PMHNP Exam Reported Questions and
Answers(2022/2023)
What is dissemination?ANS= Getting the research information out to those who need to
know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean?ANS= Moderate cognitive impairment
What is Tegretol in the CYP450 system?ANS= Inducer -->will lower dose of Lamictal
and BCP's
What do BCP's do to Lamictal?ANS= Inducer - will lower dose of Lamictal
What is a Type I research error?ANS= There IS a difference but you say there isn't a
difference.
What is a Type II research error?ANS= There is NO difference but you say there is a
difference.
What is pseudo-dementia?ANS= Cognitive impairment secondary to depression that
clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp?ANS= Yes.
What is a drug 1/2 life?ANS= The time it takes for 50% of a drug to be eliminated from
the body.
What 3 atypicals can be used with teens?ANS= Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol?ANS= Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?ANS= HLAB-1502
When might you see toxic epidermal necrolysis?ANS= With worsening of SJS
How many generations do you include for a genogram?ANS= 1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
,What does messenger RNA code for?ANS= Amino Acids
What is epigenetics?ANS= Factors that affect genes - environmental, smoking, stress,
etc...
What part of the brain is involved with OCD?ANS= Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence?ANS= Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia?ANS= 10-25 yo
When do females typically present with schizophrenia?ANS= 25-35 yo
What does Erythromycin to trileptal?ANS= You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what?ANS= Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugsANS=
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol?ANS= Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests?ANS= CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage?ANS=
CKMB
What is the risk of a seriously elevated CKMB?ANS= Polymyositis
Rhabdo
What is a normal CKMB?ANS= 0.3 mcg/L
What psychoactives does Detrol interact with?ANS= Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders?ANS=
CN XI - Spinal Accessory
, What do you see in labs with HIV & Dementia?ANS= CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory?ANS= Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity?ANS= Helps rule-out disease = True Positive = Snout
What is specificity?ANS= Helps rule-in disease = True Negative = Spin
What does a sed rate measure?ANS= Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR?ANS= 0-22 males
0-29 females
What is a retic count?ANS= Measures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate?ANS= Anemia - acute or chronic bleeding
What does an increased retic count indicate?ANS= Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general?ANS= Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides?ANS= Increase tegretol levels.
What happens if a pregnant women takes Accutane?ANS= Birth defects.
What labs do you get with RA?ANS= Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from?ANS= ANA
When do you assume informed consent?ANS= Unconscious
Incompetent
Life Threatening Situation
Answers(2022/2023)
What is dissemination?ANS= Getting the research information out to those who need to
know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean?ANS= Moderate cognitive impairment
What is Tegretol in the CYP450 system?ANS= Inducer -->will lower dose of Lamictal
and BCP's
What do BCP's do to Lamictal?ANS= Inducer - will lower dose of Lamictal
What is a Type I research error?ANS= There IS a difference but you say there isn't a
difference.
What is a Type II research error?ANS= There is NO difference but you say there is a
difference.
What is pseudo-dementia?ANS= Cognitive impairment secondary to depression that
clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp?ANS= Yes.
What is a drug 1/2 life?ANS= The time it takes for 50% of a drug to be eliminated from
the body.
What 3 atypicals can be used with teens?ANS= Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol?ANS= Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?ANS= HLAB-1502
When might you see toxic epidermal necrolysis?ANS= With worsening of SJS
How many generations do you include for a genogram?ANS= 1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
,What does messenger RNA code for?ANS= Amino Acids
What is epigenetics?ANS= Factors that affect genes - environmental, smoking, stress,
etc...
What part of the brain is involved with OCD?ANS= Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence?ANS= Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia?ANS= 10-25 yo
When do females typically present with schizophrenia?ANS= 25-35 yo
What does Erythromycin to trileptal?ANS= You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what?ANS= Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugsANS=
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol?ANS= Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests?ANS= CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage?ANS=
CKMB
What is the risk of a seriously elevated CKMB?ANS= Polymyositis
Rhabdo
What is a normal CKMB?ANS= 0.3 mcg/L
What psychoactives does Detrol interact with?ANS= Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders?ANS=
CN XI - Spinal Accessory
, What do you see in labs with HIV & Dementia?ANS= CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory?ANS= Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity?ANS= Helps rule-out disease = True Positive = Snout
What is specificity?ANS= Helps rule-in disease = True Negative = Spin
What does a sed rate measure?ANS= Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR?ANS= 0-22 males
0-29 females
What is a retic count?ANS= Measures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate?ANS= Anemia - acute or chronic bleeding
What does an increased retic count indicate?ANS= Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general?ANS= Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides?ANS= Increase tegretol levels.
What happens if a pregnant women takes Accutane?ANS= Birth defects.
What labs do you get with RA?ANS= Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from?ANS= ANA
When do you assume informed consent?ANS= Unconscious
Incompetent
Life Threatening Situation
