PMHNP Exam Review Questions with Verified
Correct Answers
Reflexes expected at 1 month
Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome
small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
Rhett Syndrome
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
Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours), Parkinsons
(weeks), Akathisia (days)
Where do EPS originate
nigrostiatal tract.
How does tegretol interact with cipro
cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box warning
Tegretol side effects
Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity
stiffness in cervical neck area, meningitis
ACE inhibitors
-pril, CHF
, signs of serotonin syndrome
-shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome
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
neuroleptic malignant syndrome
Severe fever
Changing LOC
Autonomic instability
Rigidity
Sweating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity
Levels of Prevention
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
more than 1 SSRI, st johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur
aortic stenosis
Woman with GAD advise on medication
Correct Answers
Reflexes expected at 1 month
Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome
small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention
specialist
Rhett Syndrome
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
Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours), Parkinsons
(weeks), Akathisia (days)
Where do EPS originate
nigrostiatal tract.
How does tegretol interact with cipro
cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box warning
Tegretol side effects
Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity
stiffness in cervical neck area, meningitis
ACE inhibitors
-pril, CHF
, signs of serotonin syndrome
-shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome
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
neuroleptic malignant syndrome
Severe fever
Changing LOC
Autonomic instability
Rigidity
Sweating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity
Levels of Prevention
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
more than 1 SSRI, st johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur
aortic stenosis
Woman with GAD advise on medication
