GEORGETTE REVIEW PMHNP
UPDATED EXAM 2025 COMPLETE
CHOICE QUESTION BANK WITH
VERIFIED ANSWERS,DETAILED
EXPLANATIONS ALREADY GRADED
A+ AND 100% PASS GUARANTEE
(BRAND NEW!!!!!!)
dehydration and hyponatremia cause lithium levels to - THE
CORRECT ANSWER-rise
Baseline labs before initiation of lithium - THE CORRECT ANSWER-
TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - THE CORRECT ANSWER-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
,anorexia
t wave inversions
leukocytosis
Pt education for lithimum - THE CORRECT ANSWER-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - THE CORRECT ANSWER-50-125
Depakote toxicity level - THE CORRECT ANSWER-greater than 150
Teratogenic effects of Depakote - THE CORRECT ANSWER-spina bifida
Adverse effects of depakote - THE CORRECT ANSWER-alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs)
AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - THE CORRECT ANSWER-disorientation,
lethargy, respiratory depression, nausea/vomiting
Intervention for depakote toxicity - THE CORRECT ANSWER-DC med
check level
LFT
ammonia
,MAOI + tyramine causes - THE CORRECT ANSWER-hypertensive crisis
Symptoms of hypertensive crisis - THE CORRECT ANSWER-elevated
BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - THE CORRECT ANSWER-
MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - THE CORRECT ANSWER-DC
offending agent
Administer PHENTOLAMINE
, Teratogenic effects of benzos - THE CORRECT ANSWER-floppy baby,
cleft palate
Teratogenic effects of tegratol - THE CORRECT ANSWER-neural tube
defect
teratogenic effects of lithium - THE CORRECT ANSWER-ebstein
anomaly (heart defect) (avoid, especially 1st trimester)
teratogenic effects of depakote - THE CORRECT ANSWER-neural tube
defects/spina bifida
Adverse reaction to Lamictal - THE CORRECT ANSWER-Steven
Johnson's Syndrome
Signs of SJS - THE CORRECT ANSWER-FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
UPDATED EXAM 2025 COMPLETE
CHOICE QUESTION BANK WITH
VERIFIED ANSWERS,DETAILED
EXPLANATIONS ALREADY GRADED
A+ AND 100% PASS GUARANTEE
(BRAND NEW!!!!!!)
dehydration and hyponatremia cause lithium levels to - THE
CORRECT ANSWER-rise
Baseline labs before initiation of lithium - THE CORRECT ANSWER-
TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - THE CORRECT ANSWER-hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
,anorexia
t wave inversions
leukocytosis
Pt education for lithimum - THE CORRECT ANSWER-staying hydrated
avoiding NSAIDS
compliance
Depakote normal level - THE CORRECT ANSWER-50-125
Depakote toxicity level - THE CORRECT ANSWER-greater than 150
Teratogenic effects of Depakote - THE CORRECT ANSWER-spina bifida
Adverse effects of depakote - THE CORRECT ANSWER-alopecia
hepatotoxicity (RUQ pain or brown/red urine--order LFTs)
AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue
Signs of Depakote toxicity - THE CORRECT ANSWER-disorientation,
lethargy, respiratory depression, nausea/vomiting
Intervention for depakote toxicity - THE CORRECT ANSWER-DC med
check level
LFT
ammonia
,MAOI + tyramine causes - THE CORRECT ANSWER-hypertensive crisis
Symptoms of hypertensive crisis - THE CORRECT ANSWER-elevated
BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive crisis occurs with MAOI + - THE CORRECT ANSWER-
MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
Treatment for hypertensive crisis - THE CORRECT ANSWER-DC
offending agent
Administer PHENTOLAMINE
, Teratogenic effects of benzos - THE CORRECT ANSWER-floppy baby,
cleft palate
Teratogenic effects of tegratol - THE CORRECT ANSWER-neural tube
defect
teratogenic effects of lithium - THE CORRECT ANSWER-ebstein
anomaly (heart defect) (avoid, especially 1st trimester)
teratogenic effects of depakote - THE CORRECT ANSWER-neural tube
defects/spina bifida
Adverse reaction to Lamictal - THE CORRECT ANSWER-Steven
Johnson's Syndrome
Signs of SJS - THE CORRECT ANSWER-FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
malaise
arthralgia
painful mucus membranes
