PMHNP Exam Reported Questions And Answers Latest Updated

PMHNP Exam Reported Questions And
Answers Latest Updated



What is dissemination? - answer-Getting the research information out to those who
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need to know it!
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Publication - highest level b b b


Presenting at National Conference b b b


Presenting at Local Conference b b b


Journal Club where one person reviews an article
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What does a 17 on MMSE mean? - answer-Moderate cognitive impairment
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What is Tegretol in the CYP450 system? - answer-Inducer -->will lower dose of Lamictal
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and BCP's
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What do BCP's do to Lamictal? - answer-Inducer - will lower dose of Lamictal
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What is a Type I research error? - answer-There IS a difference but you say there isn't a
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difference.
b




What is a Type II research error? - answer-There is NO difference but you say there is a
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difference.
b




What is pseudo-dementia? - answer-Cognitive impairment secondary to depression that
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clears when treated in the elderly. Dementia won't improve.
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Is it normal for a 1 month old to have a palmar grasp? - answer-Yes.
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What is a drug 1/2 life? - answer-The time it takes for 50% of a drug to be eliminated
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from the body.
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What 3 atypicals can be used with teens? - answer-Zyprexa, Abilify, Seroquel - low
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doses
b




What is a risk of using Tramadol? - answer-Serotonin Syndrome as it is very
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serotonergic.
b




What is the allele seen in Asians that increase the risk of SJS? - answer-HLAB-1502
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,When might you see toxic epidermal necrolysis? - answer-With worsening of SJS
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How many generations do you include for a genogram? - answer-1st degree - mother,
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father, siblings
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2nd degree - grandparents & cousins
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3rd degree -
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What does messenger RNA code for? - answer-Amino Acids
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What is epigenetics? - answer-Factors that affect genes - environmental, smoking,
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stress, etc...
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What part of the brain is involved with OCD? - answer-Basal Ganglia
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Occipito-Frontal

What happens to the brain during adolescence? - answer-Dendritic pruning
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Emotions are controlled by amygdala b b b b


By adulthood, PFC involved as well
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When do males typically present with schizophrenia? - answer-10-25 yo
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When do females typically present with schizophrenia? - answer-25-35 yo
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What does Erythromycin to trileptal? - answer-You will need to decreases the level
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because Trileptal(inducer) and erythromycin is a inhibitor
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ACE Inhibitors are the drug of choice for what? - answer-Heart Failure
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HTN

What are some psychiatric side effects seen with some asthma drugs - answer-
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Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
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anxiety, hallucinations, depression, insomnia, SI, tremor
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What should you watch for with Tegretol? - answer-Agranulocytosis and Hyponatremia
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What are the 3 CK muscle enzyme tests? - answer-CKBB, CKMM, CKMB
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Which one of the 3 muscle enzymes are related to cardiac muscle damage? - answer-
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CKMB

What is the risk of a seriously elevated CKMB? - answer-Polymyositis
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Rhabdo

What is a normal CKMB? - answer-0.3 mcg/L
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, What psychoactives does Detrol interact with? - answer-Topamax
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KCL
Zonegran

What CN are you assessing when you have the patient shrug their shoulders? - answer-
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CN XI - Spinal Accessory
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What do you see in labs with HIV & Dementia? - answer-CD4 <200
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Viral Load is high
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<20% get it with antiretroviral treatment
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What is the scoring with the Beck Depression Inventory? - answer-Self-Report - 0-63
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0-13 - minimal
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14-19 - mild b b


20-28 - moderateb b


29-63 - severe b b




What is sensitivity? - answer-Helps rule-out disease = True Positive = Snout
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What is specificity? - answer-Helps rule-in disease = True Negative = Spin
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What does a sed rate measure? - answer-Inflammation (ESR - Erythrocyte
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Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
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What is a normal sed rate or ESR? - answer-0-22 males
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0-29 females
b




What is a retic count? - answer-Measures % of reticulocytes in blood (immature RBC's)
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Indicates whether enough RBC's are being produced by bone marrow.
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What does a decreased retic count indicate? - answer-Anemia - acute or chronic
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bleeding
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What does an increased retic count indicate? - answer-Bone marrow disorder or
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Vitamin Deficiency
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What does an abnormal retic ount indicate in general? - answer-Doesn't diagnose
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anything. First step is ID source of the issue.
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What happens when you mix tegretol and macrolides? - answer-Increase tegretol
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levels.
b




What happens if a pregnant women takes Accutane? - answer-Birth defects.
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What labs do you get with RA? - answer-Sed rate, RF, ANA, C reactive protein, CBC,
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CMP, CRP - helps confirm diagnosis.
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