PMHNP Exam Reported Questions and answers complete 2024 update A+ graded
What is dissemination? - 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 ...
What is dissemination? - 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? - ans -Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ans -Inducer -->will lower dose of Lamictal
and BCP's
What do BCP's do to Lamictal? - ans -Inducer - will lower dose of Lamictal
What is a Type I research error? - ans -There IS a difference but you say there isn't a
difference.
What is a Type II research error? - ans -There is NO difference but you say there is a
difference.
What is pseudo-dementia? - 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? - ans -Yes.
What is a drug 1/2 life? - ans -The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? - ans -Zyprexa, Abilify, Seroquel - low
doses
,What is a risk of using Tramadol? - ans -Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ans -HLAB-1502
When might you see toxic epidermal necrolysis? - ans -With worsening of SJS
How many generations do you include for a genogram? - ans -1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ans -Amino Acids
What is epigenetics? - ans -Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ans -Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ans -Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ans -10-25 yo
When do females typically present with schizophrenia? - ans -25-35 yo
What does Erythromycin to trileptal? - 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? - ans -Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ans -
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ans -Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ans -CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ans -
CKMB
What is the risk of a seriously elevated CKMB? - ans -Polymyositis
, Rhabdo
What is a normal CKMB? - ans -0.3 mcg/L
What psychoactives does Detrol interact with? - ans -Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ans -
CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ans -CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ans -Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ans -Helps rule-out disease = True Positive = Snout
What is specificity? - ans -Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ans -Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ans -0-22 males
0-29 females
What is a retic count? - 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? - ans -Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - ans -Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - ans -Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ans -Increase tegretol levels.
What happens if a pregnant women takes Accutane? - ans -Birth defects.
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