VERIFIED ANSWERS (100% ACCURATE) |GRADED A+ | GET IT RIGHT!!
1) What is the purpose of HIPAA? - ANSWER National standards for electronic HC transactions
National ID for providers, health plans and employers.
Not SIMPLY Confidentiality.
2) What must be signed prior to any healthcare in the state - ANSWER Notice of Privacy Practices
Statement
3) What happens if a patient refuses to sign an ROI? - ANSWER Can decline to treat
Health plan may condition enrollment on provision of consent
4) When is HIPAA not required? - ANSWER Emergency treatment
Substantial communication barriers and consent is inferred
Involuntary committment
5) Is it ok to announce a patient's name in a waiting room? - ANSWER Yes, no other way to give
care.
6) Is it ok to leave a message on a patient's vm? - ANSWER Yes, but should be limited.
7) What is the impact of steroid inhalers on children? - ANSWER Slows bone growth and may
decrease ultimate height.
8) What is the long-term impact of using steroid inhalers? - ANSWER Cataracts, glaucoma, thinning
of bones and skin
9) What is included in the treatment of fibromyalgia? - ANSWER Sleeping meds
Antidepressants
Pain meds
10) What psychoactives are first line treatment for fibro? - ANSWER Cymbalta, Effexor
, Elavil, Pamelor
Lyrica, Gabapentin
Ultram, Benzo's
11) What is the purpose of telepsychiatry? - ANSWER Increase the ability to reach rural and
underserved areas.
12) What is the purpose of Motivational Interviewing? - ANSWER Explore ambiguity
Maintain passive position
13) What is required for Medicare submission? - ANSWER ICD 10 and narrative or CPT
14) What is the neurotransmitter problem in Schizophrenia? - ANSWER Excess dopamine in
mesolimbic pathway.
15) What is the neurotransmitter problem in ADHD? - ANSWER Dopamine, norepinephrine and
serotonergic dysfunction
16) What is the benefit of play therapy? - ANSWER Don't have to confront emotions head on.
17) What neurotransmitters are involved in the bioamine hypothesis of depression? - ANSWER
Noradrenaline
Serotonin
Dopamine
MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the amount in
the synapse.
18) How do you test CN XII? - ANSWER Stick out your tongue.
19) What CN are you testing when you have a patient clinch their jaw and assess temporal muscles?
- ANSWER CN V - Trigeminal
,20) What are two important things to measure when using Zyprexa? - ANSWER Lipid level and
abdominal circumference
21) What is dissemination? - ANSWER 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
22) What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment
23) What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal and
BCP's
24) What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
25) What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.
26) What is a Type II research error? - ANSWER There is NO difference but you say there is a
difference.
27) What is pseudo-dementia? - ANSWER Cognitive impairment secondary to depression that clears
when treated in the elderly. Dementia won't improve.
28) Is it normal for a 1 month old to have a palmar grasp? - ANSWER Yes.
29) What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated from the
body.
30) What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low doses
, 31) What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very serotonergic.
32) What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502
33) When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS
34) How many generations do you include for a genogram? - ANSWER 1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
35) What does messenger RNA code for? - ANSWER Amino Acids
36) What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking, stress, etc...
37) What part of the brain is involved with OCD? - ANSWER Basal Ganglia
Occipito-Frontal
38) What happens to the brain during adolescence? - ANSWER Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
39) When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - ANSWER You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER Heart Failure
HTN