PMHNP Module Questions from FB Review Module 1-5.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/PMHNP%20Module%2
PMHNP Module Questions from FB Review Module
1-5
1. A patient is being treated for schizophrenia with olanzapine.Which of the following is
the most common side effect of olanzapine?
a. Increase waist circumference
b. Extrapyramidal side effects (5HT2A)
c. Increase lipids
d. Metabolic Syndrome
ANS D
2. Your patient with bipolar disorder is admitted to a medical hospital. The internist
contacts your office and asks whether the lithium you prescribed him is affecting his EKG.
How do you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his EKG
C. Lithium can invert the T-waves
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D. Lithium can shorten the PR-interval
ANS C
3. Mary a 45-year-old African American female who has been treated on Isocar- boxazid
(Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication
is strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDs
C. Methylphenidate
D. Acetaminophen
ANS C
4. You are treating a client with Schizophrenia who takes clozapine. What laboratory
values will indicate the client needs to discontinue treatment?
a. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of less than
1,200/mm3
b. Absolute neutrophil count of less than 1,000/uL
c. White blood cell count of less than 1,200/mm3
d. Absolute neutrophil count of less than 2,000/uL
ANS B
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,PMHNP Module Questions from FB Review Module 1-5.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/PMHNP%20Module%2
5. If given during pregnancy, sodium valproate can cause which of the follow- ing medical
problems in the baby?
a. Stevens-Johnson syndrome
b. Epstein's anomaly
c. Spina bifida
d. Cleft palate
ANS C
6. Which mood stabilizer is associated with potential life-threatening rash in the Asian
population?
a. Carbamazepine
b. Depakote
c. Lithium
d. Lamictal
ANS A
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7. The PMHNP would expect to see which of the following during the physical exam for a
patient with anorexia nervosa?
a. Russell sign
b. Low body mass index
c. Erosion of dental enamel
d. Hypertrophy of salivary glands
ANS B
8. Which of the following medication has a unique mechanism that is both a
norepinephrine and dopamine reuptake inhibitor?
a. Bupropion (Wellbutrin)
b. Sertraline (Zoloft)
c. Clomipramine (Anafranil)
d. Duloxetine (Cymbalta)
ANS A
9. Which cytochrome (CYP) enzyme is implicated as a tobacco inducer when an individual
is treated with clozapine?
a. 2D6
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