PMHNP EXAM REPORTED
QUESTIONS AND CORRECT
ANSWERS:
Danstan
,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
QUESTIONS AND CORRECT
ANSWERS:
Danstan
,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