PMHNP Exam: Questions And Accurate Answers
Reflexes expected at 1 month Correct Answer - Moro until 4 months,
Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome Correct Answer - small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
Rhett Syndrome Correct Answer - a rare disorder found virtually
exclusively in girls, is a neurodevelopmental disorder in which the child
usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia
(loss of muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
EPS types Correct Answer - Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate Correct Answer - nigrostiatal tract.
How does tegretol interact with cipro Correct Answer - cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black box
warning
Tegretol side effects Correct Answer - Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity Correct Answer - stiffness in cervical neck area, meningitis
ACE inhibitors Correct Answer - -pril, CHF
signs of serotonin syndrome Correct Answer - -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
, diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital
sign instability, encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome Correct Answer - syndrome caused
by abrupt withdrawal of an antidepressant drug, resulting in sensory
disturbances, sleeping disturbances, disequilibrium, flu-like symptoms, dizzy,
vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal
effects
NMS Correct Answer - neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell
count/cpk, rigidity
Levels of Prevention Correct Answer - Primary: prevent/promotion,
classes, safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
Risk factors for serotonin syndrome Correct Answer - more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur Correct Answer - aortic stenosis
Woman with GAD advise on medication Correct Answer - stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue buspar
What to give to agitated pt in seclusion Correct Answer - IM Geodon
Labs for macrocytic anemia Correct Answer - Folic acid, vitamin B12,
ESR/CRP, HGB, MCV (liver)
Reflexes expected at 1 month Correct Answer - Moro until 4 months,
Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome Correct Answer - small head, shoey
palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
Rhett Syndrome Correct Answer - a rare disorder found virtually
exclusively in girls, is a neurodevelopmental disorder in which the child
usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia
(loss of muscle tone), reduced eye contact, decelerated head growth, and
disinterest in play activities
EPS types Correct Answer - Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate Correct Answer - nigrostiatal tract.
How does tegretol interact with cipro Correct Answer - cipro and
erythromycin are inhibitors. Cause increased level of Tegretol. Black box
warning
Tegretol side effects Correct Answer - Aplastic anemia, agranulocytosis,
steven johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity Correct Answer - stiffness in cervical neck area, meningitis
ACE inhibitors Correct Answer - -pril, CHF
signs of serotonin syndrome Correct Answer - -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
, diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital
sign instability, encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome Correct Answer - syndrome caused
by abrupt withdrawal of an antidepressant drug, resulting in sensory
disturbances, sleeping disturbances, disequilibrium, flu-like symptoms, dizzy,
vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal
effects
NMS Correct Answer - neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell
count/cpk, rigidity
Levels of Prevention Correct Answer - Primary: prevent/promotion,
classes, safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
Risk factors for serotonin syndrome Correct Answer - more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur Correct Answer - aortic stenosis
Woman with GAD advise on medication Correct Answer - stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue buspar
What to give to agitated pt in seclusion Correct Answer - IM Geodon
Labs for macrocytic anemia Correct Answer - Folic acid, vitamin B12,
ESR/CRP, HGB, MCV (liver)
