PMHNP certification exam Questions
and Correct Answers, Complete Solution.
2024.
denial
refusal to admit or recognize problem or event- primitive defense mechanism
projection
taking one's own unacceptable qualities and attributing them to another- primitive
defense mechanism
regression
reverting to patterns of behavior from earlier stage of developement- immature defense
mechanism
passive-aggression
indirectly expressing anger- immature defense mechanism
reaction formation
taking up the opposite feeling to reduce anxiety- neurotic defense mechanism
intelluctualization
focusing on intellectual component to AVOID anxiety or thinking about the matter-
neurotic defense mechanism
repression
keeping info out of consciousness- neurotic defense mechanism
displacement
taking out frustrations, etc on people or objects less threatening- neurotic defense
mechanism
rationalization
explaining unacceptable in a rational or logical manner- neurotic defense mechanism
splitting
seeing things about self or others in extremes, unable to integrate negative and
positive- neurotic defense mechanism
sublimation
converts unacceptable into acceptable (going to gym when angry)- mature, healthy
defense mechanism
humor, sublimation, suppression
mature, healthy defense mechanisms
suppression
removal of unwanted information (thinking about matter later)-mature, healthy defense
mechanism
cohort study
level 3 evidence heirarchy- specific variable and a specific outcome tested
Meta-analysis (systematic review)
level 1 highest level of evidence- review of high quality published research
, RCTs
level 2 evidence heirarchy
case control study
level 4 evidence heirarchy- retrospective study of cases and controls compared
case series/ reports
level 5 evidence heirarchyone study or narrative of one study/patient
editorial/expert opinion
lowest level (6) of evidence heirarchy- essays
herd community
resistance of group to infectious agent
active immunity
resistance developed in response to an antigen (agent or vaccine) ;presence of
antibody produced by host, years or lifelong
passive immunity
immunity from mother or IG administered; 6-9 months
sensitivity
positive in disease; SnNout- sensitive test when negative rules OUT disease
specificity
negative in health; SpPin- specific test when positive rules IN disease
prevalence
porportion of individuals possessing the condition at any given time
incidence
NEW cases only
AST elevation >40
alcohol, statin, tylenol, depakote
ALT elevation >40
liver stress, depakote
GGT elevation > 45
possible ETOH
CK elevation >240
possible NMS
GFR <60
requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level
ACE inhibitors, ARBs, NSAIDs, tetracyclines, metronidazole, K sparing diuretics,
thiazide diuretics, dehydration HYPOnatremia
drugs or conditions that decrease Li+ level
HYPERnatremia, theophylline
therapeutic lithium level
0.6-1.0 (acute mania 0.8-1.2)
symptoms of lithium toxicity
lethargy, fatigue, clumsiness, weakness, muscle cramping, nausea, vomiting, SEVERE
tremor, blurred vision, confusion
Low Hgb- < 13.5 men or < 12.5 women
anemia
low Hgb and MCV< 78
and Correct Answers, Complete Solution.
2024.
denial
refusal to admit or recognize problem or event- primitive defense mechanism
projection
taking one's own unacceptable qualities and attributing them to another- primitive
defense mechanism
regression
reverting to patterns of behavior from earlier stage of developement- immature defense
mechanism
passive-aggression
indirectly expressing anger- immature defense mechanism
reaction formation
taking up the opposite feeling to reduce anxiety- neurotic defense mechanism
intelluctualization
focusing on intellectual component to AVOID anxiety or thinking about the matter-
neurotic defense mechanism
repression
keeping info out of consciousness- neurotic defense mechanism
displacement
taking out frustrations, etc on people or objects less threatening- neurotic defense
mechanism
rationalization
explaining unacceptable in a rational or logical manner- neurotic defense mechanism
splitting
seeing things about self or others in extremes, unable to integrate negative and
positive- neurotic defense mechanism
sublimation
converts unacceptable into acceptable (going to gym when angry)- mature, healthy
defense mechanism
humor, sublimation, suppression
mature, healthy defense mechanisms
suppression
removal of unwanted information (thinking about matter later)-mature, healthy defense
mechanism
cohort study
level 3 evidence heirarchy- specific variable and a specific outcome tested
Meta-analysis (systematic review)
level 1 highest level of evidence- review of high quality published research
, RCTs
level 2 evidence heirarchy
case control study
level 4 evidence heirarchy- retrospective study of cases and controls compared
case series/ reports
level 5 evidence heirarchyone study or narrative of one study/patient
editorial/expert opinion
lowest level (6) of evidence heirarchy- essays
herd community
resistance of group to infectious agent
active immunity
resistance developed in response to an antigen (agent or vaccine) ;presence of
antibody produced by host, years or lifelong
passive immunity
immunity from mother or IG administered; 6-9 months
sensitivity
positive in disease; SnNout- sensitive test when negative rules OUT disease
specificity
negative in health; SpPin- specific test when positive rules IN disease
prevalence
porportion of individuals possessing the condition at any given time
incidence
NEW cases only
AST elevation >40
alcohol, statin, tylenol, depakote
ALT elevation >40
liver stress, depakote
GGT elevation > 45
possible ETOH
CK elevation >240
possible NMS
GFR <60
requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level
ACE inhibitors, ARBs, NSAIDs, tetracyclines, metronidazole, K sparing diuretics,
thiazide diuretics, dehydration HYPOnatremia
drugs or conditions that decrease Li+ level
HYPERnatremia, theophylline
therapeutic lithium level
0.6-1.0 (acute mania 0.8-1.2)
symptoms of lithium toxicity
lethargy, fatigue, clumsiness, weakness, muscle cramping, nausea, vomiting, SEVERE
tremor, blurred vision, confusion
Low Hgb- < 13.5 men or < 12.5 women
anemia
low Hgb and MCV< 78
