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pmhnp Tessy Questions and Correct Answers the Latest Update
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pmhnp Tessy Questions and Correct
Answers the Latest Update
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
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✓ 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, diy,
vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effectszz
NMS
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✓ 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
✓ 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
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