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