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2022 PMHNP Exam Actual Questions AND ANSWERS| GRADED A+
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2022 PMHNP Exam Actual Questions -What is dissemination? correct ans: 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? correct ans: Moderate cognitive impairment
What is Tegretol in the CYP450 system? correct ans: Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? correct ans: Inducer - will lower dose of Lamictal
What is a Type I research error? correct ans: There IS a difference but you say there isn't a difference.
What is a Type II research error? correct ans: There is NO difference but you say there is a difference.
What is pseudo-dementia? correct ans: 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? correct ans: Yes.
What is a drug 1/2 life? correct ans: The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? correct ans: Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? correct ans: Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? correct ans: HLAB-1502
When might you see toxic epidermal necrolysis? correct ans: With worsening of SJS
How many generations do you include for a genogram? correct ans: 1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? correct ans: Amino Acids
What is epigenetics? correct ans: Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? correct ans: Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? correct ans: Dendritic pruning
,Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? correct ans: 10-25 yo
When do females typically present with schizophrenia? correct ans: 25-35 yo
What does Erythromycin to trileptal? correct ans: You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? correct ans: Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs correct ans: Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? correct ans: Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? correct ans: CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? correct ans: CKMB
What is the risk of a seriously elevated CKMB? correct ans: Polymyositis
Rhabdo
What is a normal CKMB? correct ans: 0.3 mcg/L
What psychoactives does Detrol interact with? correct ans: Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? correct ans: CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? correct ans: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? correct ans: Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? correct ans: Helps rule-out disease = True Positive = Snout
What is specificity? correct ans: Helps rule-in disease = True Negative = Spin
, What does a sed rate measure? correct ans: Inflammation (ESR - Erythrocyte Sedimentation Rate) =
distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? correct ans: 0-22 males
0-29 females
What is a retic count? correct ans: 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? correct ans: Anemia - acute or chronic bleeding
What does an increased retic count indicate? correct ans: Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? correct ans: Doesn't diagnose anything. First
step is ID source of the issue.
What happens when you mix tegretol and macrolides? correct ans: Increase tegretol levels.
What happens if a pregnant women takes Accutane? correct ans: Birth defects.
What labs do you get with RA? correct ans: Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? correct ans: ANA
When do you assume informed consent? correct ans: Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? correct ans: Same as with informed
consent
Who can declare a patient incompetent and appoint a guardian? correct ans: Only a court
Does impaired judgment mean one is incompetent? correct ans: No.
Can an advanced directive ever be revoked? correct ans: Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? correct ans:
Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? correct ans: No.
How do Asians see HC providers? correct ans: As in a position of authority.
Expect to give instructions and help make decisions
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