LMR Georgette PMHNP Board Exam
Review PDF High-Yield Study Guide
Actual Exam 2026/2027 – 100% Verified
Q&A – Pass Guaranteed – A+ Graded
INSTANT DOWNLOAD
1. Q: A 45-year-old female with major depressive disorder has
failed trials of fluoxetine and sertraline. She is started on
phenelzine. What is the most critical dietary restriction?
A: Avoid tyramine-rich foods (aged cheese, cured meats,
fermented products) due to risk of hypertensive crisis.
2. Q: A patient on clozapine reports fever, sore throat, and
malaise. What lab value is most concerning?
A: Absolute neutrophil count (ANC) < 500/mm³ – agranulocytosis
risk.
3. Q: Which medication is first-line for PTSD according to APA
guidelines?
A: Sertraline or paroxetine (SSRIs).
4. Q: A patient presents with pressured speech, grandiosity,
decreased need for sleep, and reckless spending for 5 days. What
is the most likely diagnosis?
A: Manic episode (bipolar I disorder).
5. Q: What is the therapeutic serum level for lithium?
A: 0.6–1.2 mEq/L for acute mania; 0.6–0.8 mEq/L for maintenance.
,6. Q: A patient on valproic acid develops tremor, ataxia, and
confusion. What is the most likely cause?
A: Valproic acid toxicity – check ammonia and valproate levels.
7. Q: Which benzodiazepine is preferred in hepatic impairment?
A: Lorazepam or oxazepam (short-acting, no active metabolites).
8. Q: A 28-year-old female with panic disorder reports
agoraphobia. What is the first-line pharmacologic treatment?
A: SSRI (e.g., sertraline or paroxetine).
9. Q: What is the minimum duration of a major depressive
episode per DSM-5?
A: 2 weeks.
10. Q: Which antipsychotic is associated with the highest risk of
metabolic syndrome?
A: Clozapine, followed by olanzapine.
11. Q: A patient on haloperidol develops torticollis and oculogyric
crisis. What is the immediate treatment?
A: Diphenhydramine or benztropine (anticholinergic for acute
dystonia).
12. Q: What is the first-line treatment for ADHD in children ≥ 6
years?
A: Stimulants (methylphenidate or amphetamine derivatives).
13. Q: A patient with schizophrenia has persistent negative
symptoms. Which medication is FDA-approved specifically for
this?
A: Cariprazine.
, 14. Q: What is the MMSE score range indicating severe cognitive
impairment?
A: 0–9 out of 30.
15. Q: Which lab test is required before starting lithium?
A: BUN, creatinine, TSH, pregnancy test, ECG (if > 40 years).
16. Q: A patient on bupropion reports a seizure. What is the most
significant risk factor?
A: Dose > 450 mg/day or history of seizure disorder/eating
disorder.
17. Q: What is the FDA black box warning for SSRIs in
children/adolescents?
A: Increased risk of suicidal ideation and behavior.
18. Q: Which medication is used for rapid tranquilization in acute
agitation?
A: Haloperidol + lorazepam (or olanzapine IM).
19. Q: A patient has been on quetiapine for 2 weeks and reports
excessive sedation. What is the best management?
A: Titrate slowly, give most of the dose at bedtime, consider lower
dose.
20. Q: What is the diagnostic criteria for generalized anxiety
disorder (GAD) per DSM-5?
A: Excessive worry ≥ 6 months, difficulty controlling worry, ≥ 3
associated symptoms (restlessness, fatigue, concentration issues,
irritability, muscle tension, sleep disturbance).
Review PDF High-Yield Study Guide
Actual Exam 2026/2027 – 100% Verified
Q&A – Pass Guaranteed – A+ Graded
INSTANT DOWNLOAD
1. Q: A 45-year-old female with major depressive disorder has
failed trials of fluoxetine and sertraline. She is started on
phenelzine. What is the most critical dietary restriction?
A: Avoid tyramine-rich foods (aged cheese, cured meats,
fermented products) due to risk of hypertensive crisis.
2. Q: A patient on clozapine reports fever, sore throat, and
malaise. What lab value is most concerning?
A: Absolute neutrophil count (ANC) < 500/mm³ – agranulocytosis
risk.
3. Q: Which medication is first-line for PTSD according to APA
guidelines?
A: Sertraline or paroxetine (SSRIs).
4. Q: A patient presents with pressured speech, grandiosity,
decreased need for sleep, and reckless spending for 5 days. What
is the most likely diagnosis?
A: Manic episode (bipolar I disorder).
5. Q: What is the therapeutic serum level for lithium?
A: 0.6–1.2 mEq/L for acute mania; 0.6–0.8 mEq/L for maintenance.
,6. Q: A patient on valproic acid develops tremor, ataxia, and
confusion. What is the most likely cause?
A: Valproic acid toxicity – check ammonia and valproate levels.
7. Q: Which benzodiazepine is preferred in hepatic impairment?
A: Lorazepam or oxazepam (short-acting, no active metabolites).
8. Q: A 28-year-old female with panic disorder reports
agoraphobia. What is the first-line pharmacologic treatment?
A: SSRI (e.g., sertraline or paroxetine).
9. Q: What is the minimum duration of a major depressive
episode per DSM-5?
A: 2 weeks.
10. Q: Which antipsychotic is associated with the highest risk of
metabolic syndrome?
A: Clozapine, followed by olanzapine.
11. Q: A patient on haloperidol develops torticollis and oculogyric
crisis. What is the immediate treatment?
A: Diphenhydramine or benztropine (anticholinergic for acute
dystonia).
12. Q: What is the first-line treatment for ADHD in children ≥ 6
years?
A: Stimulants (methylphenidate or amphetamine derivatives).
13. Q: A patient with schizophrenia has persistent negative
symptoms. Which medication is FDA-approved specifically for
this?
A: Cariprazine.
, 14. Q: What is the MMSE score range indicating severe cognitive
impairment?
A: 0–9 out of 30.
15. Q: Which lab test is required before starting lithium?
A: BUN, creatinine, TSH, pregnancy test, ECG (if > 40 years).
16. Q: A patient on bupropion reports a seizure. What is the most
significant risk factor?
A: Dose > 450 mg/day or history of seizure disorder/eating
disorder.
17. Q: What is the FDA black box warning for SSRIs in
children/adolescents?
A: Increased risk of suicidal ideation and behavior.
18. Q: Which medication is used for rapid tranquilization in acute
agitation?
A: Haloperidol + lorazepam (or olanzapine IM).
19. Q: A patient has been on quetiapine for 2 weeks and reports
excessive sedation. What is the best management?
A: Titrate slowly, give most of the dose at bedtime, consider lower
dose.
20. Q: What is the diagnostic criteria for generalized anxiety
disorder (GAD) per DSM-5?
A: Excessive worry ≥ 6 months, difficulty controlling worry, ≥ 3
associated symptoms (restlessness, fatigue, concentration issues,
irritability, muscle tension, sleep disturbance).
