AANP PMHNP Exam Prep 2026/2027 | Questions & Correct
Answers | Graded A+
1. If an infant does not exhibit the Moro reflex during a routine check-up, what
might this suggest about their neurological health?
Improved motor skills
Enhanced cognitive function
Potential neurological issues
Normal development
2. Describe the role of duloxetine and milnacipran in the management of
fibromyalgia.
Duloxetine and milnacipran are only used in combination with opioids.
Duloxetine and milnacipran are ineffective for fibromyalgia treatment.
Duloxetine and milnacipran are used to alleviate pain and improve
function in patients with fibromyalgia.
Duloxetine and milnacipran are primarily used for anxiety disorders.
3. What nerve are you testing for when you palpate the temporal and masseter
muscles while the patient is clenching their teeth?
Spinal Accessory
Abducens
Trigeminal
Hypoglossal
4. Tegretol induces the cytochrome P450 CYP3A4 drug-metabolizing enzyme.
What effects will this have on another drug metabolized through the P450
, CYP3A4 drug-metabolizing system?
Decreased excretion of the drug
Excess levels of drug in the blood
Decreased first-pass effect
Lack of therapeutic effect of the drug
5. The CK-MB fraction in the normal range is:
10 IU/L and <3% of total CK activity
10 IU/L and >3% total CK activity
100 IU/L and <10% of total CK activity
100 IU/L and <3% of total CK activity
6. If a healthcare provider consistently fails competency assessments for a
specific procedure, what steps should be taken to address this issue?
Provide additional training and supervision
Increase the provider's patient load
Ignore the results and continue with the procedure
Reassign the provider to a different department
7. Describe how social support can enhance resilience in patients with
schizophrenia.
Social support is primarily about medication management and
adherence.
Social support focuses solely on family involvement without
considering other factors.
, Social support is irrelevant to the treatment of schizophrenia.
Social support provides emotional and practical assistance, which
can help patients cope with challenges and maintain stability.
8. Describe a scenario in which HIPAA regulations may not apply.
HIPAA regulations always apply to all healthcare providers.
HIPAA regulations may not apply in cases of public health
reporting.
HIPAA regulations are irrelevant in emergency situations.
HIPAA regulations do not apply to mental health records.
9. For a neutropenic, afebrile patient with a neutrophil count of <1000, what is
the best course of action?
delay next chemo dose
send home broad spectrum antibiotics
monitor temperature and clinical signs
all of the above
10. Discuss the significance of the age of onset for schizophrenia in females and
its implications for treatment.
The age of onset is irrelevant to treatment outcomes.
Females typically present with schizophrenia at any age without
implications for treatment.
The age of onset for schizophrenia in females is significant as it can
influence treatment approaches and the timing of intervention.
The age of onset is only significant for males, not females.
, 11. Which acronym will help you remember clinical manifestations of
depression?
DIG FAST
SAD PERSONS
ROY G BIV
SIGECAPS
12. What is the definition of a Type I research error?
A Type I research error occurs when a true null hypothesis is
incorrectly rejected.
A Type I research error occurs when a false null hypothesis is
accepted.
A Type I research error occurs when the results are not statistically
significant.
A Type I research error occurs when the sample size is too small.
13. If a new medication is classified as a Schedule II controlled substance, what
implications does this have for prescribing practices?
No special regulations apply; it can be prescribed like any other
medication.
Stricter regulations and monitoring for prescribing and dispensing.
It can only be prescribed by specialists in mental health.
It is available over-the-counter without a prescription.
14. Describe the significance of sensitivity in medical testing and its impact on
patient diagnosis.
Answers | Graded A+
1. If an infant does not exhibit the Moro reflex during a routine check-up, what
might this suggest about their neurological health?
Improved motor skills
Enhanced cognitive function
Potential neurological issues
Normal development
2. Describe the role of duloxetine and milnacipran in the management of
fibromyalgia.
Duloxetine and milnacipran are only used in combination with opioids.
Duloxetine and milnacipran are ineffective for fibromyalgia treatment.
Duloxetine and milnacipran are used to alleviate pain and improve
function in patients with fibromyalgia.
Duloxetine and milnacipran are primarily used for anxiety disorders.
3. What nerve are you testing for when you palpate the temporal and masseter
muscles while the patient is clenching their teeth?
Spinal Accessory
Abducens
Trigeminal
Hypoglossal
4. Tegretol induces the cytochrome P450 CYP3A4 drug-metabolizing enzyme.
What effects will this have on another drug metabolized through the P450
, CYP3A4 drug-metabolizing system?
Decreased excretion of the drug
Excess levels of drug in the blood
Decreased first-pass effect
Lack of therapeutic effect of the drug
5. The CK-MB fraction in the normal range is:
10 IU/L and <3% of total CK activity
10 IU/L and >3% total CK activity
100 IU/L and <10% of total CK activity
100 IU/L and <3% of total CK activity
6. If a healthcare provider consistently fails competency assessments for a
specific procedure, what steps should be taken to address this issue?
Provide additional training and supervision
Increase the provider's patient load
Ignore the results and continue with the procedure
Reassign the provider to a different department
7. Describe how social support can enhance resilience in patients with
schizophrenia.
Social support is primarily about medication management and
adherence.
Social support focuses solely on family involvement without
considering other factors.
, Social support is irrelevant to the treatment of schizophrenia.
Social support provides emotional and practical assistance, which
can help patients cope with challenges and maintain stability.
8. Describe a scenario in which HIPAA regulations may not apply.
HIPAA regulations always apply to all healthcare providers.
HIPAA regulations may not apply in cases of public health
reporting.
HIPAA regulations are irrelevant in emergency situations.
HIPAA regulations do not apply to mental health records.
9. For a neutropenic, afebrile patient with a neutrophil count of <1000, what is
the best course of action?
delay next chemo dose
send home broad spectrum antibiotics
monitor temperature and clinical signs
all of the above
10. Discuss the significance of the age of onset for schizophrenia in females and
its implications for treatment.
The age of onset is irrelevant to treatment outcomes.
Females typically present with schizophrenia at any age without
implications for treatment.
The age of onset for schizophrenia in females is significant as it can
influence treatment approaches and the timing of intervention.
The age of onset is only significant for males, not females.
, 11. Which acronym will help you remember clinical manifestations of
depression?
DIG FAST
SAD PERSONS
ROY G BIV
SIGECAPS
12. What is the definition of a Type I research error?
A Type I research error occurs when a true null hypothesis is
incorrectly rejected.
A Type I research error occurs when a false null hypothesis is
accepted.
A Type I research error occurs when the results are not statistically
significant.
A Type I research error occurs when the sample size is too small.
13. If a new medication is classified as a Schedule II controlled substance, what
implications does this have for prescribing practices?
No special regulations apply; it can be prescribed like any other
medication.
Stricter regulations and monitoring for prescribing and dispensing.
It can only be prescribed by specialists in mental health.
It is available over-the-counter without a prescription.
14. Describe the significance of sensitivity in medical testing and its impact on
patient diagnosis.
