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