GEORGETTE'S LMR PMHNP CERTIFICATION EXAM
REVIEW 2023 UPDATED AND REVISED 2024-2025
What drugs should be avoided with Kava Kava? - Alprazolam,
CNS depressants (e.g., phenobarbital, zolpidem) - ANSWER -
>Kava Kava
Cultural Formulation Interview perform what 3 functions? -
Clarify meaning of illness, Empower the patient, Validate
symptoms within cultural context - ANSWER ->Cultural
Formulation Interview
What is the normal range for TSH? - 0.5 - 5.0 mu/L - ANSWER -
>TSH Normal Range
What are lab values in Hyperthyroidism - Decreased TSH,
Increased T4 and T3 - ANSWER ->Hyperthyroidism Lab Values
What are labs in Hypothyroidism? - Increased TSH, Decreased
T4 and T3 - ANSWER ->Hypothyroidism Lab Values
What are 5 primary symptoms of Hyperthyroidism? - Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood
swings, Weight loss - ANSWER ->Hyperthyroidism Symptoms
What are 4 primary symptoms of Hypothyroidism? - Cold
intolerance, Lethargy, Weight gain, Decreased libido - ANSWER
->Hypothyroidism Symptoms
,Hypothyroidism mimics symptoms of what psychiatric
disorder? - Depression - ANSWER ->Hypothyroidism and
Depression
Hyperthyroidism mimics symptoms of what psychiatric
disorder? - Mania - ANSWER ->Hyperthyroidism and Mania
Valproic acid produces what teratogenic effect? - Spina bifida
(neural tube defect) - ANSWER ->Valproic Acid Teratogenic
Effect
What is the primary organ where valproic acid is toxic? - Liver
(hepatoxicity) - ANSWER ->Valproic Acid Toxicity
What are 4 signs of hepatoxicity? - Abdominal pain in the URQ,
Reddish-brown urine, Yellowing of the skin and sclera, Fatigue -
ANSWER ->Signs of Hepatotoxicity
What is the therapeutic range for valproic acid? - 50-125
mcg/ml - ANSWER ->Valproic Acid Therapeutic Range
What is a toxic level of valproic acid? - >150 mcg/ml - ANSWER -
>Valproic Acid Toxic Level
What are 4 signs of valproic acid toxicity? - Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting - ANSWER -
>Valproic Acid Toxicity Signs
,With suspected toxicity with valproic acid, what labs should be
drawn? - DC drug, Check drug level, Obtain LFTs, Obtain
ammonia level - ANSWER ->Valproic Acid Toxicity Labs
What is the major side effect with Kava Kava? - Liver damage -
ANSWER ->Kava Kava Side Effect
What herbal supplement is used for anxiety, stress, and
insomnia? - Kava Kava - ANSWER ->Kava Kava Uses
What are 5 symptoms of Stephen's Johnson Syndrome? - Fever,
Body aches, Severe red rash, Peeling skin, Facial and tongue
swelling - ANSWER ->Stephen's Johnson Syndrome Symptoms
Which mood stabilizer causes the least weight gain? -
Lamotrigine (Lamictal) - ANSWER ->Mood Stabilizer Weight
Gain
Which 3 SGAs cause the least weight gain? - Lurasidone
(Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon) - ANSWER
->SGAs Weight Gain
Which SGA is the least sedating? - Aripiprazole (Abilify) -
ANSWER ->Least Sedating SGA
What are 3 hallmark symptoms of delirium? - Acute
disturbance of LOC, impaired cognition, inattention - ANSWER -
>Delirium Hallmark Symptoms
, How are agitation and psychotic symptoms treated in delirium?
- Low dose Haldol - ANSWER ->Delirium Treatment
What 4 drugs can cause mania? - Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD) - ANSWER
->Drugs Inducing Mania
What 6 drugs can induce depression? - Steroids, Beta blockers,
Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone - ANSWER
->Drugs Inducing Depression
Steroids can induce what 3 psychiatric states? - Mania,
Depression, Psychosis - ANSWER ->Steroids and Psychiatric
States
What medication to treat acne cause cause birth defects? -
Isotretinoin (Accutane) - ANSWER ->Isotretinoin Birth Defects
What is the therapeutic range for lithium? - 0.6-1.2 mEq/L -
ANSWER ->Lithium Therapeutic Range
What medication has a neuroprotective effect for bipolar
disorder? - Lithium - ANSWER ->Lithium Neuroprotective Effect
What is the gold standard for treating manic episodes - Lithium
- ANSWER ->Gold Standard for Manic Episodes
REVIEW 2023 UPDATED AND REVISED 2024-2025
What drugs should be avoided with Kava Kava? - Alprazolam,
CNS depressants (e.g., phenobarbital, zolpidem) - ANSWER -
>Kava Kava
Cultural Formulation Interview perform what 3 functions? -
Clarify meaning of illness, Empower the patient, Validate
symptoms within cultural context - ANSWER ->Cultural
Formulation Interview
What is the normal range for TSH? - 0.5 - 5.0 mu/L - ANSWER -
>TSH Normal Range
What are lab values in Hyperthyroidism - Decreased TSH,
Increased T4 and T3 - ANSWER ->Hyperthyroidism Lab Values
What are labs in Hypothyroidism? - Increased TSH, Decreased
T4 and T3 - ANSWER ->Hypothyroidism Lab Values
What are 5 primary symptoms of Hyperthyroidism? - Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood
swings, Weight loss - ANSWER ->Hyperthyroidism Symptoms
What are 4 primary symptoms of Hypothyroidism? - Cold
intolerance, Lethargy, Weight gain, Decreased libido - ANSWER
->Hypothyroidism Symptoms
,Hypothyroidism mimics symptoms of what psychiatric
disorder? - Depression - ANSWER ->Hypothyroidism and
Depression
Hyperthyroidism mimics symptoms of what psychiatric
disorder? - Mania - ANSWER ->Hyperthyroidism and Mania
Valproic acid produces what teratogenic effect? - Spina bifida
(neural tube defect) - ANSWER ->Valproic Acid Teratogenic
Effect
What is the primary organ where valproic acid is toxic? - Liver
(hepatoxicity) - ANSWER ->Valproic Acid Toxicity
What are 4 signs of hepatoxicity? - Abdominal pain in the URQ,
Reddish-brown urine, Yellowing of the skin and sclera, Fatigue -
ANSWER ->Signs of Hepatotoxicity
What is the therapeutic range for valproic acid? - 50-125
mcg/ml - ANSWER ->Valproic Acid Therapeutic Range
What is a toxic level of valproic acid? - >150 mcg/ml - ANSWER -
>Valproic Acid Toxic Level
What are 4 signs of valproic acid toxicity? - Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting - ANSWER -
>Valproic Acid Toxicity Signs
,With suspected toxicity with valproic acid, what labs should be
drawn? - DC drug, Check drug level, Obtain LFTs, Obtain
ammonia level - ANSWER ->Valproic Acid Toxicity Labs
What is the major side effect with Kava Kava? - Liver damage -
ANSWER ->Kava Kava Side Effect
What herbal supplement is used for anxiety, stress, and
insomnia? - Kava Kava - ANSWER ->Kava Kava Uses
What are 5 symptoms of Stephen's Johnson Syndrome? - Fever,
Body aches, Severe red rash, Peeling skin, Facial and tongue
swelling - ANSWER ->Stephen's Johnson Syndrome Symptoms
Which mood stabilizer causes the least weight gain? -
Lamotrigine (Lamictal) - ANSWER ->Mood Stabilizer Weight
Gain
Which 3 SGAs cause the least weight gain? - Lurasidone
(Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon) - ANSWER
->SGAs Weight Gain
Which SGA is the least sedating? - Aripiprazole (Abilify) -
ANSWER ->Least Sedating SGA
What are 3 hallmark symptoms of delirium? - Acute
disturbance of LOC, impaired cognition, inattention - ANSWER -
>Delirium Hallmark Symptoms
, How are agitation and psychotic symptoms treated in delirium?
- Low dose Haldol - ANSWER ->Delirium Treatment
What 4 drugs can cause mania? - Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD) - ANSWER
->Drugs Inducing Mania
What 6 drugs can induce depression? - Steroids, Beta blockers,
Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone - ANSWER
->Drugs Inducing Depression
Steroids can induce what 3 psychiatric states? - Mania,
Depression, Psychosis - ANSWER ->Steroids and Psychiatric
States
What medication to treat acne cause cause birth defects? -
Isotretinoin (Accutane) - ANSWER ->Isotretinoin Birth Defects
What is the therapeutic range for lithium? - 0.6-1.2 mEq/L -
ANSWER ->Lithium Therapeutic Range
What medication has a neuroprotective effect for bipolar
disorder? - Lithium - ANSWER ->Lithium Neuroprotective Effect
What is the gold standard for treating manic episodes - Lithium
- ANSWER ->Gold Standard for Manic Episodes
