LMR - Georgette's – Psychiatric Nurse
Practitioner Exam with complete solution
What drugs should be avoided with Kava Kava? ~CORRECT
ANSWER~Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH? ~CORRECT ANSWER~0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism ~CORRECT
ANSWER~Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? ~CORRECT ANSWER~Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? ~CORRECT
ANSWER~Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
,What are 4 primary symptoms of Hypothyroidism? ~CORRECT
ANSWER~Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?
~CORRECT ANSWER~Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?
~CORRECT ANSWER~Mania
Valproic acid produces what teratogenic effect? ~CORRECT
ANSWER~Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? ~CORRECT
ANSWER~Liver (hepatoxicity)
What are 4 signs of hepatoxicity? ~CORRECT ANSWER~Abdominal pain
in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
,What is the therapeutic range for valproic acid? ~CORRECT
ANSWER~50-125 mcg/ml
What is a toxic level of valproic acid? ~CORRECT ANSWER~>150
mcg/ml
What are 4 signs of valproic acid toxicity? ~CORRECT
ANSWER~Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown
urine. What do you suspect? What do you do? ~CORRECT
ANSWER~Hepatotoxicity; hold med, draw LFT's (priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be
drawn? ~CORRECT ANSWER~D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
, A pregnant pt is taking accutane, zyprexa and abilify; what med needs to
be d/c'd? ~CORRECT ANSWER~Accutane (used for acne; Causes birth
Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is
the major side effect with Kava Kava? ~CORRECT ANSWER~Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome? ~CORRECT
ANSWER~Fever -Key sx to suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain? ~CORRECT
ANSWER~Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? ~CORRECT
ANSWER~Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Practitioner Exam with complete solution
What drugs should be avoided with Kava Kava? ~CORRECT
ANSWER~Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH? ~CORRECT ANSWER~0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism ~CORRECT
ANSWER~Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? ~CORRECT ANSWER~Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? ~CORRECT
ANSWER~Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
,What are 4 primary symptoms of Hypothyroidism? ~CORRECT
ANSWER~Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?
~CORRECT ANSWER~Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?
~CORRECT ANSWER~Mania
Valproic acid produces what teratogenic effect? ~CORRECT
ANSWER~Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? ~CORRECT
ANSWER~Liver (hepatoxicity)
What are 4 signs of hepatoxicity? ~CORRECT ANSWER~Abdominal pain
in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
,What is the therapeutic range for valproic acid? ~CORRECT
ANSWER~50-125 mcg/ml
What is a toxic level of valproic acid? ~CORRECT ANSWER~>150
mcg/ml
What are 4 signs of valproic acid toxicity? ~CORRECT
ANSWER~Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown
urine. What do you suspect? What do you do? ~CORRECT
ANSWER~Hepatotoxicity; hold med, draw LFT's (priority), DVP level
With suspected toxicity with valproic acid, what steps/labs should be
drawn? ~CORRECT ANSWER~D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
, A pregnant pt is taking accutane, zyprexa and abilify; what med needs to
be d/c'd? ~CORRECT ANSWER~Accutane (used for acne; Causes birth
Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is
the major side effect with Kava Kava? ~CORRECT ANSWER~Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome? ~CORRECT
ANSWER~Fever -Key sx to suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain? ~CORRECT
ANSWER~Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? ~CORRECT
ANSWER~Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
