pmhnp Exam Questions and Answers Latest Update already Passed
Reflexes expected at 1 month - Answers Moro until 4 months, Palmer until 4 months, Plantar util 8
months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - Answers small head, shoey palpebral fissure, inner epicanthal folds. Do
IEP and early intervention specialist
Rhett Syndrome - Answers a rare disorder found virtually exclusively in girls, is a neurodevelopmental
disorder in which the child usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone),
reduced eye contact, decelerated head growth, and disinterest in play activities
EPS types - Answers Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours),
Parkinsons (weeks), Akathisia (days)
Where do EPS originate - Answers nigrostiatal tract.
How does tegretol interact with cipro - Answers cipro and erythromycin are inhibitors. Cause increased
level of Tegretol. Black box warning
Tegretol side effects - Answers Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch
with cipro and erythro
nuchal rigidity - Answers stiffness in cervical neck area, meningitis
ACE inhibitors - Answers -pril, CHF
signs of serotonin syndrome - Answers -shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome - Answers syndrome caused by abrupt withdrawal of an
antidepressant drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like
symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects
NMS - Answers neuroleptic malignant syndrome
, *S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity
Levels of Prevention - Answers Primary: prevent/promotion, classes, safety initiatives, education,
classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day treatment, social skills
Risk factors for serotonin syndrome - Answers more than 1 SSRI, st johns wart, tramadol, demerol,
ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur - Answers aortic stenosis
Woman with GAD advise on medication - Answers stop benzos because can cause floppy baby syndrome
and cleft palate, cotinue buspar
What to give to agitated pt in seclusion - Answers IM Geodon
Labs for macrocytic anemia - Answers Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
When to assess a patient in restraints for face/face - Answers 1 hour then 8 hours
therapeutic communication - Answers open ended, 'tell me'
Reluctant/silent patient - Answers open ended questions
Patients husband shows up but not the patient - Answers both people need to be present, reschedule
Abnormal Trendelenburg Test - Answers Hip disease, refer child out, assessed during head to toe
Hamilton Depression Scale - Answers i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
