PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
Getting the research information out to
those who need to know it!
Publication - highest level
What is dissemination?
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews
an article
What does a 17 on MMSE mean? Moderate cognitive impairment
Inducer -->will lower dose of Lamictal
What is Tegretol in the CYP450 system?
and BCP's
What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal
There IS a difference but you say there
What is a Type I research error?
isn't a difference.
There is NO difference but you say there
What is a Type II research error?
is a difference.
Cognitive impairment secondary to de-
What is pseudo-dementia? pression that clears when treated in the
elderly. Dementia won't improve.
Is it normal for a 1 month old to have a
Yes.
palmar grasp?
The time it takes for 50% of a drug to be
What is a drug 1/2 life?
eliminated from the body.
What 3 atypicals can be used with
Zyprexa, Abilify, Seroquel - low doses
teens?
Serotonin Syndrome as it is very sero-
What is a risk of using Tramadol?
tonergic.
What is the allele seen in Asians that
HLAB-1502
increase the risk of SJS?
When might you see toxic epidermal
With worsening of SJS
necrolysis?
1st degree - mother, father, siblings
How many generations do you include
2nd degree - grandparents & cousins
for a genogram?
3rd degree -
, PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
What does messenger RNA code for? Amino Acids
Factors that affect genes - environmen-
What is epigenetics?
tal, smoking, stress, etc...
What part of the brain is involved with Basal Ganglia
OCD? Occipito-Frontal
Dendritic pruning
What happens to the brain during ado-
Emotions are controlled by amygdala
lescence?
By adulthood, PFC involved as well
When do males typically present with
10-25 yo
schizophrenia?
When do females typically present with
25-35 yo
schizophrenia?
You will need to decreases the lev-
What does Erythromycin to trileptal? el because Trileptal(inducer) and ery-
thromycin is a inhibitor
ACE Inhibitors are the drug of choice for Heart Failure
what? HTN
Leukotriene receptor agonists - singu-
What are some psychiatric side effects lair, accolade, zyflo = agitation, aggres-
seen with some asthma drugs sion, anxiety, hallucinations, depression,
insomnia, SI, tremor
What should you watch for with Tegretol? Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme
CKBB, CKMM, CKMB
tests?
Which one of the 3 muscle enzymes are
CKMB
related to cardiac muscle damage?
What is the risk of a seriously elevated Polymyositis
CKMB? Rhabdo
What is a normal CKMB? 0.3 mcg/L
Topamax
What psychoactives does Detrol interact
KCL
with?
Zonegran
CN XI - Spinal Accessory
, PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
What CN are you assessing when you
have the patient shrug their shoulders?
CD4 <200
What do you see in labs with HIV & De-
Viral Load is high
mentia?
<20% get it with antiretroviral treatment
Self-Report - 0-63
0-13 - minimal
What is the scoring with the Beck De-
14-19 - mild
pression Inventory?
20-28 - moderate
29-63 - severe
Helps rule-out disease = True Positive =
What is sensitivity?
Snout
Helps rule-in disease = True Negative =
What is specificity?
Spin
Inflammation (ESR - Erythrocyte Sedi-
What does a sed rate measure? mentation Rate) = distance in mm RBC's
have descended in 1 hour.
0-22 males
What is a normal sed rate or ESR?
0-29 females
Measures % of reticulocytes in blood
(immature RBC's) Indicates whether
What is a retic count?
enough RBC's are being produced by
bone marrow.
What does a decreased retic count indi-
Anemia - acute or chronic bleeding
cate?
What does an increased retic count indi- Bone marrow disorder or Vitamin Defi-
cate? ciency
What does an abnormal retic ount indi- Doesn't diagnose anything. First step is
cate in general? ID source of the issue.
What happens when you mix tegretol
Increase tegretol levels.
and macrolides?
What happens if a pregnant women
Birth defects.
takes Accutane?
What labs do you get with RA?
, PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
Sed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagno-
sis.
CRP and ESR are both increased in RA
but NOT in osteoarthritis.
Where does the NP Code of Ethics come
ANA
from?
Unconscious
When do you assume informed consent? Incompetent
Life Threatening Situation
What are the legal ramifications of treat-
Same as with informed consent
ing w/o informed consent?
Who can declare a patient incompetent
Only a court
and appoint a guardian?
Does impaired judgment mean one is
No.
incompetent?
Can an advanced directive ever be re-
Yes, at any time.
voked?
What is the different between a Health-
care Agent, Proxy, Surrogate, and Attor- Nothing. They are all the same.
ney in Fact?
Does the de facto rule of proxy apply in
No.
same sex marriages?
As in a position of authority.
How do Asians see HC providers? Expect to give instructions and help
make decisions
What does it mean when an Asian pa-
tient does not make eye contact with the SIgn of respect
NP?
When a stronger or more powerful per-
son looks at a weaker person - often
infant/child resulting in a hex which pre-
What is the evil eye?
sents in illness such as HA, fever, di-
arrhea, disturbed sleep, increased fussi-
ness.
Study online at https://quizlet.com/_hlztkc
Getting the research information out to
those who need to know it!
Publication - highest level
What is dissemination?
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews
an article
What does a 17 on MMSE mean? Moderate cognitive impairment
Inducer -->will lower dose of Lamictal
What is Tegretol in the CYP450 system?
and BCP's
What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal
There IS a difference but you say there
What is a Type I research error?
isn't a difference.
There is NO difference but you say there
What is a Type II research error?
is a difference.
Cognitive impairment secondary to de-
What is pseudo-dementia? pression that clears when treated in the
elderly. Dementia won't improve.
Is it normal for a 1 month old to have a
Yes.
palmar grasp?
The time it takes for 50% of a drug to be
What is a drug 1/2 life?
eliminated from the body.
What 3 atypicals can be used with
Zyprexa, Abilify, Seroquel - low doses
teens?
Serotonin Syndrome as it is very sero-
What is a risk of using Tramadol?
tonergic.
What is the allele seen in Asians that
HLAB-1502
increase the risk of SJS?
When might you see toxic epidermal
With worsening of SJS
necrolysis?
1st degree - mother, father, siblings
How many generations do you include
2nd degree - grandparents & cousins
for a genogram?
3rd degree -
, PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
What does messenger RNA code for? Amino Acids
Factors that affect genes - environmen-
What is epigenetics?
tal, smoking, stress, etc...
What part of the brain is involved with Basal Ganglia
OCD? Occipito-Frontal
Dendritic pruning
What happens to the brain during ado-
Emotions are controlled by amygdala
lescence?
By adulthood, PFC involved as well
When do males typically present with
10-25 yo
schizophrenia?
When do females typically present with
25-35 yo
schizophrenia?
You will need to decreases the lev-
What does Erythromycin to trileptal? el because Trileptal(inducer) and ery-
thromycin is a inhibitor
ACE Inhibitors are the drug of choice for Heart Failure
what? HTN
Leukotriene receptor agonists - singu-
What are some psychiatric side effects lair, accolade, zyflo = agitation, aggres-
seen with some asthma drugs sion, anxiety, hallucinations, depression,
insomnia, SI, tremor
What should you watch for with Tegretol? Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme
CKBB, CKMM, CKMB
tests?
Which one of the 3 muscle enzymes are
CKMB
related to cardiac muscle damage?
What is the risk of a seriously elevated Polymyositis
CKMB? Rhabdo
What is a normal CKMB? 0.3 mcg/L
Topamax
What psychoactives does Detrol interact
KCL
with?
Zonegran
CN XI - Spinal Accessory
, PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
What CN are you assessing when you
have the patient shrug their shoulders?
CD4 <200
What do you see in labs with HIV & De-
Viral Load is high
mentia?
<20% get it with antiretroviral treatment
Self-Report - 0-63
0-13 - minimal
What is the scoring with the Beck De-
14-19 - mild
pression Inventory?
20-28 - moderate
29-63 - severe
Helps rule-out disease = True Positive =
What is sensitivity?
Snout
Helps rule-in disease = True Negative =
What is specificity?
Spin
Inflammation (ESR - Erythrocyte Sedi-
What does a sed rate measure? mentation Rate) = distance in mm RBC's
have descended in 1 hour.
0-22 males
What is a normal sed rate or ESR?
0-29 females
Measures % of reticulocytes in blood
(immature RBC's) Indicates whether
What is a retic count?
enough RBC's are being produced by
bone marrow.
What does a decreased retic count indi-
Anemia - acute or chronic bleeding
cate?
What does an increased retic count indi- Bone marrow disorder or Vitamin Defi-
cate? ciency
What does an abnormal retic ount indi- Doesn't diagnose anything. First step is
cate in general? ID source of the issue.
What happens when you mix tegretol
Increase tegretol levels.
and macrolides?
What happens if a pregnant women
Birth defects.
takes Accutane?
What labs do you get with RA?
, PMHNP REAL EXAM
Study online at https://quizlet.com/_hlztkc
Sed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagno-
sis.
CRP and ESR are both increased in RA
but NOT in osteoarthritis.
Where does the NP Code of Ethics come
ANA
from?
Unconscious
When do you assume informed consent? Incompetent
Life Threatening Situation
What are the legal ramifications of treat-
Same as with informed consent
ing w/o informed consent?
Who can declare a patient incompetent
Only a court
and appoint a guardian?
Does impaired judgment mean one is
No.
incompetent?
Can an advanced directive ever be re-
Yes, at any time.
voked?
What is the different between a Health-
care Agent, Proxy, Surrogate, and Attor- Nothing. They are all the same.
ney in Fact?
Does the de facto rule of proxy apply in
No.
same sex marriages?
As in a position of authority.
How do Asians see HC providers? Expect to give instructions and help
make decisions
What does it mean when an Asian pa-
tient does not make eye contact with the SIgn of respect
NP?
When a stronger or more powerful per-
son looks at a weaker person - often
infant/child resulting in a hex which pre-
What is the evil eye?
sents in illness such as HA, fever, di-
arrhea, disturbed sleep, increased fussi-
ness.
