PDATED GEORGETTE LMR PMHNP EXAM – REVIEWED & VERIFIED QUESTIONS WITH DETAILED ANSWERS FOR SMART LEARNING

REVIEWED GEORGETTE LMR PMHNP ct ct ct




EXAM REPORTED QUESTIONS AND ANSW ct ct ct ct




ERS
What is dissemination? - CORRECT ANSWER -
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Getting the research information out to those who need to know it!
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Publication - ct




highest level Presenting at Nation
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al Conference Presenting at Local
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Conference

Journal Club where one person reviews an article
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What does a 17 on MMSE mean? - CORRECT ANSWER -Moderate cognitive impairment
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What is Tegretol in the CYP450 system? - CORRECT ANSWER -Inducer --
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>will lower dose of Lamictal and BCP's
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What do BCP's do to Lamictal? - CORRECT ANSWER -Inducer - will lower dose of Lamictal
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What is a Type I research error? - CORRECT ANSWER -
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There IS a difference but you say there isn't a difference.
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What is a Type II research error? - CORRECT ANSWER -
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There is NO difference but you say there is a difference.
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,What is pseudo-dementia? - CORRECT ANSWER -
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Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't
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improve.



Is it normal for a 1 month old to have a palmar grasp? - CORRECT ANSWER -Yes.
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What is a drug 1/2 life? - CORRECT ANSWER -
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The time it takes for 50% of a drug to be eliminated from the body.
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What 3 atypicals can be used with teens? - CORRECT ANSWER -Zyprexa, Abilify, Seroquel - low doses
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What is a risk of using Tramadol? - CORRECT ANSWER -Serotonin Syndrome as it is very serotonergic.
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What is the allele seen in Asians that increase the risk of SJS? - CORRECT ANSWER -HLAB-1502
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When might you see toxic epidermal necrolysis? - CORRECT ANSWER -With worsening of SJS
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How many generations do you include for a genogram? - CORRECT ANSWER -1st degree -
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mother, father, siblings
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2nd degree -
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grandparents & cousins 3rd degree -
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What does messenger RNA code for? - CORRECT ANSWER -Amino Acids
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What is epigenetics? - CORRECT ANSWER -Factors that affect genes -
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environmental, smoking, stress, etc...
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What part of the brain is involved with OCD? - CORRECT ANSWER -Basal Ganglia
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,Occipito-Frontal



What happens to the brain during adolescence? - CORRECT ANSWER -
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Dendritic pruning Emotions are controlled by amygdala
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By adulthood, PFC involved as well
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When do males typically present with schizophrenia? - CORRECT ANSWER -10-25 yo
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When do females typically present with schizophrenia? - CORRECT ANSWER -25-35 yo
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What does Erythromycin to trileptal? - CORRECT ANSWER -
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You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor
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ACE Inhibitors are the drug of choice for what? - CORRECT ANSWER -
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Heart Failure HTN
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What are some psychiatric side effects seen with some asthma drugs - CORRECT ANSWER -
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Leukotriene receptor agonists - ct ct ct


singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tre
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mor



What should you watch for with Tegretol? - CORRECT ANSWER -Agranulocytosis and Hyponatremia
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What are the 3 CK muscle enzyme tests? - CORRECT ANSWER -CKBB, CKMM, CKMB
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Which one of the 3 muscle enzymes are related to cardiac muscle damage? - CORRECT ANSWER -CKMB
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What is the risk of a seriously elevated CKMB? - CORRECT ANSWER -Polymyositis
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, Rhabdo



What is a normal CKMB? - CORRECT ANSWER -0.3 mcg/L
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What psychoactives does Detrol interact with? - CORRECT ANSWER -
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Topamax KCL ct




Zonegran



What CN are you assessing when you have the patient shrug their shoulders? - CORRECT ANSWER -
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CN XI ct


- Spinal Accessory
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What do you see in labs with HIV & Dementia? - CORRECT ANSWER -
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CD4 <200 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? - CORRECT ANSWER -Self-Report - 0-
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63 0-13 - minimal
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14-19 - mild ct ct




20-28 - moderatect ct




29-63 - severe ct ct




What is sensitivity? - CORRECT ANSWER -Helps rule-out disease = True Positive = Snout
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What is specificity? - CORRECT ANSWER -Helps rule-in disease = True Negative = Spin
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