lOMoAR cPSD| 64664050
Final Exam LMR
Georgette PMHNP
2026 Questions &
Answers Updated
, lOMoAR cPSD| 64664050
LMR GEORGETTE’S PMHNP FINAL
EXAM LATEST 2026 QUSTIONS WITH
ANSWERS NEW UPDATE
What drugs should be avoided with Kava Kava?ANS== Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH?ANS== 0.5 - 5.0 mu/L
What are lab values in HyperthyroidismANS== Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?ANS== Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?ANS== Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?ANS== Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?ANS== Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?ANS== Mania
Valproic acid produces what teratogenic effect?ANS== Spina bifida (neural tube
defect)
What is the primary organ where valproic acid is toxic?ANS== Liver (hepatoxicity)
What are 4 signs of hepatoxicity?ANS== Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid?ANS== 50-125 mcg/ml
What is a toxic level of valproic acid?ANS== >150 mcg/ml
What are 4 signs of valproic acid Disorientation
toxicity?ANS==
Lethargy
Respiratory
depression
Nausea/vomiting
Downloaded by Weykey Pinn ()
, lOMoAR cPSD| 64664050
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown
urine. What do
you suspect? What do you do?ANS== Hepatotoxicity; hold med, draw
LFT's (priority),
DVP level
With suspected toxicity with valproic acid, what steps/labs should be
drawn?ANS==
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia
level
A pregnant pt is taking accutane, zyprexa and abilify; what med
needs to be
d/c'd?ANS== Accutane (used for acne; Causes birth
Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia?
What is the major
side effect with Kava Kava?ANS== Kava
Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?ANS== Fever -Key sx to
suspect SJS; high yield (HY) burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?ANS== Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?ANS== Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least Aripiprazole
sedating?ANS== (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ,
which do you
add?ANS== Aripiprazole (least
sedating)
What are 2 hallmark symptoms of delirium?ANS== Acute onset
disturbance of LOC impaired cognition inattention
How are agitation and psychotic symptoms treated in delirium?ANS== Low dose
Haldol (QTc check first)
Downloaded by Weykey Pinn ()
, lOMoAR cPSD| 64664050
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action?ANS== Do UDS; chances are they may be abusing other substances
What 4 drugs can cause mania?ANS== "SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression?ANS== "SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states?ANS== Mania
Depression Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is .
What is the best environment to interview this pt in?ANS== reassure safety, provide
environment of safety private area with door open/partially open
What is the therapeutic range for lithium?ANS== 0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don't have psych evals before
leaving the hospital, what could a possible solution be?ANS== collaborating care
between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the informed
consent [does/does not] apply?ANS== Does not, ie pt will need to sign consent for
labs/ chart to be sent
When discharging from inpatient you want [to fax/print off-give to pt.] labs for the
outpatient provider before pt discharge?ANS== fax; so the new provider has them for
follow-up appointment
Downloaded by Weykey Pinn ()
Final Exam LMR
Georgette PMHNP
2026 Questions &
Answers Updated
, lOMoAR cPSD| 64664050
LMR GEORGETTE’S PMHNP FINAL
EXAM LATEST 2026 QUSTIONS WITH
ANSWERS NEW UPDATE
What drugs should be avoided with Kava Kava?ANS== Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH?ANS== 0.5 - 5.0 mu/L
What are lab values in HyperthyroidismANS== Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?ANS== Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?ANS== Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?ANS== Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?ANS== Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?ANS== Mania
Valproic acid produces what teratogenic effect?ANS== Spina bifida (neural tube
defect)
What is the primary organ where valproic acid is toxic?ANS== Liver (hepatoxicity)
What are 4 signs of hepatoxicity?ANS== Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid?ANS== 50-125 mcg/ml
What is a toxic level of valproic acid?ANS== >150 mcg/ml
What are 4 signs of valproic acid Disorientation
toxicity?ANS==
Lethargy
Respiratory
depression
Nausea/vomiting
Downloaded by Weykey Pinn ()
, lOMoAR cPSD| 64664050
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown
urine. What do
you suspect? What do you do?ANS== Hepatotoxicity; hold med, draw
LFT's (priority),
DVP level
With suspected toxicity with valproic acid, what steps/labs should be
drawn?ANS==
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia
level
A pregnant pt is taking accutane, zyprexa and abilify; what med
needs to be
d/c'd?ANS== Accutane (used for acne; Causes birth
Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia?
What is the major
side effect with Kava Kava?ANS== Kava
Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?ANS== Fever -Key sx to
suspect SJS; high yield (HY) burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?ANS== Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?ANS== Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least Aripiprazole
sedating?ANS== (Abilify)
Your pt is taking Kava and you need to add an AS to manage their SCZ,
which do you
add?ANS== Aripiprazole (least
sedating)
What are 2 hallmark symptoms of delirium?ANS== Acute onset
disturbance of LOC impaired cognition inattention
How are agitation and psychotic symptoms treated in delirium?ANS== Low dose
Haldol (QTc check first)
Downloaded by Weykey Pinn ()
, lOMoAR cPSD| 64664050
16 y/o C/O feeling funny after inhaling Acetone (nail polish remover). What is your
action?ANS== Do UDS; chances are they may be abusing other substances
What 4 drugs can cause mania?ANS== "SAID"
Steroids
Antidepressants (in BPD)
Isoniazid (INH)
Disulfiram (Antabuse)
What 6 drugs can induce depression?ANS== "SIP BARB"
Steroids
Interferon,
Progesterone
Beta blockers
Accutane, (Isotretinoin)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Steroids can induce what 3 psychiatric states?ANS== Mania
Depression Psychosis
REMEMBER SAFETY FIRST; pt s/p assault, 1st thing you do is .
What is the best environment to interview this pt in?ANS== reassure safety, provide
environment of safety private area with door open/partially open
What is the therapeutic range for lithium?ANS== 0.6-1.2 mEq/L
Many postpartum women have SI after delivery, yet they don't have psych evals before
leaving the hospital, what could a possible solution be?ANS== collaborating care
between psych and OBGYN to provide the best care for that pt
If collaborating with a provider who is not in the same clinic or hospital, the informed
consent [does/does not] apply?ANS== Does not, ie pt will need to sign consent for
labs/ chart to be sent
When discharging from inpatient you want [to fax/print off-give to pt.] labs for the
outpatient provider before pt discharge?ANS== fax; so the new provider has them for
follow-up appointment
Downloaded by Weykey Pinn ()
