PMHNP Exam 2023/2024 | 133 questions with complete
solution| answers well highlighted
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 neu- rodevelopmental
disorder in which the child usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; character- istics include: hypotonia (loss of muscle tone),
reduced eye contact, deceleratedhead 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.
1/9
,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, hy- ponatremia. Watch with
cipro and erythron
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 in- stability,
2/9
, encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome: syndrome caused by abrupt with- drawal of an antidepressant
drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like symptoms,
dizzy, vertigo, paresthesia (brainzaps), nausea/vomiting, and gastrointestinal effects
NMS: neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
3/9
solution| answers well highlighted
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 neu- rodevelopmental
disorder in which the child usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; character- istics include: hypotonia (loss of muscle tone),
reduced eye contact, deceleratedhead 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.
1/9
,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, hy- ponatremia. Watch with
cipro and erythron
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 in- stability,
2/9
, encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome: syndrome caused by abrupt with- drawal of an antidepressant
drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like symptoms,
dizzy, vertigo, paresthesia (brainzaps), nausea/vomiting, and gastrointestinal effects
NMS: neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
3/9
