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PMHNP Exam Reported Questions and Answers Latest 2023 Test with complete solutions
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PMHNP Exam Reported Questions andAnswers Latest 2023 Test with complete
solutions
What is dissemination? - -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? - -Moderate cognitive impairment
-What is Tegretol in the CYP450 system? - -Inducer -->will lower dose of
Lamictal and BCP's
-What do BCP's do to Lamictal? - -Inducer - will lower dose of Lamictal
-What is a Type I research error? - -There IS a difference but you say there
isn't a difference.
-What is a Type II research error? - -There is NO difference but you say
there is a difference.
-What is pseudo-dementia? - -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? - -Yes.
-What is a drug 1/2 life? - -The time it takes for 50% of a drug to be
eliminated from the body.
-What 3 atypicals can be used with teens? - -Zyprexa, Abilify, Seroquel - low
doses
-What is a risk of using Tramadol? - -Serotonin Syndrome as it is very
serotonergic.
-What is the allele seen in Asians that increase the risk of SJS? - -HLAB-1502
-When might you see toxic epidermal necrolysis? - -With worsening of SJS
, -How many generations do you include for a genogram? - -1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
-What does messenger RNA code for? - -Amino Acids
-What is epigenetics? - -Factors that affect genes - environmental, smoking,
stress, etc...
-What part of the brain is involved with OCD? - -Basal Ganglia
Occipito-Frontal
-What happens to the brain during adolescence? - -Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
-When do males typically present with schizophrenia? - -10-25 yo
-When do females typically present with schizophrenia? - -25-35 yo
-What does Erythromycin to trileptal? - -You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
-ACE Inhibitors are the drug of choice for what? - -Heart Failure
HTN
-What are some psychiatric side effects seen with some asthma drugs - -
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
-What should you watch for with Tegretol? - -Agranulocytosis and
Hyponatremia
-What are the 3 CK muscle enzyme tests? - -CKBB, CKMM, CKMB
-Which one of the 3 muscle enzymes are related to cardiac muscle damage?
- -CKMB
-What is the risk of a seriously elevated CKMB? - -Polymyositis
Rhabdo
-What is a normal CKMB? - -0.3 mcg/L
-What psychoactives does Detrol interact with? - -Topamax
KCL
, Zonegran
-What CN are you assessing when you have the patient shrug their
shoulders? - -CN XI - Spinal Accessory
-What do you see in labs with HIV & Dementia? - -CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
-What is the scoring with the Beck Depression Inventory? - -Self-Report - 0-
63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
-What is sensitivity? - -Helps rule-out disease = True Positive = Snout
-What is specificity? - -Helps rule-in disease = True Negative = Spin
-What does a sed rate measure? - -Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
-What is a normal sed rate or ESR? - -0-22 males
0-29 females
-What is a retic count? - -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? - -Anemia - acute or chronic
bleeding
-What does an increased retic count indicate? - -Bone marrow disorder or
Vitamin Deficiency
-What does an abnormal retic ount indicate in general? - -Doesn't diagnose
anything. First step is ID source of the issue.
-What happens when you mix tegretol and macrolides? - -Increase tegretol
levels.
-What happens if a pregnant women takes Accutane? - -Birth defects.
-What labs do you get with RA? - -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.
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