an Asian patient does not make eye contact with
the NP? - CORRECT-ANSWERS- Sign of respect
1. What does messenger RNA code for? - CORRECT-ANSWERS- Amino Acids
1. What do you do when a patient is on Tegretol and their ANC < 1000? -
CORRECT-ANSWERS- Stop and repeat lab
- Normal is 1500-8000 mm3
1. What do you see in labs with HIV dementia? - CORRECT-ANSWERS- CD4 <
200
- Viral load is high
- < 20% get it with antiretroviral treatment
1. What happens if a patient refuses to sign an ROI (Release of information)?
- CORRECT-ANSWERS- Can decline to treat
- Health plan may condition enrollment on provision of consent
1. What happens if a pregnant woman takes Accutane (treat acne)? -
CORRECT-ANSWERS- Birth defects
1. What happens to the brain during adolescence? - CORRECT-ANSWERS-
Dendritic pruning
- Emotions are controlled by amygdala
- By adulthood, PFC involved as well
, What happens when taking Lithium and NSAIDS? - CORRECT-ANSWERS-
NSAIDS can cause lithium levels to increase and may cause lithium toxicity
- Known NSAIDS: Indomethacin, Ibuprofen
What happens when you mix Tegretol and Macrolides - CORRECT-
ANSWERS1. (Macrolides are a class of antibiotic that includes erythromycin,
roxithromycin, azithromycin and clarithromycin)
- Macrolides are inhibitors so it increases Tegretol levels. You will need to
decrease Tegretol dose
1. What happens with a patient taking lithium and who drinks a lot of water?
- CORRECT-ANSWERS- Level decreased
· Patient taking lithium who gets dehydrated? - CORRECT-ANSWERS- Levels
increased
· Patient taking lithium who decreases sodium intake? - CORRECT-ANSWERS
increase prolactin - CORRECT-ANSWERS- Stop prolactin (stop the agent that
cause increase prolactin)
3-year-old masturbates, play with self, says naughty things - CORRECT-
ANSWERSNormal for Piaget
5-year-old tells you his brother sodomized him - CORRECT-ANSWERS- Tell
mom don't leave him alone with patient and call CPS implement crisis
13-year-old want to smoke - CORRECT-ANSWERS- Ask him of his plan to stop
smoking
14-year-old girl clenching her teeth - CORRECT-ANSWERS- Cranial nerve V-
Trigeminal nerve
16-year-old falls with the wrong crowd - CORRECT-ANSWERS- Conduct
disorder
16-year-old refuse treatment - CORRECT-ANSWERS- Send to psych specialist
for acting out kids
16-year-old shows up with mother for first therapy - CORRECT-ANSWERS-
Confidential (mom sits in lobby)
ACE inhibitors - CORRECT-ANSWERS- HTN
WITH CORRECT ANSWERS
What are two important things to measure when using Zyprexa - CORRECT-
ANSWERS- Lipid level
- Abdominal circumference
What classes of Controlled Substances is the NP approved to prescribe? -
CORRECT-ANSWERS- Schedules II-V only
What CN are you assessing when you have the patient shrug their shoulders?
- CORRECT-ANSWERS- CN XI: Spinal accessory
What CN are you testing when you have a patient clinch their jaw and assess
temporal muscle? - CORRECT-ANSWERS- CN V: Trigeminal
What do Birth control pills do to Lamictal? - CORRECT-ANSWERS- Inducer- will
low level of Lamictal
What does a 17 on MMSE mean? - CORRECT-ANSWERS- Moderate Cognitive
impairment
What does a decreased retic count indicate? - CORRECT-ANSWERS- Anemia:
Acute or chronic bleeding
What does an abnormal retic count indicate in general - CORRECT-ANSWERS-
Doesn't diagnose anything. First step is to identify source of the issue
1. What does an increased retic count indicate? - CORRECT-ANSWERS- Bone
marrow disorder or Vitamin deficiency
A reticulocyte count is a test to measure the level of reticulocytes in your
blood. It's also known as a retic count
ü Normal range: 0.5 percent to 1.5 percent
What does sed rate measure? - CORRECT-ANSWERS- Inflammation (ESR:
Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in
1 hour.
- The sed rate test measures how fast red blood cells fall to the bottom of a
tube. Inflammation creates proteins that make red blood cells fall more
quickly.
,· Infection (including of the bones)
· Cancer
· Arteritis (inflammation of the blood vessels)
· Lupus (an autoimmune disease that damages the skin, joints, and other
parts of your body)
· Polymyalgia rheumatica (causes stiff and painful muscles)
· Rheumatoid arthritis (autoimmune disease in which the immune system
attacks your joints)
· Systematic vasculitis (inflammation in your blood vessels)
What does Depakote do to Lamictal - CORRECT-ANSWERS- Depakote inhibit
(note that it is not related to CYP) Lamictal metabolism and cause
INCREASING Lamictal level
- Lamictal is well known for Risk of Rash and Steven-Johnson Syndrome
1. What does Erythromycin to Trileptal? - CORRECT-ANSWERS- Erythromycin
is INHIBITOR which Increase Trileptal level
- You will need to decrease Trileptal dose
1. What does it mean when an Asian patient does not make eye contact with
the NP? - CORRECT-ANSWERS- Sign of respect
1. What does messenger RNA code for? - CORRECT-ANSWERS- Amino Acids
1. What do you do when a patient is on Tegretol and their ANC < 1000? -
CORRECT-ANSWERS- Stop and repeat lab
- Normal is 1500-8000 mm3
1. What do you see in labs with HIV dementia? - CORRECT-ANSWERS- CD4 <
200
- Viral load is high
- < 20% get it with antiretroviral treatment
1. What happens if a patient refuses to sign an ROI (Release of information)?
- CORRECT-ANSWERS- Can decline to treat
- Health plan may condition enrollment on provision of consent
1. What happens if a pregnant woman takes Accutane (treat acne)? -
CORRECT-ANSWERS- Birth defects
1. What happens to the brain during adolescence? - CORRECT-ANSWERS-
Dendritic pruning
- Emotions are controlled by amygdala
- By adulthood, PFC involved as well
, What happens when taking Lithium and NSAIDS? - CORRECT-ANSWERS-
NSAIDS can cause lithium levels to increase and may cause lithium toxicity
- Known NSAIDS: Indomethacin, Ibuprofen
What happens when you mix Tegretol and Macrolides - CORRECT-
ANSWERS1. (Macrolides are a class of antibiotic that includes erythromycin,
roxithromycin, azithromycin and clarithromycin)
- Macrolides are inhibitors so it increases Tegretol levels. You will need to
decrease Tegretol dose
1. What happens with a patient taking lithium and who drinks a lot of water?
- CORRECT-ANSWERS- Level decreased
· Patient taking lithium who gets dehydrated? - CORRECT-ANSWERS- Levels
increased
· Patient taking lithium who decreases sodium intake? - CORRECT-ANSWERS
increase prolactin - CORRECT-ANSWERS- Stop prolactin (stop the agent that
cause increase prolactin)
3-year-old masturbates, play with self, says naughty things - CORRECT-
ANSWERSNormal for Piaget
5-year-old tells you his brother sodomized him - CORRECT-ANSWERS- Tell
mom don't leave him alone with patient and call CPS implement crisis
13-year-old want to smoke - CORRECT-ANSWERS- Ask him of his plan to stop
smoking
14-year-old girl clenching her teeth - CORRECT-ANSWERS- Cranial nerve V-
Trigeminal nerve
16-year-old falls with the wrong crowd - CORRECT-ANSWERS- Conduct
disorder
16-year-old refuse treatment - CORRECT-ANSWERS- Send to psych specialist
for acting out kids
16-year-old shows up with mother for first therapy - CORRECT-ANSWERS-
Confidential (mom sits in lobby)
ACE inhibitors - CORRECT-ANSWERS- HTN
