PMHNP Exam Reported Questions - With Actual Explanations Of AnswersGraded A+.

What is dissemination? - correct answer 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? - correct answer Moderate cognitive impairment What is Tegretol in the CYP450 system? - correct answer Inducer --will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - correct answer Inducer - will lower dose of Lamictal What is a Type I research error? - correct answer There IS a difference but you say there isn't a difference. What is a Type II research error? - correct answer There is NO difference but you say there is a difference. What is pseudo-dementia? - correct answer 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? - correct answer Yes. What is a drug 1/2 life? - correct answer The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? - correct answer Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? - correct answer Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? - correct answer HLAB-1502 When might you see toxic epidermal necrolysis? - correct answer With worsening of SJS How many generations do you include for a genogram? - correct answer 1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? - correct answer Amino Acids What is epigenetics? - correct answer Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? - correct answer Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? - correct answer Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? - correct answer 10-25 yo When do females typically present with schizophrenia? - correct answer 25-35 yo What does Erythromycin to trileptal? - correct answer You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? - correct answer Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs - correct answer Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? - correct answer Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? - correct answer CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct answer CKMB What is the risk of a seriously elevated CKMB? - correct answer Polymyositis Rhabdo What is a normal CKMB? - correct answer 0.3 mcg/L What psychoactives does Detrol interact with? - correct answer Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? - correct answer CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? - correct answer CD4 200 Viral Load is high 20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? - correct answer Self-Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? - correct answer Helps rule-out disease = True Positive = Snout What is specificity? - correct answer Helps rule-in disease = True Negative = Spin What does a sed rate measure? - correct answer Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. What is a normal sed rate or ESR? - correct answer 0-22 males 0-29 females What is a retic count? - correct answer 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? - correct answer Anemia - acute or chronic bleeding What does an increased retic count indicate? - correct answer Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? - correct answer Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and