PMHNP EXAM PREP WITH QUESTIONS AND WELL VERIFIED
ANSWERS [ALREADY GRADED A+}
What is dissemination? ---ANS---Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? ---ANS---Moderate cognitive impairment
What is Tegretol in the CYP450 system? ---ANS---Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? ---ANS---Inducer - will lower dose of Lamictal
What is a Type I research error? ---ANS---There IS a difference but you say there isn't a difference.
What is a Type II research error? ---ANS---There is NO difference but you say there is a difference.
What is pseudo-dementia? ---ANS---Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
,Is it normal for a 1 month old to have a palmar grasp? ---ANS---Yes.
What is a drug 1/2 life? ---ANS---The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? ---ANS---Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? ---ANS---Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? ---ANS---HLAB-1502
When might you see toxic epidermal necrolysis? ---ANS---With worsening of SJS
How many generations do you include for a genogram? ---ANS---1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? ---ANS---Amino Acids
What is epigenetics? ---ANS---Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? ---ANS---Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? ---ANS---Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? ---ANS---10-25 yo
,When do females typically present with schizophrenia? ---ANS---25-35 yo
What does Erythromycin to trileptal? ---ANS---You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? ---ANS---Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs ---ANS---Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? ---ANS---Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? ---ANS---CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? ---ANS---CKMB
What is the risk of a seriously elevated CKMB? ---ANS---Polymyositis
Rhabdo
What is a normal CKMB? ---ANS---0.3 mcg/L
What psychoactives does Detrol interact with? ---ANS---Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? ---ANS---CN XI - Spinal
Accessory
, What do you see in labs with HIV & Dementia? ---ANS---CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? ---ANS---Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? ---ANS---Helps rule-out disease = True Positive = Snout
What is specificity? ---ANS---Helps rule-in disease = True Negative = Spin
What does a sed rate measure? ---ANS---Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance
in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? ---ANS---0-22 males
0-29 females
What is a retic count? ---ANS---Measures % of reticulocytes in blood (immature RBC's) Indicates whether
enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? ---ANS---Anemia - acute or chronic bleeding
What does an increased retic count indicate? ---ANS---Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? ---ANS---Doesn't diagnose anything. First step is
ID source of the issue.
ANSWERS [ALREADY GRADED A+}
What is dissemination? ---ANS---Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? ---ANS---Moderate cognitive impairment
What is Tegretol in the CYP450 system? ---ANS---Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? ---ANS---Inducer - will lower dose of Lamictal
What is a Type I research error? ---ANS---There IS a difference but you say there isn't a difference.
What is a Type II research error? ---ANS---There is NO difference but you say there is a difference.
What is pseudo-dementia? ---ANS---Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
,Is it normal for a 1 month old to have a palmar grasp? ---ANS---Yes.
What is a drug 1/2 life? ---ANS---The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? ---ANS---Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? ---ANS---Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? ---ANS---HLAB-1502
When might you see toxic epidermal necrolysis? ---ANS---With worsening of SJS
How many generations do you include for a genogram? ---ANS---1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? ---ANS---Amino Acids
What is epigenetics? ---ANS---Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? ---ANS---Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? ---ANS---Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? ---ANS---10-25 yo
,When do females typically present with schizophrenia? ---ANS---25-35 yo
What does Erythromycin to trileptal? ---ANS---You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? ---ANS---Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs ---ANS---Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? ---ANS---Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? ---ANS---CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? ---ANS---CKMB
What is the risk of a seriously elevated CKMB? ---ANS---Polymyositis
Rhabdo
What is a normal CKMB? ---ANS---0.3 mcg/L
What psychoactives does Detrol interact with? ---ANS---Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? ---ANS---CN XI - Spinal
Accessory
, What do you see in labs with HIV & Dementia? ---ANS---CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? ---ANS---Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? ---ANS---Helps rule-out disease = True Positive = Snout
What is specificity? ---ANS---Helps rule-in disease = True Negative = Spin
What does a sed rate measure? ---ANS---Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance
in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? ---ANS---0-22 males
0-29 females
What is a retic count? ---ANS---Measures % of reticulocytes in blood (immature RBC's) Indicates whether
enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? ---ANS---Anemia - acute or chronic bleeding
What does an increased retic count indicate? ---ANS---Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? ---ANS---Doesn't diagnose anything. First step is
ID source of the issue.
