PMHNP Boards -
Scientific Foundation
And Advance Practice
Skills Latset Exam
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - ✔✔✔ANSWER-a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are
administered, which block dopamine, a secondary effect is blocking in another
tract, which causes potential prolactin problems, such as gynecomastia in males.
This tract is the:
a. mesolimbic
,b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - ✔✔✔ANSWER-b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not responded to six
months of psychosocial interventions and continues to demonstrate aggressive
tendencies toward a younger sibling. The psychiatric-mental health nurse
practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔✔ANSWER-3.
risperidone (Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate - ✔✔✔ANSWER-3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis - ✔✔✔ANSWER-a. D2 blockade in the
nigrostriatial tract
,Which drug carries a higher risk of metabolic effects than the other second
generation antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - ✔✔✔ANSWER-b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going to be
started on an MAOI. How long before starting the MAOI should the Fluoxetine be
withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔✔ANSWER-a. 2 weeks
Which drug can produce serious side effect of rash in some Asians, and the FDA
has mandated genetic testing before the administration of this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol - ✔✔✔ANSWER-d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
, d. Escitalopram Oxalate - ✔✔✔ANSWER-a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and aggression; also
responsible for connecting sensory smell information with emotions -
✔✔✔ANSWER-amygdala
Regulates memory and converts short-term memory into long-term memory -
✔✔✔ANSWER-
Plays key roles in various regulatory functions such as appetite, sensations of
hunger and thirst, water balance, circadian rhythms, body temperature, libido, and
hormonal regulation - ✔✔✔ANSWER-
Patient on lithium and cipro Cipro _____________ lithium level -
✔✔✔ANSWER-
Patient on psych meds and dexamethasone will complain of what? -
✔✔✔ANSWER-
Patient w/ schizophrenia, structural changes of the brain on CT - ✔✔✔ANSWER-
Which lab is checked with clozaril? - ✔✔✔ANSWER-ANC
Lobes of the Brain - Fred Tore his Pants Off - ✔✔✔ANSWER-Frontal - executive
fx, logical thinking
Temporal (tempo) sound
Occipital (optic) vision
Scientific Foundation
And Advance Practice
Skills Latset Exam
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - ✔✔✔ANSWER-a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are
administered, which block dopamine, a secondary effect is blocking in another
tract, which causes potential prolactin problems, such as gynecomastia in males.
This tract is the:
a. mesolimbic
,b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - ✔✔✔ANSWER-b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not responded to six
months of psychosocial interventions and continues to demonstrate aggressive
tendencies toward a younger sibling. The psychiatric-mental health nurse
practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔✔ANSWER-3.
risperidone (Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate - ✔✔✔ANSWER-3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis - ✔✔✔ANSWER-a. D2 blockade in the
nigrostriatial tract
,Which drug carries a higher risk of metabolic effects than the other second
generation antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - ✔✔✔ANSWER-b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going to be
started on an MAOI. How long before starting the MAOI should the Fluoxetine be
withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔✔ANSWER-a. 2 weeks
Which drug can produce serious side effect of rash in some Asians, and the FDA
has mandated genetic testing before the administration of this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol - ✔✔✔ANSWER-d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
, d. Escitalopram Oxalate - ✔✔✔ANSWER-a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and aggression; also
responsible for connecting sensory smell information with emotions -
✔✔✔ANSWER-amygdala
Regulates memory and converts short-term memory into long-term memory -
✔✔✔ANSWER-
Plays key roles in various regulatory functions such as appetite, sensations of
hunger and thirst, water balance, circadian rhythms, body temperature, libido, and
hormonal regulation - ✔✔✔ANSWER-
Patient on lithium and cipro Cipro _____________ lithium level -
✔✔✔ANSWER-
Patient on psych meds and dexamethasone will complain of what? -
✔✔✔ANSWER-
Patient w/ schizophrenia, structural changes of the brain on CT - ✔✔✔ANSWER-
Which lab is checked with clozaril? - ✔✔✔ANSWER-ANC
Lobes of the Brain - Fred Tore his Pants Off - ✔✔✔ANSWER-Frontal - executive
fx, logical thinking
Temporal (tempo) sound
Occipital (optic) vision
