PMHNP
Exam
Reported
Questions
-
What
is
dissemination?
-
ANSGetting
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?
-
ANSModerate
cognitive
impairment
What
is
Tegretol
in
the
CYP450
system?
-
ANSInducer
-->will
lower
dose
of
Lamictal
and
BCP's
What
do
BCP's
do
to
Lamictal?
-
ANSInducer
-
will
lower
dose
of
Lamictal
What
is
a
Type
I
research
error?
-
ANSThere
IS
a
difference
but
you
say
there
isn't
a
difference.
What
is
a
Type
II
research
error?
-
ANSThere
is
NO
difference
but
you
say
there
is
a
difference.
What
is
pseudo-dementia?
-
ANSCognitive
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?
-
ANSYes.
What
is
a
drug
1/2
life?
-
ANSThe
time
it
takes
for
50%
of
a
drug
to
be
eliminated
from
the
body.
What
3
atypicals
can
be
used
with
teens?
-
ANSZyprexa,
Abilify,
Seroquel
-
low
doses
What
is
a
risk
of
using
Tramadol?
-
ANSSerotonin
Syndrome
as
it
is
very
serotonergic.
What
is
the
allele
seen
in
Asians
that
increase
the
risk
of
SJS?
-
ANSHLAB-1502
When
might
you
see
toxic
epidermal
necrolysis?
-
ANSWith
worsening
of
SJS
How
many
generations
do
you
include
for
a
genogram?
-
ANS1st
degree
-
mother,
father,
siblings
2nd
degree
-
grandparents
&
cousins
3rd
degree
-
What
does
messenger
RNA
code
for?
-
ANSAmino
Acids
What
is
epigenetics?
-
ANSFactors
that
affect
genes
-
environmental,
smoking,
stress,
etc... What
part
of
the
brain
is
involved
with
OCD?
-
ANSBasal
Ganglia
Occipito-Frontal
What
happens
to
the
brain
during
adolescence?
-
ANSDendritic
pruning
Emotions
are
controlled
by
amygdala
By
adulthood,
PFC
involved
as
well
When
do
males
typically
present
with
schizophrenia?
-
ANS10-25
yo
When
do
females
typically
present
with
schizophrenia?
-
ANS25-35
yo
What
does
Erythromycin
to
trileptal?
-
ANSYou
will
need
to
decreases
the
level
because
Trileptal(inducer)
and
erythromycin
is
a
inhibitor
ACE
Inhibitors
are
the
drug
of
choice
for
what?
-
ANSHeart
Failure
HTN
What
are
some
psychiatric
side
effects
seen
with
some
asthma
drugs
-
ANSLeukotriene
receptor
agonists
-
singulair,
accolade,
zyflo
=
agitation,
aggression,
anxiety,
hallucinations,
depression,
insomnia,
SI,
tremor
What
should
you
watch
for
with
Tegretol?
-
ANSAgranulocytosis
and
Hyponatremia
What
are
the
3
CK
muscle
enzyme
tests?
-
ANSCKBB,
CKMM,
CKMB
Which
one
of
the
3
muscle
enzymes
are
related
to
cardiac
muscle
damage?
-
ANSCKMB
What
is
the
risk
of
a
seriously
elevated
CKMB?
-
ANSPolymyositis
Rhabdo
What
is
a
normal
CKMB?
-
ANS0.3
mcg/L
What
psychoactives
does
Detrol
interact
with?
-
ANSTopamax
KCL
Zonegran
What
CN
are
you
assessing
when
you
have
the
patient
shrug
their
shoulders?
-
ANSCN
XI
-
Spinal
Accessory
What
do
you
see
in
labs
with
HIV
&
Dementia?
-
ANSCD4
<200
Viral
Load
is
high
<20%
get
it
with
antiretroviral
treatment What
is
the
scoring
with
the
Beck
Depression
Inventory?
-
ANSSelf-Report
-
0-63
0-13
-
minimal
14-19
-
mild
20-28
-
moderate
29-63
-
severe
What
is
sensitivity?
-
ANSHelps
rule-out
disease
=
True
Positive
=
Snout
What
is
specificity?
-
ANSHelps
rule-in
disease
=
True
Negative
=
Spin
What
does
a
sed
rate
measure?
-
ANSInflammation
(ESR
-
Erythrocyte
Sedimentation
Rate)
=
distance
in
mm
RBC's
have
descended
in
1
hour.
What
is
a
normal
sed
rate
or
ESR?
-
ANS0-22
males
0-29
females
What
is
a
retic
count?
-
ANSMeasures
%
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?
-
ANSAnemia
-
acute
or
chronic
bleeding
What
does
an
increased
retic
count
indicate?
-
ANSBone
marrow
disorder
or
Vitamin
Deficiency
What
does
an
abnormal
retic
ount
indicate
in
general?
-
ANSDoesn't
diagnose
anything.
First
step
is
ID
source
of
the
issue.
What
happens
when
you
mix
tegretol
and
macrolides?
-
ANSIncrease
tegretol
levels.
What
happens
if
a
pregnant
women
takes
Accutane?
-
ANSBirth
defects.
What
labs
do
you
get
with
RA?
-
ANSSed
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?
-
ANSANA
When
do
you
assume
informed
consent?
-
ANSUnconscious
Incompetent
Life
Threatening
Situation
What
are
the
legal
ramifications
of
treating
w/o
informed
consent?
-
ANSSame
as
with
informed
consent
Who
can
declare
a
patient
incompetent
and
appoint
a
guardian?
-
ANSOnly
a
court
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