©SIRJOEL EXAM SOLUTIONS
10/7/2024 11:03AM
Pmhnp Tessy Exam Questions With Correct
Answers
Reflexes expected at 1 month - answer✔Moro until 4 months, Palmer until 4 months, Plantar util
8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - answer✔small head, shoey palpebral fissure, inner epicanthal
folds. Do IEP and early intervention specialist
Rhett Syndrome - answer✔a rare disorder found virtually exclusively in girls, is a
neurodevelopmental disorder in which the child usually develops normally unitl about 6 to 18
months of age at which characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and disinterest in
play activities
EPS types - answer✔Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia
(hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate - answer✔nigrostiatal tract.
How does tegretol interact with cipro - answer✔cipro and erythromycin are inhibitors. Cause
increased level of Tegretol. Black box warning
Tegretol side effects - answer✔Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia.
Watch with cipro and erythro
nuchal rigidity - answer✔stiffness in cervical neck area, meningitis
ACE inhibitors - answer✔-pril, CHF
signs of serotonin syndrome - answer✔-shivering
-anxiety
-diaphoresis
-hyperthermia
, ©SIRJOEL EXAM SOLUTIONS
10/7/2024 11:03AM
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome - answer✔syndrome caused by abrupt withdrawal of an
antidepressant drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-
like symptoms, dizzy, vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal
effects
NMS - answer✔neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity
Levels of Prevention - answer✔Primary: prevent/promotion, classes, safety initiatives, education,
classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day treatment, social skills
Risk factors for serotonin syndrome - answer✔more than 1 SSRI, st johns wart, tramadol,
demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur - answer✔aortic stenosis
Woman with GAD advise on medication - answer✔stop benzos because can cause floppy baby
syndrome and cleft palate, cotinue buspar
What to give to agitated pt in seclusion - answer✔IM Geodon
Labs for macrocytic anemia - answer✔Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
