PMHNP EXAM STUDY GUIDE QUESTIONS WITH 100% CORRECTLY SOLVED ANSWERS.

PMHNP EXAM STUDY GUIDE QUESTIONS WITH 100%
CORRECTLY SOLVED ANSWERS.


What does a 17 on MMSE mean? -- Answer ✔✔ Moderate cognitive impairment
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What is Tegretol in the CYP450 system? -- Answer ✔✔ Inducer -->will lower dose of
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Lamictal and BCP's t t




What do BCP's do to Lamictal? -- Answer ✔✔ Inducer - will lower dose of Lamictal
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What is a Type I research error? -- Answer ✔✔ There IS a difference but you say there
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isn't a difference.
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What is a Type II research error? -- Answer ✔✔ There is NO difference but you say there
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is a difference.
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What part of the brain is involved with OCD? -- Answer ✔✔ Basal Ganglia
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Occipito-Frontal

What happens to the brain during adolescence? -- Answer ✔✔ Dendritic pruning
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Emotions are controlled by amygdala t t t t




By adulthood, PFC involved as well
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When do males typically present with schizophrenia? -- Answer ✔✔ 10-25 yo
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When do females typically present with schizophrenia? -- Answer ✔✔ 25-35 yo
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What does Erythromycin to trileptal? -- Answer ✔✔ You will need to decreases the level
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because Trileptal(inducer) and erythromycin is an inhibitor
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,ACE Inhibitors are the drug of choice for what? -- Answer ✔✔ Heart Failure
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HTN



What is pseudo-dementia? -- Answer ✔✔ Cognitive impairment secondary to depression
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that clears when treated in the elderly. Dementia won't improve.
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Is it normal for a 1 month old to have a palmar grasp? -- Answer ✔✔ Yes.
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What is a drug 1/2 life? -- Answer ✔✔ The time it takes for 50% of a drug to be eliminated
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from the body. t t




What 3 atypicals can be used with teens? -- Answer ✔✔ Zyprexa, Abilify, Seroquel - low
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doses

What is a risk of using Tramadol? -- Answer ✔✔ Serotonin Syndrome as it is very
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serotonergic.

What is the allele seen in Asians that increase the risk of SJS? -- Answer ✔✔ HLAB-1502
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When might you see toxic epidermal necrolysis? -- Answer ✔✔ With worsening of SJS
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How many generations do you include for a genogram? -- Answer ✔✔ 1st degree -
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mother, father, siblings t t




2nd degree - grandparents & cousins
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3rd degree -
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What does messenger RNA code for? -- Answer ✔✔ Amino Acids
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What is epigenetics? -- Answer ✔✔ Factors that affect genes - environmental, smoking,
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stress, etc... t




What are some psychiatric side effects seen with some asthma drugs -- Answer ✔✔
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Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
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hallucinations, depression, insomnia, SI, tremor t t t t

,What should you watch for with Tegretol? -- Answer ✔✔ Agranulocytosis and
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Hyponatremia

What are the 3 CK muscle enzyme tests? -- Answer ✔✔ CKBB, CKMM, CKMB
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Which one of the 3 muscle enzymes are related to cardiac muscle damage? -- Answer ✔✔
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CKMB

What is the risk of a seriously elevated CKMB? -- Answer ✔✔ Polymyositis
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Rhabdo

What is a normal CKMB? -- Answer ✔✔ 0.3 mcg/L
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What psychoactives does Detrol interact with? -- Answer ✔✔ Topamax
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KCL
Zonegran

What CN are you assessing when you have the patient shrug their shoulders? -- Answer
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✔✔ CN XI - Spinal Accessory
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What do you see in labs with HIV & Dementia? -- Answer ✔✔ CD4 <200
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Viral Load is high
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<20% get it with antiretroviral treatment
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What is the scoring with the Beck Depression Inventory? -- Answer ✔✔ Self-Report - 0-
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63
0-13 - minimal
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14-19 - mildt t




20-28 - moderate
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29-63 - severe
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What is sensitivity? -- Answer ✔✔ Helps rule-out disease = True Positive = Snout
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What is specificity? -- Answer ✔✔ Helps rule-in disease = True Negative = Spin
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, What does a sed rate measure? -- Answer ✔✔ Inflammation (ESR - Erythrocyte
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Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. t t t t t t t t t t t




What is a normal sed rate or ESR? -- Answer ✔✔ 0-22 males
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0-29 females
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What is dissemination? -- Answer ✔✔ Getting the research information out to those who
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need to know it!
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Publication - highest level t t t




Presenting at National Conference t t t




Presenting at Local Conference t t t




Journal Club where one person reviews an article
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What is a retic count? -- Answer ✔✔ Measures % of reticulocytes in blood (immature
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RBC's) Indicates whether enough RBC's are being produced by bone marrow.
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What does a decreased retic count indicate? -- Answer ✔✔ Anemia - acute or chronic
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bleeding

What does an increased retic count indicate? -- Answer ✔✔ Bone marrow disorder or
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Vitamin Deficiency t




What does an abnormal retic count indicate in general? -- Answer ✔✔ Doesn't diagnose
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anything. First step is ID source of the issue.
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What happens when you mix Tegretol and macrolides? -- Answer ✔✔ Increase Tegretol
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levels.

What happens if a pregnant women takes Accutane? -- Answer ✔✔ Birth defects.
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What labs do you get with RA? -- Answer ✔✔ Sed rate, RF, ANA, C reactive protein,
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CBC, CMP, CRP - helps confirm diagnosis.
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CRP and ESR are both increased in RA but NOT in osteoarthritis.
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