PMHNP BOARD EXAM FINAL QUESTIONS WITH
CORRECT WELL DETAILED ANSWERS ALREADY
GRADED A+
Bupropion (Wellbutrin) is contraindicated with what hx? - ✅✅Seizure
disorder/hx of seizures. Bulimia or anorexia (present and past hx) due to
increased risk of seizures
Which brain structure is activated in severe anxiety, fear, and panic? -
✅✅Amygdala
,When prescribing disulfiram (Antabuse) to deter drinking in AUD what
is important to monitor and educate the patient on? - ✅✅disulfiram
(Antabuse) monitor liver function and education patient not to take
disulfiram until at least 12 hours after drinking alcohol and unpleasant
side effects can occur up to 2 weeks after dc of disulfiram.
What brain area is associated with being able to draw the face of a clock,
recognition of facial expression, music, and visual images? - ✅✅Right
hemisphere
Folic Acid .4 to .8 mg is recommended in reducing? - ✅✅neural tube
defects in fetuses
Maturation of the prefrontal cortex in adolescent males continues into? -
✅✅mid 20's -30s which explains risk-taking behaviors of adolescent
males.
,Norephinephrine producing neurons are located mainly in two areas of
the brain? - ✅✅Locus coeruleus and the medullary reticular
formation.
Fragile X Syndrome occurs in 1 in every 1000 males and 1 in every
2000 females. The typical phenotype includes? - ✅✅long large head
and ears***, and short stature***, hype extensible joints.***
Lithium normal levels, and toxicity level with symptoms? -
✅✅Normal 0.6-1.2 Toxicity occurs when levels reach >1.5 (symptoms
severe nausea, vomiting, diarrhea, confusion, convulsions, blurred
vision, slurred speech, muscle weakness, heart palpitations, hand
tremors, and ataxia. TX is DC lithium and check serum lithium levels.
What is the Gold Standard tx for Mania? - ✅✅Lithium
, Which medication is the Gold Standard for anti-suicidal effects and is
the neuroprotective treatment of choice for bipolar disorder? What is the
recommended tx for Bipolar with depression? - ✅✅Lithium
(Eskalith), bipolar with depression tx is Lamictal
What were the 8 high yield side effects of Lithium? -
✅✅hypothyroidism, maculopapular rash, fine hand tremors, GI upset
(diarrhea, vomiting, cramps, anorexia), T-wave inversions, and
Leukocytosis (increased WBC), Diabetes insipidus (polyuria,
polydipsia)
What mood stabilizer is used to tx seizure disorders, manic phase of
bipolar and prevent migraine headaches? - ✅✅Valproate Acid
(Depakote)
CORRECT WELL DETAILED ANSWERS ALREADY
GRADED A+
Bupropion (Wellbutrin) is contraindicated with what hx? - ✅✅Seizure
disorder/hx of seizures. Bulimia or anorexia (present and past hx) due to
increased risk of seizures
Which brain structure is activated in severe anxiety, fear, and panic? -
✅✅Amygdala
,When prescribing disulfiram (Antabuse) to deter drinking in AUD what
is important to monitor and educate the patient on? - ✅✅disulfiram
(Antabuse) monitor liver function and education patient not to take
disulfiram until at least 12 hours after drinking alcohol and unpleasant
side effects can occur up to 2 weeks after dc of disulfiram.
What brain area is associated with being able to draw the face of a clock,
recognition of facial expression, music, and visual images? - ✅✅Right
hemisphere
Folic Acid .4 to .8 mg is recommended in reducing? - ✅✅neural tube
defects in fetuses
Maturation of the prefrontal cortex in adolescent males continues into? -
✅✅mid 20's -30s which explains risk-taking behaviors of adolescent
males.
,Norephinephrine producing neurons are located mainly in two areas of
the brain? - ✅✅Locus coeruleus and the medullary reticular
formation.
Fragile X Syndrome occurs in 1 in every 1000 males and 1 in every
2000 females. The typical phenotype includes? - ✅✅long large head
and ears***, and short stature***, hype extensible joints.***
Lithium normal levels, and toxicity level with symptoms? -
✅✅Normal 0.6-1.2 Toxicity occurs when levels reach >1.5 (symptoms
severe nausea, vomiting, diarrhea, confusion, convulsions, blurred
vision, slurred speech, muscle weakness, heart palpitations, hand
tremors, and ataxia. TX is DC lithium and check serum lithium levels.
What is the Gold Standard tx for Mania? - ✅✅Lithium
, Which medication is the Gold Standard for anti-suicidal effects and is
the neuroprotective treatment of choice for bipolar disorder? What is the
recommended tx for Bipolar with depression? - ✅✅Lithium
(Eskalith), bipolar with depression tx is Lamictal
What were the 8 high yield side effects of Lithium? -
✅✅hypothyroidism, maculopapular rash, fine hand tremors, GI upset
(diarrhea, vomiting, cramps, anorexia), T-wave inversions, and
Leukocytosis (increased WBC), Diabetes insipidus (polyuria,
polydipsia)
What mood stabilizer is used to tx seizure disorders, manic phase of
bipolar and prevent migraine headaches? - ✅✅Valproate Acid
(Depakote)
