PMHNP EXAMINATION TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ 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
,◉ 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
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood
cell count/cpk, rigidity
◉ Levels of Prevention. Answer: Primary: prevent/promotion, classes,
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
◉ Risk factors for serotonin syndrome. Answer: more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
◉ Grade 2/5 hoarse systolic heart murmur. Answer: aortic stenosis
◉ Woman with GAD advise on medication. Answer: stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue buspar
◉ What to give to agitated pt in seclusion. Answer: IM Geodon
WITH SOLUTIONS GRADED A+
◉ 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
,◉ 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
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood
cell count/cpk, rigidity
◉ Levels of Prevention. Answer: Primary: prevent/promotion, classes,
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
◉ Risk factors for serotonin syndrome. Answer: more than 1 SSRI, st
johns wart, tramadol, demerol, ultram, maperidone, 5HT
◉ Grade 2/5 hoarse systolic heart murmur. Answer: aortic stenosis
◉ Woman with GAD advise on medication. Answer: stop benzos
because can cause floppy baby syndrome and cleft palate, cotinue buspar
◉ What to give to agitated pt in seclusion. Answer: IM Geodon
