PMHNP Boards - Scientific Foundation and Advance Practice Skills with 100% correct answers(verified for accuracy)
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ANCC PMHNP
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Oxford University (OX)
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above
a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are administered, which block dopa...
PMHNP Boards - Scientific Foundation
and Advance Practice Skills with 100%
correct answers(verified for accuracy)
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - answer a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are administered, which
block dopamine, a secondary effect is blocking in another tract, which causes potential prolactin
problems, such as gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - answer b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a
younger sibling. The psychiatric-mental health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - answer 3. risperidone (Risperdal) 0.25 mg
once a day.
Which drug is likely to produce liver failure and hepatitis?
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis - answer a. D2 blockade in the nigrostriatial tract
Which drug carries a higher risk of metabolic effects than the other second generation
antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - answer b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going to be started on an
MAOI. How long before starting the MAOI should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - answer a. 2 weeks
Which drug can produce serious side effect of rash in some Asians, and the FDA has mandated
genetic testing before the administration of this drug?
a. Dilantin
,b. Lamictal
c. Depakote
d. Tegretol - answer d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate - answer a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and aggression; also responsible
for connecting sensory smell information with emotions - answer amygdala
Regulates memory and converts short-term memory into long-term memory - answer
Plays key roles in various regulatory functions such as appetite, sensations of hunger and thirst,
water balance, circadian rhythms, body temperature, libido, and hormonal regulation - answer
Patient on lithium and cipro Cipro _____________ lithium level - answer
Patient on psych meds and dexamethasone will complain of what? - answer
Patient w/ schizophrenia, structural changes of the brain on CT - answer
Which lab is checked with clozaril? - answer ANC
Lobes of the Brain - Fred Tore his Pants Off - answer Frontal - executive fx, logical thinking
Temporal (tempo) sound
, Occipital (optic) vision
Parietal (pat) touch
You ask a patient to clench her teeth, which cranial nerve are you testing? - answer Cranial
nerve 5 - TRIGEMINAL
What does the frontal lobe affect? (LIMP) - answer Executive functions:
Language
Intelligence (cognitive functoning)
Motor Function
Personality
What does temporal lobe affect? (LAME) - answer Language
Affective Component of speech
Memory
Emotion
In which lobe of the brain does the limbic system reside? - answer The temporal lobe
What is Wernicke's area responsible for and where does it reside in the brain? - answer
Wernicke's area is responsible for receptive speech and it resides in the temporal lobe.
What is the first line drug for OCD? - answer SSRIs
What is the drug of choice for ADHD for 8 y.o and above? - answer Stimulants (specifically ritalin
- methyphenidate)
If child develops tics, what do you prescribe? - answer Guanfacine
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