PMHNP EXAM 2025 QUESTIONS
AND ANSWERS
Reflexes expected at 1 month - ANSWER✔✔-Moro until 4 months, Palmer until 4 months, Plantar
util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - ANSWER✔✔-small head, shoey palpebral fissure, inner epicanthal
folds. Do IEP and early intervention specialist
Rhett Syndrome - 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 - ANSWER✔✔-Tardive dyskinesia happen after years (eps is a precursor). Acute
dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate - ANSWER✔✔-nigrostiatal tract.
How does tegretol interact with cipro - ANSWER✔✔-cipro and erythromycin are inhibitors. Cause
increased level of Tegretol. Black box warning
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, Tegretol side effects - ANSWER✔✔-Aplastic anemia, agranulocytosis, steven johnsons,
hyponatremia. Watch with cipro and erythro
nuchal rigidity - ANSWER✔✔-stiffness in cervical neck area, meningitis
ACE inhibitors - ANSWER✔✔--pril, CHF
signs of serotonin syndrome - ANSWER✔✔--shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome - 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 - ANSWER✔✔-neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
AND ANSWERS
Reflexes expected at 1 month - ANSWER✔✔-Moro until 4 months, Palmer until 4 months, Plantar
util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - ANSWER✔✔-small head, shoey palpebral fissure, inner epicanthal
folds. Do IEP and early intervention specialist
Rhett Syndrome - 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 - ANSWER✔✔-Tardive dyskinesia happen after years (eps is a precursor). Acute
dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate - ANSWER✔✔-nigrostiatal tract.
How does tegretol interact with cipro - ANSWER✔✔-cipro and erythromycin are inhibitors. Cause
increased level of Tegretol. Black box warning
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
, Tegretol side effects - ANSWER✔✔-Aplastic anemia, agranulocytosis, steven johnsons,
hyponatremia. Watch with cipro and erythro
nuchal rigidity - ANSWER✔✔-stiffness in cervical neck area, meningitis
ACE inhibitors - ANSWER✔✔--pril, CHF
signs of serotonin syndrome - ANSWER✔✔--shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome - 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 - ANSWER✔✔-neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
