1 | P a g e | © copyright 2024/2025 | Grade A+
PMHNP Certification Exam Study
Questions and Answers (100% Pass)
Pain and bloating after eating is caused by...
→ delayed gastric emptying
Medications that cause delayed gastric emptying?
→ PPIs; ranitidine, famotidine, omeprazole
What instructions should you give your patient if they are prescribed
antacids/PPIs and psychotropics?
→ Give medications at least 2 hours apart b/c antacids/PPIs decrease
absorption of psychotropics
Normal BMI range
→ 18.5-25
Criteria for admission for ED bx:
→ BMI <15; 25% total body weight loss in 3 months; severe dehydration,
infection, bradycardia, hypothermia, hematemesis, hypokalemia
What neurotransmitters are implicated in ADHD?
→ DA, NE, 5HT - DNS
What brain structures are involved in ADHD?
→ Reticular activating system, basal ganglia, frontal cortex - RBF
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
Abnormalities in this part of the brain cause inattentive ADHD:
→ Prefrontal cortex
Amphetamines are FDA approved for children beginning at _ years old
→ 3
Methamphetamines are FDA approved for children beginning at _ years old
→ 6
Alpha agonists clonidine and guanfacine are FDA approved to treat ADHD in
patients ages ___
→ 6-17
Strattera is FDA approved to treat ADHD in patients ages ___
→ 6 and up (including adults)
Adults diagnosed with both ADHD and depression would benefit from being
prescribed:
→ Wellbutrin
Conduct disorder can be diagnosed in:
→ Both children and adults
Conduct disorder diagnostic criteria:
→ Violating rights of others or societal norms; aggression towards
people/animals; destruction of property; no remorse
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
Treatment for conduct disorder:
→ Targets aggression and mood; SGA, mood stabilizer, SSRI, alpha
agonists
ODD diagnostic criteria:
→ Argumentative, defiant for at least 6 months and with 4 sx
Treatment of ODD:
→ Focused on family therapy, child management skills, teaching parents
reinforcement/boundaries/problem solving
DMDD diagnostic criteria:
→ Childhood depressive d/o between ages 6-17; chronic dysregulated
mood, frequent tantrums, severe irritability; typically DMDD rather than
bipolar d/o in children
Neurotransmitters implicated in ASD:
→ Glutamate, GABA, 5HT - GGS
Echolalia
→ Meaningless repetition of words; often seen in ASD
Broken mirror theory
→ Dysfunction of the mirror neuron system results in poor social
interaction and cognition in ASD patients
Parallel play is developmentally appropriate at which ages?
→ 1-3 years old
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
Parallel play continuing beyond the age of 3 years old may be indicative of...
→ ASD dx d/t social deficits
M-CHAT
→ Modified Checklist for Autism in Toddlers; ASD scale
ADOS-G
→ Autism Diagnostic Observation Schedule - Generic; ASD scale
ASQ
→ Ages and Stages Questionnaire; development and social/emotional
screening
Pharmacological treatment of ASD:
→ Stimulants (increase DA to help with impulsivity, hyperactivity,
inattention; Antipsychotics (target aggressive bx, tantrums, self-injury,
stereotyped bx)
Nightmares in children can be the result of:
→ Genetic factors; assess family patterns of nightmares
Features of children diagnosed with Fragile X
→ LARGE features: large head, elongated face, hyperextensible joints,
abnormally large testes, short stature
Features of children diagnosed with fetal alcohol syndrome
→ small features: small head, small eye opening, low nasal bridge, flat
midface, smooth philtrum, thin upper lip
Master01 | September, 2024/2025 | Latest update
