PMHNP Exam 2024 Update | PMHNP
Exam Reported Questions and Correct
Answers Rated A+
What is dissemination? -ANSWER-Getting 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? -ANSWER-Moderate cognitive
impairment
What is Tegretol in the CYP450 system? -ANSWER-Inducer -->will
lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? -ANSWER-Inducer - will lower dose of
Lamictal
What is a Type I research error? -ANSWER-There IS a difference but
you say there isn't a difference.
What is a Type II research error? -ANSWER-There is NO difference
but you say there is a difference.
What is pseudo-dementia? -ANSWER-Cognitive 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? -ANSWER-Yes.
What is a drug 1/2 life? -ANSWER-The time it takes for 50% of a drug
to be eliminated from the body.
What 3 atypicals can be used with teens? -ANSWER-Zyprexa, Abilify,
Seroquel - low doses
What is a risk of using Tramadol? -ANSWER-Serotonin Syndrome as
it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? -
ANSWER-HLAB-1502
When might you see toxic epidermal necrolysis? -ANSWER-With
worsening of SJS
How many generations do you include for a genogram? -ANSWER-
1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? -ANSWER-Amino Acids
What is epigenetics? -ANSWER-Factors that affect genes -
environmental, smoking, stress, etc...
What part of the brain is involved with OCD? -ANSWER-Basal
Ganglia
Occipito-Frontal
,What happens to the brain during adolescence? -ANSWER-Dendritic
pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? -ANSWER-10-
25 yo
When do females typically present with schizophrenia? -ANSWER-25-
35 yo
What does Erythromycin to trileptal? -ANSWER-You will need to
decreases the level because Trileptal(inducer) and erythromycin is a
inhibitor
ACE Inhibitors are the drug of choice for what? -ANSWER-Heart
Failure
HTN
What are some psychiatric side effects seen with some asthma drugs
-ANSWER-Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? -ANSWER-Agranulocytosis
and Hyponatremia
What are the 3 CK muscle enzyme tests? -ANSWER-CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle
damage? -ANSWER-CKMB
, What is the risk of a seriously elevated CKMB? -ANSWER-
Polymyositis
Rhabdo
What is a normal CKMB? -ANSWER-0.3 mcg/L
What psychoactives does Detrol interact with? -ANSWER-Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their
shoulders? -ANSWER-CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? -ANSWER-CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? -ANSWER-
Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? -ANSWER-Helps rule-out disease = True Positive
= Snout
What is specificity? -ANSWER-Helps rule-in disease = True Negative
= Spin
Exam Reported Questions and Correct
Answers Rated A+
What is dissemination? -ANSWER-Getting 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? -ANSWER-Moderate cognitive
impairment
What is Tegretol in the CYP450 system? -ANSWER-Inducer -->will
lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? -ANSWER-Inducer - will lower dose of
Lamictal
What is a Type I research error? -ANSWER-There IS a difference but
you say there isn't a difference.
What is a Type II research error? -ANSWER-There is NO difference
but you say there is a difference.
What is pseudo-dementia? -ANSWER-Cognitive 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? -ANSWER-Yes.
What is a drug 1/2 life? -ANSWER-The time it takes for 50% of a drug
to be eliminated from the body.
What 3 atypicals can be used with teens? -ANSWER-Zyprexa, Abilify,
Seroquel - low doses
What is a risk of using Tramadol? -ANSWER-Serotonin Syndrome as
it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? -
ANSWER-HLAB-1502
When might you see toxic epidermal necrolysis? -ANSWER-With
worsening of SJS
How many generations do you include for a genogram? -ANSWER-
1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? -ANSWER-Amino Acids
What is epigenetics? -ANSWER-Factors that affect genes -
environmental, smoking, stress, etc...
What part of the brain is involved with OCD? -ANSWER-Basal
Ganglia
Occipito-Frontal
,What happens to the brain during adolescence? -ANSWER-Dendritic
pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? -ANSWER-10-
25 yo
When do females typically present with schizophrenia? -ANSWER-25-
35 yo
What does Erythromycin to trileptal? -ANSWER-You will need to
decreases the level because Trileptal(inducer) and erythromycin is a
inhibitor
ACE Inhibitors are the drug of choice for what? -ANSWER-Heart
Failure
HTN
What are some psychiatric side effects seen with some asthma drugs
-ANSWER-Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? -ANSWER-Agranulocytosis
and Hyponatremia
What are the 3 CK muscle enzyme tests? -ANSWER-CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle
damage? -ANSWER-CKMB
, What is the risk of a seriously elevated CKMB? -ANSWER-
Polymyositis
Rhabdo
What is a normal CKMB? -ANSWER-0.3 mcg/L
What psychoactives does Detrol interact with? -ANSWER-Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their
shoulders? -ANSWER-CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? -ANSWER-CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? -ANSWER-
Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? -ANSWER-Helps rule-out disease = True Positive
= Snout
What is specificity? -ANSWER-Helps rule-in disease = True Negative
= Spin
