pmhnp Tessy Exam 2024 Actual Questions and Answers solved 100%
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pmhnp Tessy Exam 2024 Actual Questions and Answers solved 100%
Reflexes expected at 1 month
Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome
small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and ...
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pmhnp Tessy Exam 2024 Actual Questions and Answers
solved 100%
Reflexes expected at 1 month
Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is
disease)
Signs of fetal alcohol syndrome
small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
Rhett Syndrome
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
Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours),
Parkinsons (weeks), Akathisia (days)
Where do EPS originate
nigrostiatal tract.
How does tegretol interact with cipro
cipro and erythromycin are inhibitors. Cause increased level of Tegretol. Black box
warning
Tegretol side effects
Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch with cipro and
erythro
nuchal rigidity
stiffness in cervical neck area, meningitis
ACE inhibitors
-pril, CHF
signs of serotonin syndrome
-shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome
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
, neuroleptic malignant syndrome
Severe fever
Changing LOC
Autonomic instability
Rigidity
Sweating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk,
rigidity
Levels of Prevention
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
more than 1 SSRI, st johns wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur
aortic stenosis
Woman with GAD advise on medication
stop benzos because can cause floppy baby syndrome and cleft palate, cotinue buspar
What to give to agitated pt in seclusion
IM Geodon
Labs for macrocytic anemia
Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
When to assess a patient in restraints for face/face
1 hour then 8 hours
therapeutic communication
open ended, 'tell me'
Reluctant/silent patient
open ended questions
Patients husband shows up but not the patient
both people need to be present, reschedule
Abnormal Trendelenburg Test
Hip disease, refer child out, assessed during head to toe
Hamilton Depression Scale
i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
GAD-7 scale
More than 15 severe
HAM-A
Hamilton Anxiety Scale, most commonly used
14 domains, 14=mild, 18-24= moderate, 25-30=severe
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