PMHNP 2025 Exam Questions with 100% Correct
Answers
What is dissemination? - 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? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal and
BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.
What is a Type II research error? - ANSWER There is NO difference but you say there is a
difference.
What is pseudo-dementia? - 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? - ANSWER Yes.
What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated from the
body.
What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS
How many generations do you include for a genogram? - ANSWER 1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER Amino Acids
What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic pruning
Emotions are controlled by amygdala
,By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - 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? - ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSWER Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSWER CKMB
What is the risk of a seriously elevated CKMB? - ANSWER Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
, What psychoactives does Detrol interact with? - ANSWER Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ANSWER CN XI -
Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte Sedimentation Rate)
= distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22 males
0-29 females
Answers
What is dissemination? - 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? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal and
BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.
What is a Type II research error? - ANSWER There is NO difference but you say there is a
difference.
What is pseudo-dementia? - 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? - ANSWER Yes.
What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated from the
body.
What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS
How many generations do you include for a genogram? - ANSWER 1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER Amino Acids
What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic pruning
Emotions are controlled by amygdala
,By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - 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? - ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSWER Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSWER CKMB
What is the risk of a seriously elevated CKMB? - ANSWER Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
, What psychoactives does Detrol interact with? - ANSWER Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ANSWER CN XI -
Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte Sedimentation Rate)
= distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22 males
0-29 females
