Georgette's LMR
(Question Bank /
Georgette's
PMHNP
Certification)
Exam Review 2024
, Georgette's LMR 2024 Question Bank
What drugs should be avoided with Kava
Kava?- ans-Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3
functions?- ans-Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview
do?- ans-cultural assessment
What is the normal range for
TSH?- ans-0.5 - 5.0 mu/L
What are lab values in
Hyperthyroidism?- ans-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?
, 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?- ans-50-125 mcg/ml
What is a toxic level of valproic acid?
>150 mcg/ml
What are 4 signs of valproic acid
toxicity?- ans-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?- ans-DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What herbal supplement is sued for anxiety,
stress, and insomnia?- ans-Kava Kava
What is the major side effect with Kava
Kava?- ans-Liver damage
What are 5 symptoms of Stephen's Johnson
Syndrome?- ans-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?- ans-Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight
gain?- ans-Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least
sedating?- ans-Aripiprazole
(Abilify)
What are 3 hallmark symptoms of delirium?
(Question Bank /
Georgette's
PMHNP
Certification)
Exam Review 2024
, Georgette's LMR 2024 Question Bank
What drugs should be avoided with Kava
Kava?- ans-Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3
functions?- ans-Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview
do?- ans-cultural assessment
What is the normal range for
TSH?- ans-0.5 - 5.0 mu/L
What are lab values in
Hyperthyroidism?- ans-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?
, 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?- ans-50-125 mcg/ml
What is a toxic level of valproic acid?
>150 mcg/ml
What are 4 signs of valproic acid
toxicity?- ans-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?- ans-DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What herbal supplement is sued for anxiety,
stress, and insomnia?- ans-Kava Kava
What is the major side effect with Kava
Kava?- ans-Liver damage
What are 5 symptoms of Stephen's Johnson
Syndrome?- ans-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?- ans-Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight
gain?- ans-Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least
sedating?- ans-Aripiprazole
(Abilify)
What are 3 hallmark symptoms of delirium?
