PMHNP Exam Reported Questions With Verified Answers.
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PMHNP
Institution
PMHNP
PMHNP Exam Reported Questions With
Verified Answers.
What is dissemination? - answerGetting 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 is a risk of using Tramadol? - answer✔Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - answer✔HLAB-1502
When might you see toxic epidermal necrolysis? - answer✔With worsening of SJS
How many generations do you include for a genogram? - answer✔1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - answer✔Amino Acids
What is epigenetics? - answer✔Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - answer✔Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - answer✔Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - answer✔10-25 yo
When do females typically present with schizophrenia? - answer✔25-35 yo
What does Erythromycin to trileptal? - answer✔You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - answer✔Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - answer✔Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? - answer✔Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - answer✔CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - answer✔CKMB
What is the risk of a seriously elevated CKMB? - answer✔Polymyositis
What psychoactives does Detrol interact with? - answer✔Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - answer✔CN XI -
Spinal Accessory
What do you see in labs with HIV & Dementia? - answer✔CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - answer✔Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - answer✔Helps rule-out disease = True Positive = Snout
What is specificity? - answer✔Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - answer✔Inflammation (ESR - Erythrocyte Sedimentation Rate)
= distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - answer✔0-22 males
0-29 females
What is a retic count? - answer✔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? - answer✔Anemia - acute or chronic bleeding
What does an increased retic count indicate? - answer✔Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - answer✔Doesn't diagnose anything. First
step is ID source of the issue.
What happens when you mix tegretol and macrolides? - answer✔Increase tegretol levels.
What happens if a pregnant women takes Accutane? - answer✔Birth defects.
What labs do you get with RA? - answer✔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? - answer✔ANA
When do you assume informed consent? - answer✔Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - answer✔Same as with
informed consent
Who can declare a patient incompetent and appoint a guardian? - answer✔Only a court
Does impaired judgment mean one is incompetent? - answer✔No.
Can an advanced directive ever be revoked? - answer✔Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? -
answer✔Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - answer✔No.
How do Asians see HC providers? - answer✔As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? -
answer✔SIgn of respect
What is the evil eye? - answer✔When a stronger or more powerful person looks at a weaker
person - often infant/child resulting in a hex which presents in illness such as HA, fever,
diarrhea, disturbed sleep, increased fussiness.
How do you protect from the evil eye? - answer✔Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? - answer✔Access traditional healer + traditional care.
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