LMR Georgette’s
PMHNP Certification
Exam
,What are 4 primary symptoms of Hypothyroidism? - Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - Mania
Valproic acid produces what teratogenic effect? - Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? - Liver (hepatoxicity)
,What are 4 signs of hepatoxicity? - Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera,
and Fatigue are signs of - Hepatoxicity
What is the therapeutic range for valproic acid? - 50-125 mcg/ml
What is a toxic level of valproic acid? - >150 mcg/ml
What are 4 signs of valproic acid toxicity? - Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms
of toxicity with what drug? - Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn? - DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? - Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? - Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are
symptoms of - Stephen's Johnson Syndrome
Which mood stabilizer causes the least weight gain? - Lamotrigine (Lamictal)
, Which 3 SGAs cause the least weight gain? - Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - Acute disturbance of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of -
Delirium
How are agitation and psychotic symptoms treated in delirium? - Low dose Haldol
What 4 drugs can cause mania? - Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce - Mania
What 6 drugs can induce depression? - Steroids
Beta blockers
Interferon, Isotretinoin (Accutane)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Progesterone
Steroids can induce what 3 psychiatric states? - Mania
Depression
Psychosis
What medication to treat acne cause cause birth defects? - Isotretinoin (Accutane)
What is the therapeutic range for lithium? - 0.6-1.2 mEq/L
What medication has a neuroprotective effect for bipolar disorder? - Lithium
What is the gold standard for treating manic episodes - Lithium
PMHNP Certification
Exam
,What are 4 primary symptoms of Hypothyroidism? - Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - Mania
Valproic acid produces what teratogenic effect? - Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? - Liver (hepatoxicity)
,What are 4 signs of hepatoxicity? - Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera,
and Fatigue are signs of - Hepatoxicity
What is the therapeutic range for valproic acid? - 50-125 mcg/ml
What is a toxic level of valproic acid? - >150 mcg/ml
What are 4 signs of valproic acid toxicity? - Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms
of toxicity with what drug? - Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn? - DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? - Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? - Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are
symptoms of - Stephen's Johnson Syndrome
Which mood stabilizer causes the least weight gain? - Lamotrigine (Lamictal)
, Which 3 SGAs cause the least weight gain? - Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - Acute disturbance of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of -
Delirium
How are agitation and psychotic symptoms treated in delirium? - Low dose Haldol
What 4 drugs can cause mania? - Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce - Mania
What 6 drugs can induce depression? - Steroids
Beta blockers
Interferon, Isotretinoin (Accutane)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Progesterone
Steroids can induce what 3 psychiatric states? - Mania
Depression
Psychosis
What medication to treat acne cause cause birth defects? - Isotretinoin (Accutane)
What is the therapeutic range for lithium? - 0.6-1.2 mEq/L
What medication has a neuroprotective effect for bipolar disorder? - Lithium
What is the gold standard for treating manic episodes - Lithium
